GI CC

Question 0

risk factors for UC ?

Answer 0

dietary arachinodinic acid dietary linoleic acid (corn oil) NSAID stress/depression Postmenopausal hormone use

Question 1

protective for UC ?

Answer 1

dietary fatty acids SMOKING appendectomy < 20

Question 2

risk factor for Crohns disease?

Answer 2

dietary animal protein NSAID stress/depression Oral contraceptive use smoking appendectomy

Question 3

protective for Crohn’s Disease

Answer 3

dietary fiber Vitamin D

Question 4

Diseases/complications of Crohn’s Disease

Answer 4

Stricture Fistulas Intraabdominal or Perianal abscess

Question 5

disease/complication of UC

Answer 5

primary sclerosing cholangitis (independent)

Question 6

histo of Crohn’s Disease

Answer 6

Granulomas, clumps of inflammatory cells in 30% patients

Question 7

histo of UC

Answer 7

grandular atrophy with crypt distortion hypertrophy of muscularis mucosa

Question 8

morphology of UC vs. Crohn’s Disease

Answer 8

UC - pseudopolyps - ulceration and raised mucosa *Mucosa and Submucosa involved Crohn’s Disease - cobblestoning = walls are thick

Question 9

Erythema Nodosum

Answer 9

painful red nodules, mosquto bites Parallels Bowel disease

Question 10

Pyoderma gangrenosum

Answer 10

ulceration and skin necrosis Independent from bowel disease

Question 11

Uveitis

Answer 11

inner eye infection Independent from bowel disease

Question 12

PSC

Answer 12

Primary Sclerosis Cholngitis bile duct is narrowed - can process to cirrhosis and increased risk of cancer *Ulcerative Colitis

Question 13

esophageal varices?

Answer 13

anastomosis between Left Gastric Vein + Azygos Vein

Question 14

internal hemorrhoids

Answer 14

from bleeding at anatomosis between superior rectal vein + middle/inferior rectal vein

Question 15

caput medusa

Answer 15

anterior abdominal wall has enlarged veins anastmosis between paraumbilical veins + abdominal tributaries easily palpated

Question 16

retroperitoneal anatomosis

Answer 16

between colic vein + lumbar vein

Question 17

what are 4 anatomoses that are related to portal hypertesion

Answer 17

1. esophageal varices - L gastric + azygos vein 2. caput medusa - paraumbilical veins + abdominal tributaries 3. internal hemorrhoids (superior rectal + midddle/inferior rectal veins) 4. retroperitoneal anastomoses - colic vein and lumbar vein

Question 18

cryptochidism

Answer 18

undescended testis orchidopexy done to remove testis from abdomen

Question 19

cremateric reflex

Answer 19

stimulation of inner thigh causes elevation o corresponding testis into inguinal canal. genitofemoral nerve

Question 20

hydrocele

Answer 20

fluid in processus vaginlias

Question 21

hemotacele

Answer 21

blood in tunica vaginalis

Question 22

variocele

Answer 22

enlarged testicular veins

Question 23

indirect hernia

Answer 23

protrusion is lateral to the inferior epigastric artery. goes through inguinal canal congenital/infants

Question 24

direct hernia

Answer 24

protrusion is medial to inferior epigastric artery. goes through Hesselbach's Triangle.

Question 25

pneumoperitoneum

Answer 25

air in the peritoneum - ascends to top of cavity trapped air below diaphragm on the right is pathological normal to see air on the left (stomach)

Question 26

fluid in peritoneum? Males and females?

Answer 26

fluid DESCENDS and collects in different places in male/female female - fluid goes to Retouterine Pouch male - Rectovesical Pouch

Question 27

achlasia?

Answer 27

narrowing of the esophagus failure of LES to relax

Question 28

esophageal carcinoma sign?

Answer 28

is there is a rough, irregular change in diameter of the esophagus - called a Filling Defect or Eaten Apple SIgn Esophageal cancer sign

Question 29

what happens if LES herninates into thorax?

Answer 29

stomach contents leak Lower Esophageal Sphincter is already weak

Question 30

gall stones vs. kideny stones imagin

Answer 30

gall stones - NOT seen on xray - do ultrasound or CT kidney stones - are radio-opaque so do Cray

Question 31

referred pain from kidney stone? dx kidney stones? vs appendicitis

Answer 31

T11-L2 - flank region to scrotal region kidneys are retroperitoneal so will not have the Rebound Tenderness Appendicitis will cause rebound tenderness