GI MIDTERM Flashcards Preview

Clinical Pathology > GI MIDTERM > Flashcards

Flashcards in GI MIDTERM Deck (41):
1

Where does a Mallory Weiss Tear Occur?

gastroesophageal junction

2

which are3 reasons for hematemesis due to the esophagus?

esophageal varices, esophageal mucosal lesions, and mallory weiss tears

3

Which area of the esophagus do varices enlarge and congest at?

lower end of the esophagus

4

4 types of espophagitis

pill, infectious, non treated gerd, and eosinophilic

5

Infectious esophagitis is due to what 4 bacterial/viral infections?

Candida, CMV, HIV, and Herpes Simplex

6

If a patient is having trouble swallowing solids only, what could the problem be?

mechanical obstruction; strictures, webs/rings, diverticuli, and TUMORS

7

If a patient is having problem swallowing solids AND liquids, what could the problem be?

motility issues

8

Esophageal webs are located where in the esophagus?

upper esophagus

9

WHen can webs become symptomatic?

when they become circumferential

10

Plummer vinson syndrome is BLANKKK

a combination of symptomatic proximal esophageal webs and iron deficiency anemia

11

Shatzki Rings are located where and are what?

lower esophagus and are

12

A pouch of sac in a tubular organ in the esophagus is called a

Zenker's diverticulum

13

most common location of zenkers diverticulum is

hypophargyngeal region

14

Which is more common: gastric of duodenal ulcers?

duodenal

15

Duodenal is more common in old or young Pts

Young

16

Duodenal has normal to BLANKK acid, where gastric has normal to BLANKK acid

DUodenal=high acid; gastric=low acid

17

most common risk factors of gastric and duodenal uldcers?

H pylori and NSAIDS

18

what part of the GI does H pylori accumulate?

antrum of stomach

19

pain is worsened with food. which type of ulcer

gastric

20

pain is relieved with food. which type of ulcer

duodenal

21

Most common complication oif PUD

bleeding

22

Perforation with PUD presents as:

severe, painful, board like abdomen

23

Zollinger Ellison syndrome is

peptic ulcer disease caused by endocrine TUMOR that secretes too much gastrin

24

WHat is the main difference bt dyspepsia and gastritis?

dyspepsia=pain in abdominal stomach region
gastritis= inflammatory pathology that is histologically confirmed

25

Pernicious Anemia is associated with what type of chronic gastritis?

type A autoimmune d/ autoantibodies attacking IF.

26

yellow discoloration in the eyes is called

scleral icterus

27

Inherited hyperbilirubinemia

Gilberts syndrome

28

Carotenoderma is

yellow coloring of the skin due to excessive intake of foods containing carotene

29

Carotenoderma vs jaundice: which affects the sclera?

Jaundice. CAROTENODERMA DOES NOT AFFECT THE SCLERA

30

number one cause of acute liver failure is

drug induced liver injury by acetaminophen

31

What tests would you do to determine if someone was having hepatocellular injury?

ALT and AST

32

What test would you perform to determine if the sxs were caused by a biliary issue?

Alkaline phosphate

33

What is the most common chronic liver disease in the US?

Non alcoholic fatty liver disease

34

Which race is nonalcoholic fatty liver disease most common in?

latinos

35

Risk factors of non alcoholic fatty liver liver disease include 2?

obesity and diabetess

36

In order for someone to be diagnosed with NAFLD, they must deny

drinking alcohol amounts unsafe for the liver.

37

Steatosis=

Accumulation of triglycerides with NO inflammation

38

Steatohepatitis=

accumulation of triglycerides with inflammation and cell death.

39

Cirrhosis is reversible T/F

F; cirrhosis is irreversible

40

Steatohepatitis is reversible T/F

T: can improve to steatosis with no inflammation

41

Best form of initial ancillary study for NAFLD=

ultrasound