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Flashcards in non cancer-stomach Deck (35):
1

neo-nate with projectile vomiting

pyloric stenosis

2

visible peristalsis and a firm, ovoid mass in the region of the pylorus

pyloric stenosis

3

Protrusion of stomach and intestines into the thorax through a defect in the diaphragm

diaphramatic hernia

4

results of diaphramatic hernia

acute respiratory syndrome in neonates (viscera pushes into the thorax resulting in hypoplastic lungs)

5

major causes of gastroparesis

vagotomy and diabetic autonomic neuropathy

6

early satiety, burping, and vomiting (partially digested food

gastroparesis

7

clinical term for decreased or absent stomach motility

gastropareisis

8

most common causes of acute gastritis (3)

NSAIDS, EtOH, Stress (burn, surgery, trauma, infection)

9

steps of actute gastritis pathenogenesis

mucosal barrier breakdown
increased acid/decreased bicarb buffer
decreased mucosal blood flow
injury to exposed mucosal cells by excess acid

10

epigastric pain with n/v, and possible bleeding

acute gastritis

11

how to tell acute gastritis moves to chronic

presense of plasma cells

12

chronic gastritis can lead to

mucosal atrophy or epithelial gastric carcinoma

13

can cause chronic gastritis

H PYLORI and anything causing acute for a long time (smoking, autoimmune, etc)

14

clinical dx of h pylori

biopsy or urease test

15

complications of chronic gastritis

peptic ulcers
gastric cancer
pernicous anemia
intestinal cancer

16

autoimmune gastritis can lead to

autoantibodies to parietal cells, then malabsorption of B-12 --> macrocytic anemia

17

when erosion becomes an ulcer

when the entire mucosa is breached, nor just superfiscialy

18

can cause acute gastric ulcers

systemic stress, burns, injury to CNS, NSAIDS, gastric irritants

19

small, circular, shallow, ragged edged ulcers

acute gastric

20

location of most chronic peptic ulcers

first portion of duodenum or gastric antrum

21

present in 70% of pts with gastric ulcers

helicobacter

22

pathenogenesis of peptic ulcer disease

exposure of mucosa to acid and pepsin

23

causes of PUD

chronic NSAID
cigerette smoking
alcoholic cirrosis,COPD, renal failure
zollinger-ellison syndrome

24

how zollinger ellison syndrome can cause PUD

gastrin secreting tumor causes acid to be secreted, resulting in multiple peptic ulcerations

25

epigatric gnawing, burning pain 1-3 hours after meals relieved by food

PUD

26

complications of PUD

bleeding and iron deficiency anemia
perforation
obstruction

27

round, punched out craters in the duodenum or antrum usually solitary

chronic PUD

28

found at the bottom of a chronic peptic ulcer

scar tissue

29

giant cerbriform enlargemtent of rugal folds of gastric mucosa WITHOUT inflammation

hypertrophic gastropathy

30

variants of hypertrophic gastropathy

menetrier disease
zollinger-ellison

31

hyperplasia of surface mucosal cells with glandular atrophy

menetrier disease

32

hyperplasia of parietel and cheif cells within gastric glands

zollinger-ellison syndrome

33

genetic syndrome associated with zollinger-ellison syndrome

MEN1

34

epigastric discomfort, weigh loss, diarreha, hypoproteinemia in a male 40-60

menetrier disease

35

menetrier disease has increased risk of

adenocarcinoma