Quiz 5: Disease of the Intestines Flashcards Preview

T4- Systemic Patho > Quiz 5: Disease of the Intestines > Flashcards

Flashcards in Quiz 5: Disease of the Intestines Deck (46):
1

cc______: persistance of the omphalomesenteric duct (vitelline duct or yolk stalk) On the antimesenteric border of the ileum

meckel's diverticulum

2

incidence of meckel's diverticulum

adult men

3

a complicantion of ____ is that it develops tumors (leimyoma or carcinoid tumor)

meckle's diverticulum

4

Rules of 2's for meckle's diverticulum

2 inches long
2% incidence
2 ft from the cecum

5

____ is a congenital SI dx

meckles diverticulum

6

cc______: parasite (giarda lamblia) infesting the SI (mainly duodemum)

infection (giardiasis)

7

_____ is the MC SI dx in the US

infection (giardiasis)

8

_____ is diagnosed by cysts or trophozoites in stool

infection (giardiasis)

9

cc_______: increased fecal excretion of fat and concurrent deficieencies of vit, minerals, carbs, and protein

malabsorption

10

in Malabsorption this diseases can cause:
_____= absent villi
_____= infection
_____= Excessive resection
_____= abnor. transport of absorbed products

celiac sprue - absent villi
giardiasis or trophical sprue- infection
Crohn's dx- excessive resection
whipple's - abnor. transport of absorption products

11

An Iron def. in ____ dx can lead to microcytic hypochromic anemia

malabsorption

12

cc_____: gluten sensitive enteropathy that leads to malabsorption

celiac sprue (non-tropical sprue)

13

incidence of celiac sprue____

children

14

cc________- AI dx w/ AB against gluten (alcohol extract gliadin)

Celiac sprue

15

_____ dx has HLA-B8

celiac sprue

16

what is the major difference btw celiac sprue and tropical sprue?

celiac: HLA-B8
tropical : E.coli

17

cc_______: malabsorption due to chronic infection with E.Coli

tropical sprue

commin in : Caribbean, India, and Far East

18

Where is tropical sprue MC (3)

Caribbean, India, and Far East

19

cc_____: systemic dx which interferes with the lymphatic uptake of chylomicron from the intestine

whipple's dx

20

Incidence of Whipple's dx

middle aged males

21

the pathology of the_____ dx is infectious (bact.) and has foamy macrophages with periodic cid schiff (PAS) positive granules in the lamina propria

Whipple's dx

22

cc_____: telescoping of one seg of the prox bowel into the distant bowel

MC in _____

Intussusception

MC: children

MC site: terminal ileum into the cecum

23

MC site of intussusception

terminal ileum into the cecum

MC : children

24

adeno-virus infections and hyperplasia of peyer's pathces leads to ____

intussusception

25

cc____: twisting of the bowel around the mesenteric root

volvulus

26

volvulus location in
elderly:____
children:____

elderly: sigmoid colon
children: cecum

27

complication from volvulus

infarction of the segment

28

Leiomyoma is MC in what part of the intestines

Jejunum

(can cause intussusception and volvulus)

29

_____ tmor is the MC SI cancer

Carcinoid Tumor

- arise from enterochromaffin cells
- release NT serotonin

30

Location for malignant Carcinoid tumors

Terminal Ileum

31

NT that is released by Carcinoid tumors

Serotonin

32

Hirsch Sprung's dx has an increased incidence in ___ & ___

Down's syndrome
Chagas' disease

33

cc_____:deficiency of ganglion cells in Meissner's submucosal plexus & Auerbach's myenteric plexus

Hirsch sprung's dx

MC: in rectum

34

What is the MC complication seen in Hirsch sprung's dx

Entercolitis

35

Name (3) dx that cause inflammation of the L.I

Antibiotic colitis (pseudomembranous colitis)
Crohn's dx
Ulcerative colitis

36

cc____:Inflammation- characterized by membranous exudate coating colonic mucosa

antibiotic colitis

37

cc______ results in overgrowth of Clostridium difficile

antibiotic colitis

38

Crohn's dx involved ___ layers of the intestine

all layers

39

Crohn's dx involvea both the ___ & ___ 50% of the time

Ileum & colon

40

Ulcerative colitis mainly involves the ___ & ___

rectum and L colon

(begins in rectum and spreads to colon)

41

Which is rectal bleeding seen in (ulcerative colitis/ Crohn's dx)

ulcerative colitis

(it involves the rectum - lower)

42

Obstruction, stricture, Skipareas and fistulas are seen in (ulcerative colitis/ Crohn's dx)

Crohn's dx

43

Layers affected in ulcerative colitis

Mucosal
submucosal

44

Layers affected in Crohn's dx

transmural

45

Pseudo-Polys and Crypt Abcess are seen in (ulcerative colitis/ Crohn's dx)

ulcerative colitis

46

Dysplasia and Toxic Megacolon are seen in (ulcerative colitis/ Crohn's dx)

ulcerative colitis