Small Intestine and colon Part 2 Flashcards Preview

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Flashcards in Small Intestine and colon Part 2 Deck (33):
1

What is Graft vs. Host Disease

Rare medical complication following the receipt of transplant tissues from a genetically different person

2

When does the graft vs. Host Disease occur

after allogenic hematopoietic stem cell transplants. it targets the antigens on the recipient's epithelial cells by donor T cells

3

What tends to happen with intestinal graft vs. host disease

manifests as watery diarrhea

4

What causes rice water stools

V. Cholerae

5

What bacteria is spread throughout the reheating of rice

B. cereus

6

What organism comes into into play after antibiotic use

C. difficile

7

What organism cause problems from eating left over meat and poultry

C. Perfringen

8

What EHEC come from

Undercooked hamburger

9

What does ETEC cause

Travelers diarrhea

10

What comes with Salmonella species

typhoid fever

11

What causes S. aureus

Picnic foods

12

What does shellfish cause

V. parahaemolytic

13

How does Norovirus start

through an outbreak

14

Who does rotavirus affect

infants

15

Who does cryptosporidium affect

immunocompromised

16

What does E. histolytica cause

Amebic dysentery

17

What does G. lambia cause

smelling stool

18

What is Irritable bowel syndrome

Chronic and relapsing abdominal pain, bloating, and changes in bowel habits including diarrhea and constipation

Psychological stressors – domestic abuse, sexual abuse, stress, depression

F>M

19

What are the manifestations of the IBS

Abdominal pain & bloating relieved by defecation,Stool with mucus, NO blood

Results from inappropriate mucosal immune activation

IBD encompasses two major entities- Crohn’s Disease and Ulcerative Colitis

20

What is Crohns Disease

it is a inflammatory bowel disease that effects the gastrointestinal tract from the mouth to the anus.

21

What is the presentation of Crohns Disease

30 and 60 years
location is in the gum to bum (Terminal ileum)
No rectal Bleeding
No diarrhea
The abdominal pain comes and goes
there is fever
there is in urgency
Mimics appendicitis
it can reoccur after surgery and you will see ulcers, cobblestoning and pseudo polyps in the endoscopy
it has Skip lessions and is ASCA + on a test

22

What is the Ulcerative Colitis

it is inflammation and ulcers in the colon.

23

What is the presentation of UC

30 and 50 years
in the rectum with bleeding and diarrhea
there is no abdominal pain, fever and palpable mass
There is urgency and on endoscopy there is continuous inflammation and pseuopolyps
You will see toxic megacolon, rupture and peritonitis and has a high risk for adenocarcinoma with ANCA + test.

24

What are some of the extra intestinal Manifestation of CD and UC

Erythema Nodosum - macrophages

Pyoderma Ganernosum - nectroic tissue ulcers, usually on legs

Ankylosing spondylitis - Bamboo spine - restrictive movement moving forward

Uveitis - inflammation of urea; WBC’s in anterior chamber

25

What is Diverticulum

Diverticulum: abnormal sac like protrusion fro the wall of a hollow organ.

26

What is Diverticulosis

it is multiple diverticula

27

What is diverticulitis

it is the inflammation of the one or more diverticula: increase intraluminal pressure and food partial deposit, Erosion of wall, inflammation and focal necrosis.

28

What are the clinical manifestation of Diverticulum

Fever, left lower quadrant tenderness, nausea, vomiting and diarrhea and constipation

29

What will the lab test show for diverticulum

It will show leukocytosis with left shift. ( increase in immature leukocytes)

30

What should you do if a female is showing leukocytosis

make her take a pregnancy test

31

What are the clues for diverticulum

Abscess
Fistula
perforation
hypotension and shock
extreme tenderness on palpation
abdominal righty and guarding
rebound tenderness

32

What is the presentation of diverticulosis

Painless bleeding
left lower quadrant
no fever
treatment is with diet modification and increase fiber and water intake

33

What is the presentation of diverticulitis

Painful bleeding
left lower quadrant
fever due to inflammation
treatment: diet modification, surgery, water intake and antibiotics