6 - Physiology Of GI Disorders PPT (Nikki Original) Flashcards

1
Q

What is achalasia?

A

Lower esophageal sphincter fails to relax when swallowing —> food fails to pass to the stomach —> esophagus can enlarge/become ulcerated/infected

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2
Q

Which cranial nerves can cause paralysis of the swallowing mechanism?

A

CN V, IX and X

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3
Q

Other than the cranial nerves, what can cause paralysis of the swallowing mechanism?

A

-poliomyelitis
-encephalitis
-being under anesthesia

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4
Q

What is gastritis?

A

Inflammation of gastric mucosa

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5
Q

What patient population is most commonly affected by gastritis

A

middle age and older

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6
Q

What can happen if gastritis progresses

A

It can cause ulcerative excoriation when acute and severe

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7
Q

T/F: alcohol, smoking, and aspirin have no relationship to gastritis

A

False they can make it worse o-o

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8
Q

What is gastric atrophy? What can it lead to?

A

-mucosa no longer makes secretions
can lead to:
-pernicious anemia
-achlorhydria

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9
Q

What is pernicious anemia

A

Can’t absorb B12 —> due to lack of intrinsic factor

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10
Q

What is achlorhydria?

A

Low HCL
—> therefore low pepsin

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11
Q

What are the causes of peptic ulcers

A

-high acid content (tums)
-irritation
-poor blood supply
-poor secretion of mucus
-helicobacter pylori infection

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12
Q

What are the 3 pathologies of the stomach

A

-gastritis
-gastric atrophy
-peptic ulcer

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13
Q

What are the 2 pathologies of the small intestine?

A

-pancreatic failure
-malabsorption (SI specific -_-)

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14
Q

What are the causes of pancreatic failure?

A

-removal of the head of the pancreas (cancer/pancreatitis)
-excess alcohol
-gallstones

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15
Q

How do gallstones cause pancreatic failure

A

-block the common bile duct and secretory duct
-cause build up of enzymes that will eventually activate and digest the pancreas

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16
Q

What are the 2 main causes of malabsorption in the SI

A

-nontropical sprue (anything relating to gluten)
-tropical sprue (infection)

17
Q

What is the main problem with malabsorption in the SI?

A

CO-MORBIDITIES:
-malabsorption of fats, proteins, carbs, Ca, vit K/B12, folic acid
-osteomalacia
-body wasting
-inadequate clotting
-anemia

18
Q

What are the 4 pathologies of the large intestine

A

-constipation
-megacolon
-diarrhea
-paralysis of defecation

19
Q

What are some causes of constipation

A

-slow movement of feces
-abnormal defecation reflex
-sigmoid colon spasm

20
Q

What are the 2 main causes of megacolon

A

-severe constipation
-children born with hirschsprung’s dx

21
Q

Causes for diarrhea:

A

-rapid movement of fecal matter
-enteritis
-ulcerative colitis

22
Q

Other GI pathologies: (general things)

A

-vomiting
-nausea
-GI obstruction (could be literally anything)
-gases