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Gastrointestinal 2 > Clinical- Remaining Stuff > Flashcards

Clinical- Remaining Stuff Flashcards

1
Q

These are acquired heriations of mucosa and submucosa through the muscular layers of the colon.

A

Diverticula

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2
Q

This is the mere presence of uniflammed diverticula on the colon

A

Diverticulosis

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3
Q

This is the inflammation of 1 or more diverticula.

A

Diverticulitis

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4
Q

What are the Sx to diverticulitis?

A

pain in the LLQ, fever, abd distention, constipation or diarrhea.

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5
Q

What do u find on clinical exam for diverticulitis?

A

possible palpable tender mass, leukocytosis

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6
Q

What shows on histological exam of hyperplastic polyps?

A

metaplastic w/completely differentiated glandular elements.

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7
Q

What shows on histological exam of hamartomatous polyps?

A

mixture of normal tissues

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8
Q

What shows on histological exam of inflammatory polyps?

A

epithelial inflammatory rxn

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9
Q

Are hyperplastic, hamartomatous, and inflammatory polyps benign or malignant?

A

Benign

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10
Q

What are the 3 types of adenomatous polyps that can result from failed differentiation of glandular elements?

A

tubular, mixed, and villous

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11
Q

What size of an adenomatous polyp that puts u at a higher risk for malignancy?

A

> 1cm

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12
Q

What properties of an adenomatous polyp that puts u at a higher risk for malignancy?

A

presence of villous elements.

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13
Q

If you see an adenomatous polyp, what test should u do next?

A

Colonoscopy

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14
Q

What is the inheritance of hereditary nonpolyposis colorectal cancer (HNPCC)?

A

AD

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15
Q

What % of all colon cancers are from HNPCC?

A

5%

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16
Q

Which degree of relatives is a higher risk of developing cancer for HNPCC pt’s?

A

1st degree relatives

17
Q

What diets have an increased risk of colon cancer?

A

high fat, carbroiled meat/fish, fried food.

18
Q

What are the Sx of colon cancer if it’s in the proximal colon?

A

mass, ademia, abdominal discomfort

MAD

19
Q

What are the Sx of colon cancer if it’s in the left colon?

A

change in bowel habits, obstructive Sx, rectal bleeding

COB

20
Q

How long after the surgery should u do a postop colonoscopy for the colorectal cancer pt?

A

6-12 mo.

21
Q

What are the 2 components of the chemo for the colon cancer Tx?

A

5-fluorouracil + levamisole

22
Q

What are the 2 components of the chemo for the rectal cancer Tx?

A

radiotherapy + 5-FU

23
Q

How often should u screen for colorectal cancer after the age of 50?

A

every 10 years.

Gastrointestinal 2 (13 decks)

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