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GI CC Flashcards

0
Q

risk factors for UC ?

A

dietary arachinodinic acid dietary linoleic acid (corn oil) NSAID stress/depression Postmenopausal hormone use

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1
Q

protective for UC ?

A

dietary fatty acids SMOKING appendectomy < 20

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2
Q

risk factor for Crohns disease?

A

dietary animal protein NSAID stress/depression Oral contraceptive use smoking appendectomy

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3
Q

protective for Crohn’s Disease

A

dietary fiber Vitamin D

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4
Q

Diseases/complications of Crohn’s Disease

A

Stricture Fistulas Intraabdominal or Perianal abscess

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5
Q

disease/complication of UC

A

primary sclerosing cholangitis (independent)

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6
Q

histo of Crohn’s Disease

A

Granulomas, clumps of inflammatory cells in 30% patients

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7
Q

histo of UC

A

grandular atrophy with crypt distortion hypertrophy of muscularis mucosa

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8
Q

morphology of UC vs. Crohn’s Disease

A

UC - pseudopolyps - ulceration and raised mucosa *Mucosa and Submucosa involved Crohn’s Disease - cobblestoning = walls are thick

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9
Q

Erythema Nodosum

A

painful red nodules, mosquto bites Parallels Bowel disease

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10
Q

Pyoderma gangrenosum

A

ulceration and skin necrosis Independent from bowel disease

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11
Q

Uveitis

A

inner eye infection Independent from bowel disease

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12
Q

PSC

A

Primary Sclerosis Cholngitis bile duct is narrowed - can process to cirrhosis and increased risk of cancer *Ulcerative Colitis

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13
Q

esophageal varices?

A

anastomosis between Left Gastric Vein + Azygos Vein

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14
Q

internal hemorrhoids

A

from bleeding at anatomosis between superior rectal vein + middle/inferior rectal vein

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15
Q

caput medusa

A

anterior abdominal wall has enlarged veins anastmosis between paraumbilical veins + abdominal tributaries easily palpated

16
Q

retroperitoneal anatomosis

A

between colic vein + lumbar vein

17
Q

what are 4 anatomoses that are related to portal hypertesion

A
  1. esophageal varices - L gastric + azygos vein 2. caput medusa - paraumbilical veins + abdominal tributaries 3. internal hemorrhoids (superior rectal + midddle/inferior rectal veins) 4. retroperitoneal anastomoses - colic vein and lumbar vein
18
Q

cryptochidism

A

undescended testis orchidopexy done to remove testis from abdomen

19
Q

cremateric reflex

A

stimulation of inner thigh causes elevation o corresponding testis into inguinal canal. genitofemoral nerve

20
Q

hydrocele

A

fluid in processus vaginlias

21
Q

hemotacele

A

blood in tunica vaginalis

22
Q

variocele

A

enlarged testicular veins

23
Q

indirect hernia

A

protrusion is lateral to the inferior epigastric artery. goes through inguinal canal congenital/infants

24
Q

direct hernia

A

protrusion is medial to inferior epigastric artery. goes through Hesselbach’s Triangle.

25
Q

pneumoperitoneum

A

air in the peritoneum - ascends to top of cavity trapped air below diaphragm on the right is pathological normal to see air on the left (stomach)

26
Q

fluid in peritoneum? Males and females?

A

fluid DESCENDS and collects in different places in male/female female - fluid goes to Retouterine Pouch male - Rectovesical Pouch

27
Q

achlasia?

A

narrowing of the esophagus failure of LES to relax

28
Q

esophageal carcinoma sign?

A

is there is a rough, irregular change in diameter of the esophagus - called a Filling Defect or Eaten Apple SIgn Esophageal cancer sign

29
Q

what happens if LES herninates into thorax?

A

stomach contents leak Lower Esophageal Sphincter is already weak

30
Q

gall stones vs. kideny stones imagin

A

gall stones - NOT seen on xray - do ultrasound or CT kidney stones - are radio-opaque so do Cray

31
Q

referred pain from kidney stone? dx kidney stones? vs appendicitis

A

T11-L2 - flank region to scrotal region kidneys are retroperitoneal so will not have the Rebound Tenderness Appendicitis will cause rebound tenderness

GI (40 decks)

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