GI - Class Notes/2 Flashcards
UC most common sx
diarrhea about 20 x day
healthy w/ jaundice
intra
cancer survivor jaundice
4
- metastatic liver disease infection
- inflammation
- neoplastic
- occupational
usually starts in the rectum and ascends
UC
fistular and fissures are complications of
CD
CD location
mouth to anus
which ulcer type is relieved by antacids or by ingestion of food
duodenal ulcer
CD fistula
abnormal connection of two hollow organs i.e. small and large intestine
barium x ray only shows what
that there is a defect such as ulcer or cancer; sensitive but not specific
30 yr old IV drug user jaundice
hep B or C
mouth to anus disease
CD
alcoholic jaundice
hepatitis
1st pathogenesis of peptic ulcers
damage to mucosal barrier
UC diarrhea appearance
3
mucus
liquidy
pasty
CD fistula are more common where
anus
results in the ulceration of the lining of mucosa
peptic ulcer
jaundice of young African american
sickle cell
use of steroids and aminosalicyclate drugs are tx for
UC
UC usually starts where
rectum and ascends
12 yr old who just came back from camp jaundice
hep A infection
liver connects bilirubin with
gluconamic acid = conjugated
food causes pain almost immediately
gastric ulcer
h. pylori and mucosal barrier destruction can cause
gastric ulcer
gastric ulcer causes
2
- h. pylori
2. mucosal barrier destruction
duodenal ulcer tx
3
14 days
2 antibiotics
1 proton pump inhibitor
strictly in the colon of the large intestine
UC
UC tx
2
- steroids
2. aminosalicyclate drugs (suppress immune response)
post hepatic jaundice
happens in biliary tree i.e. obstruction
barium x ray is to
peptic ulcer
neonatal jaundice
liver not mature enough to handle hemolysis (pre)
gastric ulcer vs duodenal ulcer
duodenal ulcer is relieved by antacids or by ingestion of food
chronic, life-long, relapsing disease with rest of baseline
IBD
peptic ulcer results in
ulceration of lining of mucosa
IBD is more prevalent in
1st degree relatives i.e. siblings
gastric ulcer sx
1
- food causes pain almost immediately
peptic ulcer that is all the way through
acute abdomen and can be fatal
inflammatory bowel disease IBD
chronic, life-long, relapsing disease with rest of baseline
yellow is to
bilirubin
gastric ulcer location
antral region
2nd pathogenesis of peptic ulcers
too much acid
UC locations
3
- rectum
- sigmoid
- colon
CD fissures
cracks around the anal line
prehepatic jaundice
jaundice before it hits the liver
CD complications
2
- fistular
2. fissures
IBD exact cx
unknown
periods of remenition and exacerbation
UC
abnormal connection of two hollow organs i.e. small and large intestine
fistula (complication of CD)
ulcers on lining of large intestine
UC
cracks around the anal line
fissures (complication of CD)
duodenal ulcer is almost always caused by
h. pylori
antral region ulcer
gastric ulcer
shock like 3rd degree burns can cause
a decrease in circulation that leads to peptic ulcers
CD cause
idiopathic
