G.I. Pathology Flashcards

1
Q

Non Alcoholic Steatohepatitis

  1. cause
  2. where is ti common
  3. what can it cause
  4. what is the pathology
  5. what marker is elevated
A
  • obesity
  • US
  • HCC (hepatocellular carcinoma)
  • fat accumulates in the hepatocytes without the presence of alcohol
  • ALT is elevated
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2
Q

Budd-Chiara Syndrome

  1. pathology
  2. causing factors
A
  • thrombosis of the hepatic vein occurs and causes congestion in the liver due to fluids not being able to escape. Hepatomegaly will occur
  • Polycythemia vera, OCP use, Pregnancy anything that puts pressure on the veins
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3
Q

Chronic Passive Congestion of The Liver

  1. Pathology
  2. markers elevated
  3. Key histological feature
A
  • This is a passive process because the right heart starts to fail so blood accumulates in the vena cava system and then backs up into the liver and it becomes congested
  • AST and ALT are elevated, INR is elevated and prothrombin time is elevated
  • “Nutmeg Liver”
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4
Q

Hepatic Adenoma

  • common in?
  • risk factor
  • TX
  • benign or malignant
A
  • women
  • OCP use
  • stoping OCP will regress the situation
  • Benign
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5
Q

what diagnoses HCC

A

tripel face CT scan

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6
Q

what is the tumor marker for HCC

A

alpha feto protein

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7
Q

pancreatitis will present with what kind of pain

A

bain that radiated to the back and the right shoulder

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8
Q

what is the most common cause of obstructive pancreatitis

A

gall stones

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9
Q

Choledococele?

A

dilation of the bile duct that can press on the liver and cause pancreatitis

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10
Q

how can pancreatitis cause ARDS?

A

Phospholipase can leak from the pancreas during pancreatitis can damage the alveolar membranes in the lungs and cause a leakage of fluid

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11
Q

most common islet cell tumor

A

Insulinoma

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12
Q

what are the two malignant tumors of the pancrease

A

Glucagonoma and VIPoma

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13
Q

what is the treatment surgery for pancreatic cancer

A

WHIPPLE

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14
Q

what are the two pancreatic tumor markers

A

CEA and CA19-9

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15
Q

Cholangitis?

A

inflammation of the bile duct

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16
Q

what is porcelain gallbladder due to

A

when there is chronic calcification of the gall bluffer or in Gallbladder cancer

17
Q

what does vrichows triad consist of and what is it important for

A
  1. intermittent fever
  2. intermittent pain
  3. intermittent jaundice

due to gram negative Pseudomonas bacteria and this is fatal. START ZOSIN IMMEDIATELY

18
Q

carcinoma of the bifurcation of the right and left hepatic bile ducts are known as

A

Klatskin Tumor