GIT - Intestines Flashcards

1
Q

what is this?

A

normal intestine with villi

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2
Q

what is this?

A

normal intestine

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3
Q

where is this?

identify the parts with arrows

A
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4
Q

what is this?

A

normal colon mucosa

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5
Q

what is this?

A

double bubble sign found in duodenal atresia

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6
Q

what is this?

A

merckel’s diverticulum

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7
Q

what is this?

A

Merckel’s diverticulum

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8
Q

what is this?

A

Hirschprung’s colon

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9
Q

what is this?

A

Hirschprung’s

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10
Q

what is this?

A

normal colon with ganglion cells present

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11
Q

what is this?

A

Hirschprung’s disease with absence of ganglion cells

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12
Q

what is this?

A

flattened and blunt villi found in Celiac Disease

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13
Q

what is this?

A

Dermatitis herpetiformis

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14
Q

what is this?

A

Celiac Disease

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15
Q

what is this?

A

dermatitis herpetiformis found in celiac disease

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16
Q

what is this?

A

celiac sprue found in celiac disease

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17
Q

what is this?

A

tropheyma whippeli found in Whipple’s disease

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18
Q

what is this?

A

top (2 arrows) infarcted bowel

bottom (1 arrow) normal

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19
Q

what is this?

A

thumbprint sign in radiography found in ischemic bowel disease

both: Ischemic colitis or small bowel infarction

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20
Q

what is this?

A

thrombosis of superior mesenteric artery

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21
Q

what is this?

A

dilated submucosal veins in angiodysplasia

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22
Q

what is this?

A

arrows pointing at dilated submucosal veins in angiodysplasia

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23
Q

what is this?

A

bowel obstruction

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24
Q

what is this?

A

adhesion between loops of small bowel - cause for obstruction

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25
Q

what is this?

A

Intussusception of small bowel caused by an adenocarcinoma

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26
Q

what is this?

A

Intussusception

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27
Q

what is this?

A

meconium ileus

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28
Q

what is this?

A

large bowel diverticula

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29
Q

what is this?

A

large bowel diverticula

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30
Q

what is this?

A

large bowel diverticula

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31
Q

what is this?

A

large bowel pulsion diverticula

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32
Q

what disease is this?

A

Crohn’s disease

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33
Q

what disease is this?

A

ulcerative colitis

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34
Q

what disease and what is happening?

A

thickened wall and narrowing of the lumen

Crohn’s disease

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35
Q

what is this appearance called and what disease does it belong to?

A

cobblestone appearance and it is crohn’s disease

36
Q

what are the arrows pointing at?

A

Serosal extension of mesenteric fat

“Creeping Fat” in crohns disease

37
Q

what is this?

A

fissure seen in mucosa in crohn’s disease

38
Q

what is this?

A

high magnification the granulomatous nature of the inflammation of Crohn disease is demonstrated here with epithelioid cells, giant cells, and many lymphocytes

39
Q

what is this?

A

This upper GI series reveals a focal area of stricture in the terminal ileum, consistent with Crohn’s disease

40
Q

what is this?

A

ulcerative colitis - gross

41
Q

what is this?

A

Ulcerative colitis. Acute form with marked hyperemia.

wet and glaring mucosa

42
Q

what is this?

A

continuous ulcerations consistent with ulcerative colitis

43
Q

what is this

A

psudopolyps - ulcerative colitis

44
Q

chronic ulcerative colitis

A

arrow- neutrophils in mucosal crypt = ulcerative colitis, chronic

45
Q

what is this?

A

toxic megacolon - complication of ulcerative colitis

46
Q

what is this?

A

dysplasia seen in ulcerative colitis

47
Q

what is this?

A

complication of ulcerative colitis - adenocarcinoma

48
Q

what is this>

A

FAP

49
Q

what is this?

A

FAP

50
Q

what is this?

A

FAP

51
Q

what is this?

A

FAP

52
Q

what is this?

A

osteoma part of Gardener’s syndrome - due to multiple polyposis syndrome like FAP

53
Q

what is this?

A

carcinoid syndrome associated casal’s necklace = niacin def.

54
Q

what is this?

A

carcinoid tumor

55
Q

what is this?

A

carcinoid tumor

56
Q

what is this?

A

carcinoid tumor micro

57
Q

what is this?

A

Carcinoid Metastatic to liver

58
Q

what is this?

A

Intestinal Burkitt’s lymphoma

59
Q

what is this?

A

African Burkitt’s lymphoma

60
Q

what is this?

A

starry sky appearance = Burkitt’s lymphoma

61
Q

what is this?

A

juvenile (retention) polyp

62
Q

what is this?

A

Peutz-Jeghers polyps- pigmentation of the buccal mucosa and Polyps of small bowel and stomach

63
Q

what is this?

A

Pedunculated adenomatous polyp - Very low power

64
Q

what is this?

A

Pedunculated adenomatous polyp - Very low power

65
Q

what is this?

A

Tubular Adenoma

66
Q

what is this?

A

Villous adenoma, rectum

67
Q

what is this?

A

Villous adenoma, rectum

68
Q

what is this?

A

Villous adenoma (Top left and right) These slides demonstrates the velvety appearance of a villous adenoma of the colon.

69
Q

what is this?

A

Left colon, carcinoma - Gross, mucosal surface

70
Q

what is this?

A

Gross appearance of adenocarcinoma of large bowel. Polypoid pattern of growth in a rectal lesion.

71
Q

what is this?

A

Colon, carcinoma - Low power

72
Q

what is this?

A

Radiograph of an adenocarcinoma of the rectum with circumferential narrowing of the lumen shows “apple core lesion”.

73
Q

what is this?

A

the appendix is swollen, edematous, hyperemic and is covered with a yellowish fibrinous exudate.

Neutrophils extend into and through the wall of the appendix in a case of acute appendicitis.

74
Q

what is this?

A

Acute appendicitis with fecalith

75
Q

what is this?

A

Rupture of appendix secondary to transmural acute appendicitis.

76
Q

what is this?

A

Seen here is the anus and perianal region with prominent prolapsed true (internal) hemorrhoids.

77
Q

what is this?

A

Rectal prolapse

78
Q

what is this?

A

Prolapsed rectum due to heavy trichuriasis.

79
Q

what is this?

A

C. difficile

80
Q

what is this?

A

C. difficile

81
Q

what si this?

A

f pseudomembranous enterocoliti

82
Q

what is this?

A

Small bowel, Mycobacterium avium-intracellulare infection - Gross, mucosal surface

83
Q

what is this?

A

hallmark of MAC - Abundant acid fast bacilli within macrophages

84
Q

what is this?

A

frequent in immunocompromised patients, particularly those with AIDS. The small round blue organisms at the lumenal border are cryptosporidia.

85
Q

what is this?

A

Entamoeba histolytica trophozoites showing erythrophagocytosis

86
Q

what is this?

A

Giardia lamblia with two nuclei and flagella