Lec 22 Heliobacter and GI tract Flashcards

1
Q

The stomach lining is protected by

A

a mucus layer

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2
Q

What are ulcers linked to?

A

Excess acid in the stomach or duodenum

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3
Q

Severe cases of ulcers will causeq

A

hemorrhages and stomach contents to leak out

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4
Q

__ bacteria is highly associated with ulcrs

A

heliobacter pylori

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5
Q

Describe h pylori

A

g neg, spiral, flagella

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6
Q

Humans have different susceptibility to h pylori T/F?

A

TRUE

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7
Q

What is the job of h pylori; the endproducts are ___

A

Degrades proteins to make urea; alkaline

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8
Q

__% of people have h pylori in them

A

50

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9
Q

Risk factors for h pylori colonization are

A

poor SES, contamination, oral fecal contamination

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10
Q

Is h pylori colonization more likely to occur iun adults or kids?

A

kids

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11
Q

Early h pylori leads to __ while late leads to __

A

cancer; ulcers

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12
Q

Extreme high incidence of stomach cancer is in

A

Japan Chile and Iceland

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13
Q

HWhere are stomach cancer incidence rates higher in the US?

A

Alaska, Hawaii, New York, DC, Pennsylvania

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14
Q

WHo is stomach cancer most common in?

A

men over age 40

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15
Q

Helicobacter treatment includes

A

reducing salt and cured foods, vit C, radiation/chemo

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16
Q

Diagnosing h pylori

A

culture, antibody for history, detect urease breath test

17
Q

Medicine to treat h pylori that got recalled is

A

zantac/ranitidine

18
Q

We don’t treat heliobacter with antibiotics because

A

of resistance

19
Q

What happens to alcoholics with h pylori>

A

alcoholic gastritis

20
Q

Helicobacter treatment can regress inflammation of malt, lowering the risk for

21
Q

Ulcers are linked to stomach cancers/ T/F?

A

FALSE, no evidence. only evidence that h pylori is related to both things.

22
Q

Childhood infection can have what affect on adult infection?

A

limits acid production, but stomach cancer

23
Q

Adult Childhood infection how many people get ulcers?

24
Q

Acid from stomach irritates the esophagus in ___. It is a problem of the ___

A

GERD; Lower esophageal sphincter

25
GERD is associated with
hiatal hernia
26
Testing for GERD is done by
an endoscopy
27
How many americans have gerd?
20 million
28
FROm GERD you can advance to ___, and then __.
Barrett's esophagus which is premalignant; esophageal cancer
29
Where are esophageal cancer rates high?
Asia, Africa
30
In chron's disease, our immune system is doing what
reading food or something else for an issue (molecular mimicry)
31
Who is at higher risk of Chron's
smoking Jews
32
Chron's treatment is
treat symptoms with asprin and corticosteriods, surgery
33
Chron's treatment is
treat symptoms with aspirin and corticosteriods, surgery
34
Chrons is most common in which areas
US, Canada, AUS, NZ
35
What is the relation of Gastric cancer to CHron's?
Inverse relationship between incidence in different countries
36
Chron's disease is possibly waht type of infection due to what bacteria?
zoonotic; m paratuberculosis (possibly correlated)
37
The end result of Chron's is..
intense inflammation and discomfort