Pathology: Large Bowel Flashcards

1
Q

what two things are often related to diverticular disease?

A

low fibre diet

increased intralumenal pressure

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2
Q

when are there symptoms in diverticular disease?

A

only if it becomes complicated

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3
Q

what is required in complicated diverticular disease?

A

surgery

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4
Q

name five possible complications of diverticular disease

A
inflammation
rupture
abscess 
fistula 
massive bleeding
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5
Q

what does an ischaemic bowel look like on histology?

A

withered crupts
smudged lamina propria
few chronic inflammatory cells

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6
Q

who is ischaemia of the large bowel common in?

A

the elderly

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7
Q

which side of the bowel is most commonly affected by ischaemia?

A

left

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8
Q

name six possible causes of ischaemia of the large bowel

A
CVD
AF
embolus 
atherosclerosis of mesenteric vessels 
shock 
vasculitis
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9
Q

name three possible complications of ischaemic of the large bowel

A

massive bleeding
rupture
stricture

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10
Q

what appears on the mucosal surface in Antibiotic Induced Pseudomembranous Colitis?

A

yellow, purulent exudate

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11
Q

what type of antibiotic causes antibiotic induced pseudomembranous colitis?

A

broad spectrum antibiotics

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12
Q

what attacks the endothelium and epithelium in antibiotic induced pseudomembranous colitis?

A

C.Diff toxins A and B

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13
Q

what does antibiotic induced pseudomembranous colitis cause?

A

massive diarrhoea and bleeding

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14
Q

how is antibiotic induced pseudomembranous colitis treated?

A

flagyl
vancomycin
colectomy

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15
Q

what is another name for flagyl?

A

metronidazole

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16
Q

how does collagenous colitis present?

A

watery diarrhoea

17
Q

what does collagenous colitis cause?

A

increased thickness of subepithelial collagen

thickened basement membrane

18
Q

what is collagenous colitis associated with?

A

intraepithelial inflammatory cells

19
Q

how does lymphocytic colitis present?

A

watery diarrhoea

20
Q

what is there a massive increase of in lymphocytic colitis?

A

intraepithelial lymphocytes