Quiz 5: Disease of the Intestines Flashcards
stopped before pg 93
cc______: persistance of the omphalomesenteric duct (vitelline duct or yolk stalk) On the antimesenteric border of the ileum
meckel’s diverticulum
incidence of meckel’s diverticulum
adult men
a complicantion of ____ is that it develops tumors (leimyoma or carcinoid tumor)
meckle’s diverticulum
Rules of 2’s for meckle’s diverticulum
2 inches long
2% incidence
2 ft from the cecum
____ is a congenital SI dx
meckles diverticulum
cc______: parasite (giarda lamblia) infesting the SI (mainly duodemum)
infection (giardiasis)
_____ is the MC SI dx in the US
infection (giardiasis)
_____ is diagnosed by cysts or trophozoites in stool
infection (giardiasis)
cc_______: increased fecal excretion of fat and concurrent deficieencies of vit, minerals, carbs, and protein
malabsorption
in Malabsorption this diseases can cause:
_____= absent villi
_____= infection
_____= Excessive resection
_____= abnor. transport of absorbed products
celiac sprue - absent villi
giardiasis or trophical sprue- infection
Crohn’s dx- excessive resection
whipple’s - abnor. transport of absorption products
An Iron def. in ____ dx can lead to microcytic hypochromic anemia
malabsorption
cc_____: gluten sensitive enteropathy that leads to malabsorption
celiac sprue (non-tropical sprue)
incidence of celiac sprue____
children
cc________- AI dx w/ AB against gluten (alcohol extract gliadin)
Celiac sprue
_____ dx has HLA-B8
celiac sprue
what is the major difference btw celiac sprue and tropical sprue?
celiac: HLA-B8
tropical : E.coli
cc_______: malabsorption due to chronic infection with E.Coli
tropical sprue
commin in : Caribbean, India, and Far East
Where is tropical sprue MC (3)
Caribbean, India, and Far East
cc_____: systemic dx which interferes with the lymphatic uptake of chylomicron from the intestine
whipple’s dx
Incidence of Whipple’s dx
middle aged males
the pathology of the_____ dx is infectious (bact.) and has foamy macrophages with periodic cid schiff (PAS) positive granules in the lamina propria
Whipple’s dx
cc_____: telescoping of one seg of the prox bowel into the distant bowel
MC in _____
Intussusception
MC: children
MC site: terminal ileum into the cecum
MC site of intussusception
terminal ileum into the cecum
MC : children
adeno-virus infections and hyperplasia of peyer’s pathces leads to ____
intussusception
cc____: twisting of the bowel around the mesenteric root
volvulus
volvulus location in
elderly: ____
children: ____
elderly: sigmoid colon
children: cecum
complication from volvulus
infarction of the segment
Leiomyoma is MC in what part of the intestines
Jejunum
can cause intussusception and volvulus
_____ tmor is the MC SI cancer
Carcinoid Tumor
- arise from enterochromaffin cells
- release NT serotonin
Location for malignant Carcinoid tumors
Terminal Ileum
NT that is released by Carcinoid tumors
Serotonin
Hirsch Sprung’s dx has an increased incidence in ___ & ___
Down’s syndrome
Chagas’ disease
cc_____:deficiency of ganglion cells in Meissner’s submucosal plexus & Auerbach’s myenteric plexus
Hirsch sprung’s dx
MC: in rectum
What is the MC complication seen in Hirsch sprung’s dx
Entercolitis
Name (3) dx that cause inflammation of the L.I
Antibiotic colitis (pseudomembranous colitis)
Crohn’s dx
Ulcerative colitis
cc____:Inflammation- characterized by membranous exudate coating colonic mucosa
antibiotic colitis
cc______ results in overgrowth of Clostridium difficile
antibiotic colitis
Crohn’s dx involved ___ layers of the intestine
all layers
Crohn’s dx involvea both the ___ & ___ 50% of the time
Ileum & colon
Ulcerative colitis mainly involves the ___ & ___
rectum and L colon
begins in rectum and spreads to colon
Which is rectal bleeding seen in (ulcerative colitis/ Crohn’s dx)
ulcerative colitis
it involves the rectum - lower
Obstruction, stricture, Skipareas and fistulas are seen in (ulcerative colitis/ Crohn’s dx)
Crohn’s dx
Layers affected in ulcerative colitis
Mucosal
submucosal
Layers affected in Crohn’s dx
transmural
Pseudo-Polys and Crypt Abcess are seen in (ulcerative colitis/ Crohn’s dx)
ulcerative colitis
Dysplasia and Toxic Megacolon are seen in (ulcerative colitis/ Crohn’s dx)
ulcerative colitis
