what it looks like to the doc Flashcards by Bri deer

acute synovitis

hemochromatosis

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overexpressed TGFa

Ménétrier disease

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from increased intracranail pressure from stim of vagal nuclei

cushing ulcers

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gingiva hypertrophy

phenytoin ingestion

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Metastases to virchows node,

gastric adenocarcinoma

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jaundice, dark urine, light or acholic stools, hepatomegaly

neonatal cholestasis

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depression/phobias/compulsive behavior/labile mood

wilsons dis

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atrophic testes

hemochromatosis

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increase serum bilirubin

hepatic steatosis
alch (steato) hepatitis
alch cirrhosis
cholesystitis

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esophageal varice

portal HTN

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Acanthocytic red cells (burr cells) in peripheral blood smears

Abetalipoprotenemia

d/t inability to absorb essential FAs.

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nasal and rectal palyps

cystic fibrosis

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psuedomembranous (thrush), erythematous, hperplastic

oral candidiasis

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upper GI bleed, splenomegaly

obliterative portal venopathy

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duodenal ulcers

h pylori causing chronic gastritis

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Lipid membrane defects

Abetalipoprotenemia

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WArthin-finkle giant cell

measels

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hemolytic anemia

wilsons dis

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Deficiency of fat soluble vitamins

Abetalipoprotenemia

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lower lip lesion w blue hue

mucocele

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lesion of gingiva, but covered by intact gingiva

peripheral giant cell granuloma

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Hypocalcemia

acute pancreatitis

-d/t soap formation in necrotic fat

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hepatorenal synd

acute liver failure

-Na retention, impaired free water excretion, decreased perfusion and GFR

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Tender hepatomegaly, ascites, weight gain, jaundice

sinusoidal obst synd (veno-occlusive dis)

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mediastinitis

boerhaave synd

hypogonadism/gynecomastia

cirrhosis before end stage liver dis

Endocrine or skin disturbances

malabs/drh

Red, velvety, eroded area of the oral cavity

erythroplakia

prolif gramuloma along bite line/gingiva

pyogenic granuloma (preg tumor)

bird beak sign on barium swallow

achalasia

no LES relaxation, increased LES tone, lack esophageal peristalsis

achalasia

Metastases to periumbilical nodes (St Mary Joseph nodule)

gastric adenocarcinoma

hyperammonemia

cirrhosis before end stage liver dis

dirty white, fibrosuppurative, tough , inflamm mem over tonsils and retropharyns

diptheria

pharyngitis

yersinia

red, ulcerated, nodular lesion of gingiva

peripheral ossifying fibroma

Submucosal nodular mass of fibrous ct stroma

irritation fibroma (traumatic fibroma)

caput medusae

portal HTN

dehydration

cholera

kayser-fleischer rings

wilsons dis | -green brown deposits in descements mem

Aspiration, suffocation, pneumonia, severe fluid/electrolyte imbalance

esophageal fistula

Osteopenia and tetany

Ca, Mg or vit D deficiency from malabs/drh

b/l palpable tumor of parotids

warthin tumor

Massive splenomegaly w/ increased splenic blood flow

prehepatic cause of portal HTN | -can cause thrombo/pancytopenia

hammans sign

boerhaave synd | -crunching sound upon auscultation d/t pneumoperitoneum in the mediastinum

golden hemosiderin gramules -- >brown black

hemochromatosis

Metastases to pouch of douglas (Blumer shelf)

gastric adenocarcinoma

ascites

portal HTN

progressive fatigue, puritis, jaundice

primary sclerosing cholangitis

Older males or postmenopausal females with iron deficient anemia

R sided colonic adenocarcinoma until proven otherwise

Koplik spots, cough, coryza, conjunctivitis

measels

diffuse intersitital fibrosis and atrophy of panc

hemochromatosis

Metastases to the ovary (krukenberg tumor)

gastric adenocarcinoma

ascending coolangitis

primary sclerosing cholangitis

constitutive NFkB activation

MALToma

Anemia, mucositis

Pyridoxine (vit B6), folate or vitamin B12 (cobalamin) deficiency from malabs/drh

erythema nodosum

yersinia

Bleeding

Vitamin K deficiency from malabs/drh

S/s related to mass effects or blood loss (anemia).

GI stromal tumor

Murphy's sign

-cholesystitis

hepatic encephaloapthy

acute liver failure (later) AND cirrhosis before end stage liver dis AND portal HTN AND AI hepatitis -asterixis: rapid f/e of head and extremities

Sharply demarcated, White patch or plaque of the oral cavity that cannot be scraped off and not characterized as any other disease, and that can occur anywhere in teh mouth

leukoplakia

elevated IgE

eosinophilic gastritis

jaundice/icterus

- acute liver failure AND cirrhosis before end stage liver dis - HAV (jaundice)

colitis in a diverted segemnt after sx to divert fecal flow

diversion colitis

tender hepatomegaly

alch (steato) hepatitis

coagulopathy

- acute liver failure AND alch steatofibrosis | - -impaired clotting from lack prod of clotting factors

Inflammatory salivary gland enlargement

xerostomia

CNS toxicity: basal ganglia atrophy and cavitation

wilsons dis | -like PD

fetor hepaticus

cirrhosis before end stage liver dis | mercaptan formation

migratory thrombophlebitis (trosseau sig)

panc carcinoma | -blood clot --> go away --> somewhere else

biliary obst, cholangitis, and RUQ pain

extrahepatic cholantiosarcoma

conjucctivitis

yersinia

Tongue fissuring and ulceration w/papillary atrophy.

xerostomia

Longitudinal lacerations of the mucosa near the GE junction

mallory weiss tears

AST:ALT 2:1

alch (steato) hepatitis

hypotension

cholera

Marked accumulation of intraepithelial CD8 T-cells

Lymphocytic (varioliform) Gastritis | also involved in celiac

obst to bile flow or symptomatic liver mass

intrahepatic cholantiosarcoma

White, confluent patches of fluffy, hyperkeratotic thickenings On the lateral border of the tongue that Cannot be scraped off

Hairy leukoplakia

Metastases to L axillary nodes (Irish nodule)

gastric adenocarcinoma

hypoalbuminemia

pseudomembranous colitis from clostridium dificile

systemic hypoproteinemia

- Ménétrier disease | - alch steatofibrosis

acute pharyngitis and tonsilitis --> grey-white exudate

infectious mononucleosis (EBV)

1-3mm groups of vesicles on the lips, nasal orifices, buccal mucosa, gingiva and hard palate

recurrent herpetic somatitis from HSV | Herpes labialis – remain latent in the trigeminal ganglion

cholestasis

acute liver failure AND cirrhosis before end stage liver dis | -may present as itching

portopulm HTN

portal HTN | -pulm HTN that presents as dyspnea on exertion and clubbing

anemia

- adult celiac dis | - alch cirrhosis

watermelon stomach

Gastric antral vascular ectasia (GAVE) | -Longitudinal stripes of edematous erythematous mucosa alternating with less severely injured, paler mucosa

bleeding from esophageal varices

cirrhosis before end stage liver dis

spider angiomata

cirrhosis before end stage liver dis

increased aminotransferase

- HCV, chronic if theses wax and wane - alch (steato) hepatitis - alch cirrhosis

rly painful, Shallow, hyperemic ulcerations covered with thin exudate + a narrow rim of erythema.

apthous ulcer (canker sore)

hypoalbuminemia + sytemic edema

cirrhosis before end stage liver dis

perihilar tumor at jct of hepatic ducts

Klatskin tumor: most common cholangiosarcoma

malnourished w bruising

cystic fibrosis

hemosiderin granules in heart, skin

hemochromatosis

IgA antibodies to tissue transglutaminase (tTG)

celiac dis

hepatopulm synd

portal HTN | -Hypoxia + dyspnea that isExacerbated in upright position d/t gravity and Improves in recumbent position

Peripheral neuropathy

Vitamin A or B12 deficiency from malabs/drh

increase alkaline phosphatase

- hepatic steatosis, alch (steato) hepatitis, alch cirrhosis - cholestasis - primary biliary cirrhosis, primary sclerosing cholangitis - cholesystitis

Cullen’s sign and grey-turner sign

acute pancreatitis

increased liver transaminases

acute liver failure

neuroendocrine markers (synaptophysin and chromogranin A)

carcinoid tumor of stomach

gastrinoma of SI or panc

Zollinger-Ellison syndrome

raspberry tongue or strawberry tongue

scarlet fever - rasp: firery red w prominent papillae - strawb: white coated tongue thru which hyperemic papillae project

Increased plasma levels of amylase (24 hrs), lipase (72-96 hrs).

acute pancreatitis

Jaundice, pruritus, skin xanthomas (cholest accumulation), malabsorption (ADEK deficiencies)

cholestasis

hemorohoids

portal HTN

palatal petechiae; enlarged neck LNs

infectious mononucleosis (EBV)

elevated serum a-fetoprotein

hepatocellular carcinoma (hepatoma)

palmar erythema

cirrhosis before end stage liver dis | from local vasodilation

increased GGT

- cholestasis | - primary biliary cirrhosis