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GI2 > what it looks like to the doc > Flashcards

what it looks like to the doc Flashcards

1
Q

acute synovitis

A

hemochromatosis

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2
Q

overexpressed TGFa

A

Ménétrier disease

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3
Q

from increased intracranail pressure from stim of vagal nuclei

A

cushing ulcers

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4
Q

gingiva hypertrophy

A

phenytoin ingestion

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5
Q

Metastases to virchows node,

A

gastric adenocarcinoma

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6
Q

jaundice, dark urine, light or acholic stools, hepatomegaly

A

neonatal cholestasis

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7
Q

depression/phobias/compulsive behavior/labile mood

A

wilsons dis

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8
Q

atrophic testes

A

hemochromatosis

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9
Q

increase serum bilirubin

A
  • hepatic steatosis
  • alch (steato) hepatitis
  • alch cirrhosis
  • cholesystitis
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10
Q

esophageal varice

A

portal HTN

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11
Q

Acanthocytic red cells (burr cells) in peripheral blood smears

A

Abetalipoprotenemia

d/t inability to absorb essential FAs.

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12
Q

nasal and rectal palyps

A

cystic fibrosis

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13
Q

psuedomembranous (thrush), erythematous, hperplastic

A

oral candidiasis

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14
Q

upper GI bleed, splenomegaly

A

obliterative portal venopathy

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15
Q

duodenal ulcers

A

h pylori causing chronic gastritis

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16
Q

Lipid membrane defects

A

Abetalipoprotenemia

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17
Q

WArthin-finkle giant cell

A

measels

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18
Q

hemolytic anemia

A

wilsons dis

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19
Q

Deficiency of fat soluble vitamins

A

Abetalipoprotenemia

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20
Q

lower lip lesion w blue hue

A

mucocele

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21
Q

lesion of gingiva, but covered by intact gingiva

A

peripheral giant cell granuloma

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22
Q

Hypocalcemia

A

acute pancreatitis

-d/t soap formation in necrotic fat

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23
Q

hepatorenal synd

A

acute liver failure

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

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24
Q

Tender hepatomegaly, ascites, weight gain, jaundice

A

sinusoidal obst synd (veno-occlusive dis)

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25
Q

mediastinitis

A

boerhaave synd

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26
Q

hypogonadism/gynecomastia

A

cirrhosis before end stage liver dis

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27
Q

Endocrine or skin disturbances

A

malabs/drh

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28
Q

Red, velvety, eroded area of the oral cavity

A

erythroplakia

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29
Q

prolif gramuloma along bite line/gingiva

A

pyogenic granuloma (preg tumor)

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30
Q

bird beak sign on barium swallow

A

achalasia

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31
Q

no LES relaxation, increased LES tone, lack esophageal peristalsis

A

achalasia

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32
Q

Metastases to periumbilical nodes (St Mary Joseph nodule)

A

gastric adenocarcinoma

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33
Q

hyperammonemia

A

cirrhosis before end stage liver dis

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34
Q

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

A

diptheria

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35
Q

pharyngitis

A

yersinia

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36
Q

red, ulcerated, nodular lesion of gingiva

A

peripheral ossifying fibroma

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37
Q

Submucosal nodular mass of fibrous ct stroma

A

irritation fibroma (traumatic fibroma)

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38
Q

caput medusae

A

portal HTN

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39
Q

dehydration

A

cholera

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40
Q

kayser-fleischer rings

A

wilsons dis

-green brown deposits in descements mem

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41
Q

Aspiration, suffocation, pneumonia, severe fluid/electrolyte imbalance

A

esophageal fistula

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42
Q

Osteopenia and tetany

A

Ca, Mg or vit D deficiency from malabs/drh

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43
Q

b/l palpable tumor of parotids

A

warthin tumor

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44
Q

Massive splenomegaly w/ increased splenic blood flow

A

prehepatic cause of portal HTN

-can cause thrombo/pancytopenia

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45
Q

hammans sign

A

boerhaave synd

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

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46
Q

golden hemosiderin gramules – >brown black

A

hemochromatosis

47
Q

Metastases to pouch of douglas (Blumer shelf)

A

gastric adenocarcinoma

48
Q

ascites

A

portal HTN

49
Q

progressive fatigue, puritis, jaundice

A

primary sclerosing cholangitis

50
Q

Older males or postmenopausal females with iron deficient anemia

A

R sided colonic adenocarcinoma until proven otherwise

51
Q

Koplik spots, cough, coryza, conjunctivitis

A

measels

52
Q

diffuse intersitital fibrosis and atrophy of panc

A

hemochromatosis

53
Q

Metastases to the ovary (krukenberg tumor)

A

gastric adenocarcinoma

54
Q

ascending coolangitis

A

primary sclerosing cholangitis

55
Q

constitutive NFkB activation

A

MALToma

56
Q

Anemia, mucositis

A

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

57
Q

erythema nodosum

A

yersinia

58
Q

Bleeding

A

Vitamin K deficiency from malabs/drh

59
Q

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

A

GI stromal tumor

60
Q

Murphy’s sign

A

-cholesystitis

61
Q

hepatic encephaloapthy

A

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

62
Q

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

A

leukoplakia

63
Q

elevated IgE

A

eosinophilic gastritis

64
Q

jaundice/icterus

A
  • acute liver failure AND cirrhosis before end stage liver dis
  • HAV (jaundice)
65
Q

colitis in a diverted segemnt after sx to divert fecal flow

A

diversion colitis

66
Q

tender hepatomegaly

A

alch (steato) hepatitis

67
Q

coagulopathy

A
  • acute liver failure AND alch steatofibrosis

- -impaired clotting from lack prod of clotting factors

68
Q

Inflammatory salivary gland enlargement

A

xerostomia

69
Q

CNS toxicity: basal ganglia atrophy and cavitation

A

wilsons dis

-like PD

70
Q

fetor hepaticus

A

cirrhosis before end stage liver dis

mercaptan formation

71
Q

migratory thrombophlebitis (trosseau sig)

A

panc carcinoma

-blood clot –> go away –> somewhere else

72
Q

biliary obst, cholangitis, and RUQ pain

A

extrahepatic cholantiosarcoma

73
Q

conjucctivitis

A

yersinia

74
Q

Tongue fissuring and ulceration w/papillary atrophy.

A

xerostomia

75
Q

Longitudinal lacerations of the mucosa near the GE junction

A

mallory weiss tears

76
Q

AST:ALT 2:1

A

alch (steato) hepatitis

77
Q

hypotension

A

cholera

78
Q

Marked accumulation of intraepithelial CD8 T-cells

A

Lymphocytic (varioliform) Gastritis

also involved in celiac

79
Q

obst to bile flow or symptomatic liver mass

A

intrahepatic cholantiosarcoma

80
Q

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

A

Hairy leukoplakia

81
Q

Metastases to L axillary nodes (Irish nodule)

A

gastric adenocarcinoma

82
Q

hypoalbuminemia

A

pseudomembranous colitis from clostridium dificile

83
Q

systemic hypoproteinemia

A
  • Ménétrier disease

- alch steatofibrosis

84
Q

acute pharyngitis and tonsilitis –> grey-white exudate

A

infectious mononucleosis (EBV)

85
Q

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

A

recurrent herpetic somatitis from HSV

Herpes labialis – remain latent in the trigeminal ganglion

86
Q

cholestasis

A

acute liver failure AND cirrhosis before end stage liver dis

-may present as itching

87
Q

portopulm HTN

A

portal HTN

-pulm HTN that presents as dyspnea on exertion and clubbing

88
Q

anemia

A
  • adult celiac dis

- alch cirrhosis

89
Q

watermelon stomach

A

Gastric antral vascular ectasia (GAVE)

-Longitudinal stripes of edematous erythematous mucosa alternating with less severely injured, paler mucosa

90
Q

bleeding from esophageal varices

A

cirrhosis before end stage liver dis

91
Q

spider angiomata

A

cirrhosis before end stage liver dis

92
Q

increased aminotransferase

A
  • HCV, chronic if theses wax and wane
  • alch (steato) hepatitis
  • alch cirrhosis
93
Q

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

A

apthous ulcer (canker sore)

94
Q

hypoalbuminemia + sytemic edema

A

cirrhosis before end stage liver dis

95
Q

perihilar tumor at jct of hepatic ducts

A

Klatskin tumor: most common cholangiosarcoma

96
Q

malnourished w bruising

A

cystic fibrosis

97
Q

hemosiderin granules in heart, skin

A

hemochromatosis

98
Q

IgA antibodies to tissue transglutaminase (tTG)

A

celiac dis

99
Q

hepatopulm synd

A

portal HTN

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

100
Q

Peripheral neuropathy

A

Vitamin A or B12 deficiency from malabs/drh

101
Q

increase alkaline phosphatase

A
  • hepatic steatosis, alch (steato) hepatitis, alch cirrhosis
  • cholestasis
  • primary biliary cirrhosis, primary sclerosing cholangitis
  • cholesystitis
102
Q

Cullen’s sign and grey-turner sign

A

acute pancreatitis

103
Q

increased liver transaminases

A

acute liver failure

104
Q

neuroendocrine markers (synaptophysin and chromogranin A)

A

carcinoid tumor of stomach

105
Q

gastrinoma of SI or panc

A

Zollinger-Ellison syndrome

106
Q

raspberry tongue or strawberry tongue

A

scarlet fever

  • rasp: firery red w prominent papillae
  • strawb: white coated tongue thru which hyperemic papillae project
107
Q

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

A

acute pancreatitis

108
Q

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

A

cholestasis

109
Q

hemorohoids

A

portal HTN

110
Q

palatal petechiae; enlarged neck LNs

A

infectious mononucleosis (EBV)

111
Q

elevated serum a-fetoprotein

A

hepatocellular carcinoma (hepatoma)

112
Q

palmar erythema

A

cirrhosis before end stage liver dis

from local vasodilation

113
Q

increased GGT

A
  • cholestasis

- primary biliary cirrhosis

GI2 (8 decks)

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