S2M2 GI buzz

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sweetlu
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175273
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S2M2 GI buzz
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2012-10-15 10:39:08
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S2M2 GI buzz
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S2M2 GI buzz
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  1. Urethritis, conjunctivitis and arthritis
    Reactive arthritis
  2. fever, foul breath and sore throat
    suggestive of retrophaygeal abscess
  3. Barrets esophagus dx criteria
    change in the lining of the esophagus from  normal squamous epithelium to columnar epithelium of intestinal type (containing goblet cells) above the GE junction
  4. known Barretts esophagus pt survellince
    endoscopy every 3 years to look for metaplasia or adenocn
  5. achalasia increases risk of what
    sq cell carcinoma of esophagus
  6. mid esophageal diverticulum with mediastinal adhesions or abnormal motility
    Traction diverticulum
  7. diverticulum located above the LES
    epiphrenic diverticulum
  8. esophagitis with multinucleated inclusion body
    HSV esophagitis
  9. dysphagia with wt loss, hemorrhage, chest pain and vomitting
    adenocarcinoma, usually the result of Barretts esophagus
  10. keratin pearls
    sign of squamous cell carcinoma
  11. dysphagia with obstruction, cachexia, debilitation and hoarseness
    sc cell carcinoma of esophagus
  12. vacuolated SI epithelial cells
    abetalipoproteinemia- accumulation of FA and trigs in cells due to inability of intestinal cells to secrete once taken up
  13. malabsorption with spur cells (acanthocytes)
    abetalipoproteinemia
  14. carcinoid tumors from chronic gastritis
    AI mediated chronic gastritis
  15. mucosal mass with enlarged foveolar glands
    hyperplastic (inflammatory) polyps
  16. polyp associated with PPI use
    • fundic gland polyp
    • low acid=> increased gastrin=> fundic gland stimulation
  17. signet ring 
    diffuse type gastric adenocarcinoma
  18. periumbilical metastasis (sister mary nodule)
    metastasis of gastric adenocarcinoma
  19. kruckenburg tumor
    metastasis of gastric adenocarcinoma (diffuse type)
  20. treatment for gastric marginal zone lymphoma
    tx of H. pylori infection usually induces remission
  21. lymphoma with reactive germinal centers
    gastric marginal zone lymphoma
  22. "fish flesh" appearance of gross specimen
    diffuse large B cell lymphoma of stomach
  23. LCA + and cytokeratin -
    diffuse large B cell lymphoma
  24. well differentialted neuroendocrine carcinoma
    gastric carcinoid tumor
  25. Chromagranin A + &/or synaptophysin +
    neuroendocrine markers= gastric carcinoid tumor
  26. tumor showing differentiation of cell of Cajal (peristalsis pacemakers) made of spindled cells
    GI stromal tumor
  27. c-KIT or CD117 tyrosine kinase expression
    GIST (GI stromal tumor)
  28. typical opportunistic pathogen of GIT associated with abx use
    C. difficile
  29. explosive, watery diarrhea early, progressing to fatty, bloating stools with weight loss
    Giardia
  30. profuse watery diarrhea
    rota virus
  31. anion gap
    • anion gap = Na - (Cl + HCO3)
    • normal= 8-12
    • >12 = MUD PILES
  32. pseudomembranous colitis
    C. diff (G+, anaerobic, spore forming bacillus)
  33. steatorrhea with protozoal infection
    giardia
  34. autofluorescent protozoa
    isospora belli
  35. modified acid fast positive sporozoa
    isospora belli and cryptospridium
  36. "flask-shaped ulcer" in colon
    Entamoeba histolytica
  37. nucleus with spoke like formations
    entamoeba histolytics (amebic dysentary)
  38. nuclei with 4 cysts
    giadia or entamoeba histolytica
  39. perianal itching
    pinworm- enterobius vermicularis
  40. ova with a thick shell, wavy, ruffled surface
    • ascaris worm:
    • f/o transmission
  41. "ground itch"/ maculopapular rash on feet
    • hookworm: Ancyclostoma duodenale or Necator americanus
    • site of penetration of larvae into skin
  42. Fe deficiency anemia in parasite infection
    Hookwarm: Ancyclostoma duodenale or Necator americanus
  43. pinworm egg- enterobius vermicularis
  44. hookworm ova: Ancyclostoma duodenale or Necator americanus
  45. ook
    Schistoma mansoni ova
  46. pseudopolyps in colon
    UC
  47. "lead pipe" sign on XR of colon due to loss of haustra
    UC
  48. CagA protein
    • marker for inflammation and cancer
    • produced by H. pylori
  49. H. pylori tx
    • amoxicillin, metronidazole and a PPI
    • decreased recurrence rate to 30% (from 80%)
  50. cobble stone appearance on barium swallow
    Candida albicans typically

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