2024
what 2 GI diseases have a corkscrew appearance on x-ray? **** esophageal spasm
and vovulus
what GI dz has an apple core on xray? **** colorectal cancer
what GI dz has stacked coins on xray? **** intussusception
what GI dz has a thumbprint on xray? **** toxic megacolon?
what GI dzs are the causes of solid and liquid dysphasia? **** schatzki's rings,
stricture, cancer
what GI dz has a string sign on xray? **** pyloric stenosis & chron's dz
what GI dz has an abrupt cut of on xray? **** volvulus
what GI disease has barium clumping on xray? **** celiac sprue
what GI disease has a bird's beak on xray? **** achalasia
what GI dzs are the causes of liquid dysphasia? **** scleroderma and achalasia
what is barrets esophagus? **** metaplasia of the lower esophagus increased risk
of adenocarcinoma
what are esophageal varices? **** d/t portal htn, vomit large amounts of blood when
they rupture
what is mallory weiss **** tearing of the lower esophageal sphincter assoc with
chronic vomiting, cough up a little blood and possible visual varices
what is boerhaave syndrome? **** transmural tearing of the esophagus.
left side mc
pneumonia/pain/effusion
what is achalasia? **** inc LES pressure (no aeurbach's plexus)
bird beak on xray
also seen in chagas dz
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, what is hirschprungs disease? **** failure of innervation to the rectum (no
auerbach's plexus), lack of meconium passage in nb, neural crest cell migration
problem
what is zenker's diverticulum? **** cough up undigested food from above upper
esoph sphincter, halitosis, motor dysfunction problem
what is traction diverticulum? **** outpouch btwn upper and lower esoph sphincters
what is plummer-vinson syndrome? **** esoph webbing at the UES, spoon nails
from iron deficiency anemia
what is schatzki's ring? **** esoph webs in the lower esoph
dysphasia (mucosal tissue)
what is tracheoesophageal fistula (H-type)? **** chokes with each feeding and is
congenital
what is esophageal atresia with TE fistula (C-type)? **** baby vomits with first
feeding, large gastric bubble and distended abdomen (failure of apoptosis)
what is duodenal atresia? **** bilious vomiting with first feeding, double bubble sign
on xray, assoc with down's syndrome
what is pyloric stenosis? **** non-billious projectile vomiting (3-4 wk old) & ruq olive
mass on palpation
how does choanal atresia present? **** baby turns blue with feeding, pinks up when
breast/bottle is removed (blocked nasal passages)
how does tet of fallot present differently from choanal atresia? **** TOF babies turn
blue with crying (no feeding issues),
choanal atresia=smurf on a nipple
what makes scleroderma unique? **** can have an increased OR decreased LES
pressure
what makes esoph spasms unique? **** increased peristalsis
what makes achalasia unique? **** dec peristalsis & inc LES pressure
what GI disease has a RLQ sausage mass? **** intussuseption
what is atype A gastritis? **** upper GI bleed, autoimmune (antiparietal cell
antibodies), atrophic/achlorhorhydria and increased risk for adenocarcoma (body &
fundus region of stomach)
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