| Disease |
Characteristics |
Notes |
| Achalasia |
impaired esophageal peristalsis / lower esophageal sphincter contraction |
age 20-40, dysphagia-soilds & liquids, chest pain, regurgitation, nocturnal cough |
| Plummer Vinson |
mucosal membrane across lumen |
aka Paterson-Kelly "Irish Plumber" so you have "webs in your pipes" |
| Esophageal varices |
varicosities in the esophagus |
portal hypertension |
| Gastroesophageal Reflux "GERD" |
incompetence of lower esophageal sphincter |
reflux gastric contents, Barrett's Esophagus |
| Esophageal Diverticula |
outpouching of the mucosa & submucosa posteriorly - BAD BREATH |
aka Zenker's fills with food, possible regurgitation when bending or lying down |
| Mallory-Weiss |
laceration of distal esophagus & proximal stomach during vomiting, retching, or hiccups |
hemorrhage - alcoholics |
| Duodenal Ulcers |
located at the beginning of the small intestine, burning or gnawing pain, vomiting |
Most common ulcer |
| Gastric ulcer |
located along the lesser curvature of the stomach |
caused by helicobacter pylori & NSAIDS |
| Cancer of stomach |
occurs most frequently at the greater curvature of stomach |
unexlpained weight loss, unrelenting pain |
| Hepatitis |
inflammation of the liver |
inflammation of the liver |
| Cirrhosis |
secondary to chronic alcohol abuse |
fatty liver |
| Diverticulum |
a pouch or sac through a defect |
a pouch or sac through a defect |
| Diverticulosis |
presence of diverticula, no inflammation |
presence of diverticula, no inflammation |
| Diverticulitis |
inflammation of diverticular mucosa |
inflammation of diverticular mucosa |
| Ulcerative Colitis |
mucosal ulcerations, watery stool |
episodic, bloddy diarrhea, fever |
| Irritable Bowel Syndrome |
gas & distention, pencil-thin stools |
episodic, consitpation and diarrhea |
| Crohn's |
skip lesions, distal ileum, colon |
aka regional enteritis chronic diarrhea, fever, anorexia |
| Hirschsprung's |
congenital avsence of Meissner's & Auerbach's automomic plexus |
aka congenital megacolon could be fatal if not diagnosed |
| Celiac Disease |
hereditary, chronic intertinal malabsorption causeing mucosal damage |
gluten "wheat" intolerance, pt has steatorrhea (floating feses) |
| tropical Sprue |
mucosal abnormalities in small bowel |
sore tongue, diarrhea, weight loss |
| Whipple's Disease |
small bowel infection - professive & fatal |
30-60 males, anemia, weight loss, skin pigmentation, diarrhea, joint, cough |
| Zollinger-Ellison |
Aggressive peptic ulcer / tumor |
can perforate through the lining |
| Gardener's syndrome |
found in the ascending colon |
produces polyps |