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PATHO GIT
| Question | Answer |
|---|---|
| Increase in wall stress | Esophageal dysmotility |
| Fibrous thickening of the submucosa, due to inflammation and scarring | Benign Esophageal Stenosis: |
| Distal esophageal inhibitory neuronal ganglion cell degeneration Increased tone, inability to relax the LES and esophageal aperistalsis | Primary ACHALASIA |
| Chagas disease (caused by Trypanosoma cruzi parasite) Destruction of myenteric plexus, failure of peristalsis, and esophageal dilatation | Secondary ACHALASIA |
| Most frequent cause of esophagitis. Due to conditions that increase abdominal pressure or decrease lower esophageal sphincter tone | GERD or REFLUX ESOPHAGITIS |
| Complication of chronic GERD, precursor lesion (has potential to turn into cancer) Tongues or patches of red, velvety mucosa | Barret esophagus |
| Arise from Barrett esophagus Progressive weight loss, Hematemesis, Chest pain, Vomiting MORPHOLOGY: Flat or raised patches, Diffuse infiltration or ulceration | Adenocarcinoma |
| Absent inflammatory cells, due to edema, and vascular congestion corkscrew foveolar cell hyperplasia | Gastrophy / Acute gastritis |
| Most common (90%) cause of antral chronic gastritis Increased acid production ⇒ gastric adeno Carcinoma | Helicobacter Pylori gastritis |
| Most common cause of diffuse atrophic gastritis Reduced serum pepsinogen I concentration. Defective gastric acid secretion (achlorhydria) | Autoimmune atrophic gastritis |
| Peptic ulcer disease caused by chronic H. pylori gastritis Leads to too much acid and less bicarbonate (protection) in the duodenum. | Gastric antral or Duodenal PUD |
| Peptic ulcer disease caused by mucosal atrophy (thinning/weakening of stomach lining). | Gastric fundal ulcer |
| “Weak spot” any weakness or defect in the abdominal wall Permit protrusion of a serosa-lined pouch of peritoneum Most frequent cause of intestinal obstruction worldwide | Hernia |
| Due to Surgical procedures, infection, or other causes of peritoneal inflammation Fibrous bridges create closed loops through which other viscera may slide and become entrapped, resulting in internal herniation. | Adhesion / Adhesive |
| Defective absorption of fats, fat & water-soluble vitamins, proteins, carbohydrates, electrolytes & minerals, & water. Hallmark: steatorrhea. | Malabsorption |
| Defined as an increase in stool mass, frequency, or fluidity, typically greater than 200 g per day. | Diarrhea |
| Severe diarrhea caused by the toxin released by the bacteria. Abrupt onset of watery diarrhea and vomiting voluminous stools resemble rice water and can be described as having a fishy odor. | Cholera |
| From undercooked meat & meat products, & raw or contaminated milk. Important cause of traveler’s diarrhea and food poisoning | Campylobacter enteritis |
| Humans are the only known reservoir Remains one of the most common causes of bloody diarrhea. Resistant to gastric acid> therefore, has a low infective dose. | shigellosis |
| Gastroenteritis Enteric Fever | Salmonellosis |
| severe inflammation of the colon, caused by an overgrowth of Clostridioides difficile bacteria, typically following antibiotic use | Pseudomembranous colitis |
| Icosahedral virus with a single-stranded RNA genome, with spikes on its surface Known as the norwalk virus M/c cause of diarrhea worldwide blunts the villi and shortens the microvilli > disrupting absorption of nutrients by brush border | Norovirus |
| Encapsulated virus with a segmented, double-stranded RNA genome Highly prevalent and a significant cause of diarrheal deaths worldwide | Rotavirus |
| Embryonated eggs containing larvae; through ingestion | ASCARIS LUMBRICOIDES |
| Filariform larvae (stage 3); via penetration on skin | STRONGYLOIDIASIS |
| Cercariae; via penetration from freshwater | SCHISTOSOMIASIS |
| Mature cyst; via ingestion | AMEBIASIS |
| Persistently elevated venous pressure within the hemorrhoidal plexus Predisposing influences: | Hemorrhoids |