systemic pathology- GI tract

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    Diseasesof the G.I. Tract

    Anatomy:

    OralCavity -

    to - Anal Canal

    Reference:The Guide: 78 - 99

    Robbins book: 763- 829

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    Oral CavityMixed Parotid Tumor

    (Pleomorphic):

    .

    Peutz-Jeghers syndrome:

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    EsophagusA. Congenital

    1. Tracheo-esophageal fistula

    2. Diverticulae:

    True:

    False:

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    Esophageal Diverticulae

    1.Pulsion diverticula:

    2. Zenkers diverticula:

    3. Traction diverticula:

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    Esophageal

    Diverticula

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    Esophageal Achalasia

    Definition:

    3 Features:

    1.2.

    3.

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    Inflammation of the esophagus

    1. Esophagitis:

    Pathology:

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    Esophagitis

    Barretts esophagus

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    Tumors of the esophagus

    1. Benign: Leiomyoma

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    Tumors of the esophagus

    2. Malignant:

    a. Squamous cell

    carcinoma:

    Factors:

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    a. Squamous cell carcinoma of the esophagus

    Clinical:

    b. adenocarcinoma of the

    esophagus

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    Congenital pyloric stenosis of the stomach

    Def:

    Pathology:

    Clinical findings:

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    Hiatal hernias

    a. Sliding H. H.:

    b. Paraesophageal H.

    Complications:

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    Para-esophageal

    hiatal hernia

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    Gastritis

    Acute Gastritis:

    Chronic atrophic gastritis:

    Chronic gastritis:

    H. pylori

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    gastritis

    Peptic ulcer

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    Peptic Ulcer

    Any age

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    Peptic Ulcer

    Path.underlined ulcer,

    Clinical:

    Complications:

    Diagnosis:

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    Tumors of the Stomach

    a. Leiomyoma:

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    Tumors of the Stomach

    b. Gastric polyps:

    hyperplastic

    adenomatous

    polyps

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    Gastric adenocarcinoma

    Gross: MC in

    lesser curvature

    5 forms:

    1.Fungating

    2.Ulcerative

    3.Flat mucosa

    4.Polypoid

    Indurated

    ulcer

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    G i d i

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    Gastric adenocarcinoma

    5.Diffuse infiltrative: Linitis plastica

    Spread:

    (Kruckenbergs) and

    neck (Sentinal or

    Virchows nodes)

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    Omphalo-mesenteric

    duct

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    Small intestine

    Congenital:

    Meckels

    diverticulum:

    Rule of 2s

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    Meckels diverticulum:

    Complications:

    --

    --

    --

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    2 C li S

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    2.Celiac Sprue

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    3.Tropical Sprue: --

    4.Whipples disease: ----

    ---

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    Mechanical disorder (S. intestine)

    Intussusception

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    Mechanical disorder

    Volvulus:

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    Tumors of the S. Intestine

    Leiomyoma: ---

    Carcinoid tumor:----

    L i i

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    Large intestineCongenital: Hirsch-Sprungsdisease:

    PseudomembranousColitis:

    Clostridium difficile,

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    Inflammation of Large intestine

    Crohns disease:

    definition, incidence etiology, pathology, clinical findings,complications

    Normal large intestine

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    Crohns Granuloma

    tramsmural

    adult

    equal sex

    Jews

    MC in

    ileum &colon

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    Ulcerative Colitis

    Def.,

    etiology,

    --- ---

    --

    ---

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    Ulcerative Colitis

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    Tumors of L. intestine

    Tubular adenoma

    Vill d

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    Villous adenoma

    ----

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    Familial polyposis

    ---

    100% pre-cancer

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    Colorectal cancer

    Adenocarcinoma

    ---

    ---

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    Dukes classification of

    colo-rectal cancer

    di i i

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    Appendicitis:

    Def

    Etiology:

    Pathology:

    Clinical findings:

    Complication: