small intestine 1

48 cards

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Created Mar 16, 2010
by
esk001

 

 
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1
double bubble on Xray   failure of recanalization
 
duodenal atresia and down syndrome
2
comes from failure of involution of the vitelline duct that connects fetal intestine to yolk...
 
meckel diverticulum
3
Dx meckel diverticulum with?   doesn't work without gastric mucosa
 
nuclear medicine scan    technetium 99 concentrates in gastric mucosa
4
hereditary abscence of Auerbach's and/or Meissner's nerve plexus in a portion of the colon...
 
Hirschsprung disease
5
assoc. with down syndrome   presents w/in 1st year: constipation and abdominal distention...
 
Hirschsprung disease
6
diarrhea that resolves with fasting  
 
osmotic diarrhea
7
isotonic, diarrhea persists w/fasting
 
secretory diarrhea
8
mucosal destruction leads to purulent bloody stools that persist on fasting
 
exudative disease
9
neuromuscular abnormality causing diarrhea
 
deranged motility
10
increased osmolality and steatorrhea; usually abates on fasting
 
malabsorption
11
low volume painful bloody stool
 
dysentery
12
most common viral diarrhea in those <2   RNA virus infects and destroys mature enterocyte...
 
rotavirus
13
1 week incubation   moderate disease w/vomiting and diarrhea   causes atrophy...
 
adenovirus
14
nonbacterial food-borne epidemic gastroenteritis in all age groups   RNA virus   dairrhea,...
 
Norwalk virus
15
properties of bacteria that lead to entercolitis
 
adhere to mucosa and replicate   elaborate enterotoxins   capacity to invade
16
causes dysentery   Gram -   fecal oral spread from food contamination   infects...
 
Shigella
17
Shiga toxin causes?
 
hemorrhagic colitis   hemolytic syndrome
18
Gram -   cause self limited diarrheal illness or typhoid fever   in chicken or...
 
salmonella
19
caused by salmonella typhi   only transmitted b/w humans (systemic illness)   fever...
 
Typhoid fever
20
flagellated gram - bacterium   most common enteroinvasive diarrhea   undercooked...
 
campylobacter jejuni
21
gram -   does not invade   produces enterotoxin-->causes increase cAMP             ...
 
vibrio cholera
22
gram -   fecal-oral spread   cause ileitis, also infect appendix and colon   mucosal...
 
Yersinia enterocolitica
23
e.coli damages the small bowel by adhering to the mucosa and effacing it
 
classic enteropathic
24
e.coli adhere to the enterocytes and then secrete enterotoxins
 
enterotoxigenic
25
e.coli invasion, local spread
 
enteroinvasive
26
e. coli similar to shigella   causes hemorrhagic diarrhea and hemolytic uremic syndrome   O157:H7
 
enterohemorrhagic
27
gram + spore forming bacteria found in soil and water that produces potent neurotoxin   transmitted...
 
clostridium botulinum
28
1 gram will kill 1 million people   protease that blocks the synaptic release of acetylcholine...
 
botulinum toxin
29
gram +   pt undergoing tx w/broad spectrum antibiotics which changes the gut flora...
 
C. diff
30
infective eggs found in soil and eaten by humans   remain ineffective for years   can...
 
Nematodes-Ascaris
31
go through lungs, pulmonary infiltrates w/eosinophilia   eggs hatch in intestines   can...
 
Strongyloides
32
entry through skin   develop allergic itching reaction "ground itch"   attach...
 
Hookworm
33
most common worm infection   do not invade   hypersensitivity rxn w/perianal...
 
Nematodes Pinworm
34
humans only host   eggs not found in feces   Dx: apply cellophane tape to perianal...
 
Pinworm
35
encysted larvae found in muscle   from undercooked pork   Sx: fever, muscle...
 
Trichinosis
36
transmitted by raw or undercooked meat   do not invade, attach and grow using ingested...
 
cestodes tapeworm
37
entamoeba histolytica, protozoan   dysentery   fecal-oral spread   colitis...
 
Amebiasis
38
most common pathogenic parasitic infection in humans   protozoan fecal-oral spread   public...
 
Giardiasis
39
middle aged/older females   chronic watery diarrhea, predominately secretory   band...
 
collagenous colitis
40
chronic watery diarrhea, predominately secretory usually intermittent   mucosa looks...
 
lymphocytic colitis
41
obligate intracellular org.   can cause proctitis (homosexuals and immunosuppressed)
 
chlamydia
42
life threatening acute inflammatory destruction of the mucosa of the cecal region in chemo...
 
neutropenic colitis
43
what is reiter's syndrome?
 
chronic arthritis
44
shiga toxin causes?
 
hemorrhagic colitis   hemolytic uremic syndrome
45
what cause antibiotic induced diarrhea?
 
changes inthe gut flora and decreased fermentation of carbs resulting in an osmotic diarrhea
46
sx of bacterial overgrowth syndrome
 
chornic dirrhea, abdominal pain, malabsorption, and weight loss
47
gas within walls of the bowel, indicates serious damage, seen on xray
 
pneumoatosis intestinalis
48
pneumoatosis intestinalis assoc with?   premature infants   perforation   strictures...
 
necrotizing entercolitis

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