"gastrointestinal" Post in this tag
胆管炎 治療
内視鏡的経鼻胆管ドレナージ(ENBD) nasobiliary drainage
内視鏡的乳頭括約筋切開術(EST) sphincterotomy
内視鏡的乳頭バルーン拡張術(EPBD) papillary balloon dilation
gastrointestinal
HirotoShishido
Meckel diverticulum characteristics
rules of 2s
2 inches long(about 5cm)
2 feet (61cm) proximal to the ileocecal valve
occurs 2% of the population
2:1=male:female
often occurs 2 years of age(60%)
contain 2 types of epithelium(gastric,pancreatic)
gastrointestinal
embryology
HirotoShishido
the most common hereditary hyperbillirubinemias
Gilbert syndrome(↑ indirect bilirubin)
approximately 9% of people are homozygous(30% are heterozygous)
gastrointestinal
HirotoShishido
portal hypertension
etiologies
cirrhosis(the most common)
vascular obstruction(e.g. Budd-Chiari syndrome)
schistosomiasis(住血吸虫症)
gastrointestinal
HirotoShishido
Celiac disease
pathogenesis, HLA type
autoimmune mediated intolerance of gliadin(gluten protein found in wheat)
→malabsorption syndrome(MAS)
Don't EAT(8) TOO(2) much gluten at Dairy Queen
DQ2,DQ8
gastrointestinal
immunology
HirotoShishido
parietal cells
secretory products
intrinsic factor
hydrochloric acid(gastric acid)
the secretion of hydrochloric acid is also altered in the patinet with pernicious anemia
gastrointestinal
hematology
HirotoShishido
IBD, biliary tract complication
primary sclerosing cholangitis(PSC)
ulcerative colitis is more common
UC→PSC common(70% of PSC have UC)
PSC→UC rare(only 4%)
gastrointestinal
HirotoShishido
iliopsoas sign
associated nerve
place the patient on the left side, passively extend the hip→pain is elicited
femoral nerve
appendicitis
gastrointestinal
HirotoShishido
IBD extraintestinal manifestations
エア浪人
Eye infection(uveitis)
Arthritis
Rash(pyoderma gangrenosum 壊疽性膿皮症)
Oral Ulceration
gastrointestinal
HirotoShishido
hepatocellular carcinoma
cavernous hemangioma
in contrast CT
HCC→early wash in/out(arterial→portal venous→equilibrium)
cavernous hemangioma→fill in
gastrointestinal
HirotoShishido
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