Be Kind to your patients-offer them a wet towel for the Ba mustache !

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GASTROINTESTINALPATHOLOGY

RT 124 2011

GI DISORDERS Abdominal pain Gallbladder disease

RUQ Acid reflux (GERD) Gastritis Appendicitis Gastroenteritis and

food poisoning Bleeding ulcer

(hematemesis) Hiatal hernia

(=Hiatus hernia) H.pylori gastritis Colon cancer Irritable bowel

syndrome(IBD) Crohns disease

Diverticulitis Diverticulosis Traveler's diarrhea Esophageal cancer Ulcerative colitis Ulcers (stomach and

duodenal)

PYLORIC STENOSIS INGUINAL HERNIA INTUSSUSCEPTION VOLVULUS

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Normal Esophaguswhich position?

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Normal Stomachwhich position?

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Esophageal Strictures Gastric contents/

acid contents reflux into the esophagus

Causing inflammation, scarring stricture

formation.

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Esophageal Varices

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Esophogeal varices

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cancer

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Esophageal Diverticula

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GERD

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What do you see

Free air

NG tube

Type of contrast to use?

INTRODUCTION OF GASTRO VIA NG TUBE

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Pneumoperitoneum(air under the diaphram)possible perforated bowel

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Pyloric Stenosis “String Sign”

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Large HIATAL HERNIA (GI)

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Hiatal Hernia seen on lat CXR

Hiatal Hernia

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Intrathoracic stomach malrotation

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H Pylori

Helicobacter Pylori Half of the world's

population is infected

the incidence is decreasing in high-income countries.

H. pylori colonizes the stomach and has been associated with gastric ulcer and cancer.

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Gastric neoplasm (cancer)w/ perforation

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Increased folds = inflammation

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Path?

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Bezoars are tightly packed collections of partially digested or undigested material stuck in the stomach or other parts of the digestive tract.

Foreign bodies are small ingested objects that can also get stuck in the digestive tract and sometimes perforate it.

Gastroparesis is a stomach disorder in which the stomach takes too long in emptying its contents

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Bezoar from eating hair

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What

Causes

This?

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Problem

With

This?

Positioning?

What exam is this

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Small bowel obstruction

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34End of Path for UGI SMB

35Path for colon

Ca of colon “apple core lesion”

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Diverticulosis (chronic diverticulitis)

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Ulcerative Colitis is inflammation of the outer lining of the colon only, hence the term colitis.

Crohn's disease, can affect any part of the gut from the mouth to the anus, but most commonly affects the colon or ileum (small bowel) and can involve the full thickness of the bowel wall.

Symptoms Both types of inflammatory bowel disease

may have similar symptoms depending on the site and severity of the inflammation.

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Crohn’s Disease

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Crohn's disease (IBS)Cobblestone appearance

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Colitis “stove pipe”Crohns Disease / Laxative Use

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Ulcerative colitis

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CHRONIC Ulcerative colitis

NOTE:

LOSS OF HAUSTRAL MARKINGS

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Intussuception Volvulus

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Volvulus

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Volvulusin cecum

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Sigmoidvolvulus

note: beak sign

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Intussusception with reduction by BE

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Not well prepped

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PERFORATED RECTUM

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RECTAL CA

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Inguinal Hernia

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APPENDCOLITH

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What is the most common abdominal emergency surgery in the U.S?

Appendicitis

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APPENDICITS

PAIN ANOREXIA NAUSEA VOMITING FEVER Navel or RLQ pain

may have one or more of the following signs and symptoms:

Nausea and sometimes vomiting

Loss of appetite A low-grade fever that

starts after other signs and symptoms appear

Constipation An inability to pass gas Diarrhea Abdominal swelling

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APPENDICITIS is the most common surgical

emergency seen in hospitals. Six of every hundred persons will get it at some point in their life.

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GB STONES

Calculi in gallbladder and bile ducts

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“Stratificaton” (layering)of GB stones(cholelithaisis)seen in upright OCG

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Female Anatomy Review

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VAGINOGRAM

Or what your image will look like if you put the tip in the wrong place!

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FISTULA

VAGOGRAM

Be careful with the insertion of the tip!

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EEL inserted into rectum – OUCH perforating bowel

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