Shared Flashcard Set

Details

Case1
Buzzwords
29
Pathology
Graduate
04/21/2011

Additional Pathology Flashcards

 


 

Cards

Term
Plummer Vinson S/o
Definition
Glossitis, chelosis, Esophageal webs, Fe def anemia. Inc risk of Squamous cell CA
Term
Esophageal webs has inc risk of what CA?
Definition
Squamous cell CA
Term
RF: GERD, chronic GVHD, Blistering skin dz
Definition
Esophageal webs
Term
RF/Assoc: GERD , Scleroderma
Definition
Esophageal strictures
Term
RF/Assoc: DM autonomic neuropathy, infiltrative dz, Chagas Dz, DMN lesion
Definition
Achalasia
Inc risk of Squamous cell CA
Term
intermittent dysphagia
Definition
Esophageal Webs
Term
Bird's beak on barium swallow
Definition
Achalasia
Term
Main Sx of Regurgitation
Definition
Esophageal diverticulae
Term
Hx of vomiting
Definition
Esophageal laceration (Mallory/Weiss); Esophaheal rupture (Boerhaave's s/o)
Term
RF: long standing HRN or cirrhosis.
In US MC is ETOH, World wide is schistosomiasis
Definition
Esophageal varices
Term
Esophgeal rupture can have what complications?
Definition
mediastinitis
Term
What esophageal thing can mimic chest pain?
Definition
GERD
Term
What lowers the LES tone to inc risk of GERD?
Definition
ETOH, tobacco, obesity, preg, hernias, CNS depressants, delayed emptying of stomach
Term
What esophagus stuff can cause massive hemorrhage?
Definition
Esophagus rupture & Esophageal varices ruptue
Term
Zenker VS Traction VS Epihrenic
Definition
Zenker is closest to the top of the esophagus, Epiphrenic closet to the bottom. Traction somewhere in the middle
Term
GERD significant dz micro stuff
Definition
Cells: PMN, lymphocytes, Eo
See basal zone hyperplasia, elongation of the laminai propria papillae
Term
On Micro see columnar epithelium w/ goblet cells in the esophagus. What is this and what did the pt previously have. Inc risk of what?
Definition
Barret's esophagus. Had GERD. Inc risk of Adenocarcinoma.
Term
Endoscopic see velvety pink mucosa above GE jxn
Definition
Barrets
Term
Someone has odonyphagia what two categories are you thinking?
Definition
Infectious or chemical esophagitis
Term
RF for infectious
RF for chemical
Definition
Infectious: Immunocompromised, debilitated
Chemical: ETOH, smoking, corrosive acids/alkali, v hot fluids, radiation, pill induced
Term
In esophagus and see punches out ulcers w/ nuclear inclusions, degenerating epithelial cells @ margin
Definition
HSV infectious esophagitis
Term
In esophagus and see shallow ulcers, nuclear & cyto inclusions
Definition
CMV infectious
Term
At strictures see ulceration and superficial necrosis, what causes this?
Definition
Pill induced esophagitis
Term
GERD, tobacco, radiation, obesity inc risk of what CA?
Definition
Adenocarcinoma
Term
See mass in lower part of esophagous what CA is it? In the middle 1/3?
Definition
Adenocarcinoma near the bottom, middle 1/3 is squamous cell carcinoma
Term
What are the major RF for squamous cell CA?
Definition
Smoking or heavy ETOH use.
Term
Endoscopic see someone with grey white membrane in esophagus. What should you think of?
Definition
Infectious esophagitis (Canidia)- odonophagia
Squamous cell CA- progressive dysphagis
Term
Malignant gland forming cells
Definition
Adenomcarcinoma
Term
Other RF for squamous cell CA
Definition
same as chemical esophaitis + plummer vinson & Achalsia
Supporting users have an ad free experience!