Presentation
We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis. [ncbi.nlm.nih.gov]
Presentation on theme: "Chapter 8 The diseases of digestive system"— Presentation transcript: 1 Chapter 8 The diseases of digestive system 2 8.1.1 ESOPHAGITIS reflux esophagitis Definition: esophageal irritation and inflammation due to reflux of gastric [slideplayer.com]
Advanced Imaging of the Abdomen bridges the interface between the referring clinician and radiologist on the unusual clinical presentation or imaging finding and explores imaging approaches to solve a particular problem. [books.google.com]
In this patient Sjögren's syndrome presented with a phlegmonous gastritis that responded promptly to steroid teratment. [diki.pl]
Entire Body System
- Fever
The authors define an unexplained fever as a fever which lasts a minimum of 14 days and whose etiology is not known. [books.google.com]
Abstract A 43-year-old man admitted for high fever, jaundice, dysphagia and elevated C-reactive protein was found in computed tomography (CT) to have diffuse wall thickening of the esophagus with intramural low density. [jstage.jst.go.jp]
A physical examination revealed fever (38.2°C) and abdominal tenderness. [e-sciencecentral.org]
It is not usual for people who suffer from phlegmonous gastritis to also experience certain other symptoms such as hiccups, chills and sometimes even fever. [ic.steadyhealth.com]
An 86-year-old woman presented with a sore throat and high fever after eating fish. She was first diagnosed with a deep cervical abscess, and conservative treatment was initially selected. [link.springer.com]
- Anorexia
[…] of esophageal cancer Males>females; age usually>50 Risk factors Heavy smoking and alchol use Achalasia Plummer-vinson syndrome Tylosis Prior lye ingestion Presentation Often asymptomatic until late in the course Progressive dysphagia Weight loss and anorexia [slideplayer.com]
On admission, the patient described mild abdominal pain and anorexia. The patient had experienced 6 kg of weight loss during the previous 2 months. A physical examination revealed fever (38.2°C) and abdominal tenderness. [e-sciencecentral.org]
THE SMALL INTESTINE: - Highest incidence in 70s M>F - Usually Non-Hodgkins - RISK: Crohn's, celiac, autoimmune disease, immunosuppression, radiation therapy, nodular lymphoid hyperplasia - SSx: Fatigue, weight loss, fever, malabsorption, abdo pain, anorexia [quizlet.com]
Burning Occurs 1-3 hrs p/ meals Relieved by food May occur @ night May radiate to back or shoulders if perforated Nausea Vomiting May be related to partial or complete gastric outlet obstruction Dyspepsia Belching/ Bloating Heartburn Chest Discomfort Anorexia [slideshare.net]
- Chills
It is not usual for people who suffer from phlegmonous gastritis to also experience certain other symptoms such as hiccups, chills and sometimes even fever. [ic.steadyhealth.com]
He had presented three days previously with abdominal pain, fever, chills, and leukocytosis, left lower quadrant tenderness with rebound. [gastrointestinalatlas.com]
Proteus, Step. milleri 2) PARASITIC (amoebic): Entamoeba histolytic 3) FUNGLE: Candida - Direct spread from biliary tract infection, portal spread from GI infection, systemic infection (endocarditis) CLINICAL FEATURES OF LIVER ABSCESS: - Fever, malaise, chills [quizlet.com]
- Weakness
Acute duodenitis – symptoms – pain in the stomach, – nausea, – vomiting, – weakness. Acute duodenitis usually occurs on the background of acute inflammation of the stomach and intestines. [qsota.com]
These changes may result in segmental weakness of the artery, predisposing to rupture into the lumen. It is rare for bleeding to coexist with diverticulitis. Video Endoscopic Sequence 3 of 13. [gastrointestinalatlas.com]
LATE: 3 hr post-prandial - Etx:large glucose load leads to large insulin release and hypoglycemia - Tx: small snack 2 hr after meals - Bacterial overgrowth of colonic gram-negative bacterial in afferent limb - SSx: anemia, weakness, diarrhea, malnutrition [quizlet.com]
- Burning Pain
It connects the pharynx to the stomach ; swallowed food and liquids normally pass through it. [1] Esophagitis can be asymptomatic ; or can cause epigastric and/or substernal burning pain, especially when lying down or straining; and can make swallowing [en.wikipedia.org]
Clean- contaminated procedure: - Contaminated (non-purulent inflammation, gross spillage from GI) - Dirty: purulent, pre-op perforation 33-50% - Increased risk with > 2hr procedure, use of drains - Patient: DM, steroids, immunosupression, obesity, burn [quizlet.com]
Gastrointestinal
- Odynophagia
We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis. [ncbi.nlm.nih.gov]
After intravenous antibiotics, he improved but experi-enced dysphagia and odynophagia. Repeated chest CT and endoscopy following day 100 of hospitalization showed esophageal stenosis and extraluminal barium leakage. [jstage.jst.go.jp]
CASE REPORT A 57-year-old, well-nourished female presented with a sore throat for 5 days and subsequent odynophagia, dysphagia, and chest pain. Her medical history was remarkable only for hypertension. [academic.oup.com]
Dysphagia: Difficulty in swallowing Odynophagia: Painful swallowing Retrosternal pain: Chest pain behind the breastbone which usually do occur with eating. Food impaction: stucked swallowed food in the Oesophagus. [hubpages.com]
- Loss of Appetite
The most common symptoms of acute gastritis include abdominal bloating, belching, loss of appetite, vomiting, nausea and nondescript epigastric discomfort. Some cases of acute gastritis may also be accompanied by painful sensations in the abdomen. [ic.steadyhealth.com]
Symptoms of Crohn's Disease Persistent Diarrhea Abdominal pain Fever Rectal bleeding Loss of appetite Weight loss Fatigue Severity of Symptoms Symptoms can range from mild to severe. [giassoc.org]
In the chronic phase, the pain may be dull and there may be loss of appetite with a feeling of fullness after several bites of food. Very often, there are no symptoms at all. If the pain is severe, there may be an ulcer as well as gastritis. [gicare.com]
Symptoms of duodenitis – a feeling of fullness in the upper abdomen (“always”), – loss of appetite, – heartburn, – belching, – sometimes nausea or vomiting bile, – the constipation. [qsota.com]
Skin
- Skin Ulcer
- GRAHAM PATCH of perforated ulcer-plication of ulcer and omental patch - Oversewing of bleeding ulcer +/- pyloroplasty - Pyloroplasty, gastroduodenostomy or gastrojejunostomy - Antectomy (eliminate hormonal stimulation) - Gastric resection (reduce [quizlet.com]
- Eruptions
Look at other dictionaries: erysipelas — A specific, acute, superficial cutaneous cellulitis caused by β hemolytic streptococci and characterized by hot, red, edematous, brawny, and sharply defined eruptions; usually accompanied by severe constitutional [medicine.academic.ru]
- Skin Lesion
Others will have skin lesions. Complications of Crohn's are many and varied. Bowel obstructions (blockages) are common. Fistulas and fissures in and around the anus and rectum can form. [giassoc.org]
Urogenital
- Hematuria
Other symptoms occurring in fewer than 50 percent of patients are crampy abdominal pain, diarrhea, hematuria, and passage of urine per rectum. Video Endoscopic Sequence 4 of 8. [gastrointestinalatlas.com]
Workup
Pylori And Keratosis Pilaris Migraine Workup Abdominal passage of a nasogastric tube with the introduction of the tube into the ventral nasal meatus Learn more about the treatments here. [dirscuola.eu]
ALP - Hypercoagulation workup - AXR: portal venous gas, intestinal pneumatosis, free air if perforation - Contrast CT: thickened bowel wall, luminal dilatation, SMA or SMV thrombus, mesenteric/portal venous gas, pneumatosis - CT angio gold standard for [quizlet.com]
Microbiology
- Candida
Mais quoi ressemble donc la superbe villa dans Many people experiencing Candida issues have reported that Kefir has been not contain Candida Albicans and chronic candidiasis causes candida sugar intolerance has no Yemoos Nourishing Cultures. [jachty24.eu]
Fungal infections such as Candida (Oesophageal candidiasis). [hubpages.com]
Fungal infections that cause gastritis include Candida albicans and histoplasmosis. Gastric phycomycosis is another rare lethal fungal infection. The common predisposing factor is immunosuppression. C albicans rarely involves the gastric mucosa. [emedicine.medscape.com]
Types include: Fungal Candida ( Esophageal candidiasis ) Viral Herpes simplex ( Herpes esophagitis ) Cytomegalovirus Drug-induced esophagitis Damage to the esophagus due to medications. [en.wikipedia.org]
[…] multiloculated cysts should be excised because of malignancy risk CAUSES OF LIVER ABSCESSES: 1) PYOGENIC (bacterial): most common, often polymicrobial (E coli, Klebsiella, Proteus, Step. milleri 2) PARASITIC (amoebic): Entamoeba histolytic 3) FUNGLE: Candida [quizlet.com]
Colonoscopy
- Polyps
Review the latest developments in the field and get up-to-date clinical information on hot topics like polyps, capsule endoscopy, and pancreatic treatments. [books.google.com]
Polyp inside of a diverticula Video Endoscopic Sequence 2 of 12. Small polyp protruding from the hole of a colonic diverticulum. Video Endoscopic Sequence 3 of 12. [gastrointestinalatlas.com]
Adenoma: premalignant, often CIS 3-9% malignant polyp, with invasion into muscularis. [quizlet.com]
Another case of diffuse-type gastric cancer displays rare, keratin-positive tumor cells (arrow) enmeshed in a mixed inflammatory background with plump spindle cells mimicking inflammatory fibroid polyp ( b ). [nature.com]
Treatment
Treatment sections explain the most likely treatment for each pathology along with its prognosis Radiographer Notes include tips for producing optimal radiographs along with patient management recommendations. [books.google.com]
Treatment duodenitis Treatment of chronic duodenitis in periods of exacerbation treatment at the hospital. Treatment is prescribed depending on the cause that triggered the disease. [qsota.com]
She was first diagnosed with a deep cervical abscess, and conservative treatment was initially selected. However, her respiratory failure worsened, so emergent tracheostomy and surgical drainage were performed. [link.springer.com]
Prognosis
Phlegmonous infection involving the digestive tract has been reported to have a poor prognosis. However, the pathogenesis and clinical features of acute phlegmonous esophagitis have remained unclear due to the rarity of the disease. [ncbi.nlm.nih.gov]
Normally, the prognosis would be good with no serious illnesses. If there are more causes than one, the prognosis could move to fair. [en.wikipedia.org]
Treatment sections explain the most likely treatment for each pathology along with its prognosis Radiographer Notes include tips for producing optimal radiographs along with patient management recommendations. [books.google.com]
poor Adenocarcinoma Arises in the distal esophagus Associated with Barrett esophagus and dysplasia Prognosis: poor 5 6 7 GASTRITIS 8 inflammation of gastric mucosa acute gastritis pathogens clear acute inflammation (neutrophils ) chronic gastritis autoimmune [slideplayer.com]
Radiolabelled octreotide or MIBG scan - Tx: surgical resection +/- chemo - Carcinoid syndrome treated with steroids, histamine and octreotide - Prognosis: metastatic risk 2% if size 2 cm -70% survival, 20% if liver Met - Classified by origin to foregut [quizlet.com]
Etiology
The authors define an unexplained fever as a fever which lasts a minimum of 14 days and whose etiology is not known. [books.google.com]
The etiologies of primary aortic thrombosis are diverse, ranging from chemotherapy to treat cancer to heparin-induced thrombocytopenia and inflammatory bowel disease [ 4 ]. [e-sciencecentral.org]
The sequence of Oesophagitis occurrence depends on its etiology. In reflux Oesophagitis, gastric acidic contents from the stomach regurgitate back into the Oesophagus. [hubpages.com]
Cow’s milk protein, either alone or in combination with soy protein, has been implicated as a major etiologic factor. [nature.com]
Ulcero-hemorrhagic gastritis is believed to be secondary to ischemia related to hypotension and shock or to the release of vasoconstrictive substances, but the etiology is often unknown. [emedicine.medscape.com]
Epidemiology
Updated content prepares you for today's practice with the latest on morbidity, mortality, and epidemiology; invasive squamous cell carcinoma; scoliosis; joint replacements; chest tubes and lines; MRSA (antibiotic-resistant staph infection); systemic [books.google.com]
The ulcer base shows a small amount of blood but is otherwise clean. 40 41 8.2 tumor of digestive system 42 8.2.1 Gastric carcinoma Epidemiology: Japan/ Chile/ Columbia Risk factors: dietary factors: smoked fish and meats/ pickled vegetables HP infection [slideplayer.com]
Infection - < 2% recurrence EPIDEMIOLOGY AND RISK FACTORS OF HYPERTROPHIC PYLORIC STENOSIS: - 0.03 to 1% of live births - can present at 1-20wks, most commonly 6-8 - M 4:1 - Associated with early erythromycin exposure ( PATHOPHYSIOLOGY OF HYPERTROPHIC [quizlet.com]
Disease definition, clinical manifestations, epidemiology and natural history of GERD. Best Pract Res Clin Gastroenterol 2010; 24 :759–764. 20. Johnson LF, Demeester TR, Haggitt RC. Esophageal epithelial response to gastroesophageal reflux. [nature.com]
Pathophysiology
This book covers pathophysiology of fever, the general approach to the febrile patient, and offers a systematic, in-depth discussion regarding the differential diagnosis of unexplained fever. [books.google.com]
Pathophysiology There are a large number of different causes of acute gastritis but the most common ones include direct trauma, food poisoning, allergies, radiation, shock, acute stress, fungal infections, viral infections, bacterial infections, ischemia [ic.steadyhealth.com]
Although the pathophysiology of acute pancreatitis leading to aortic thrombosis is not clear, several hypotheses have been suggested. [e-sciencecentral.org]
Pathophysiology The sequence of disease occurrence is what we call patho-physiology. The sequence of Oesophagitis occurrence depends on its etiology. [hubpages.com]
Infection - < 2% recurrence EPIDEMIOLOGY AND RISK FACTORS OF HYPERTROPHIC PYLORIC STENOSIS: - 0.03 to 1% of live births - can present at 1-20wks, most commonly 6-8 - M 4:1 - Associated with early erythromycin exposure ( PATHOPHYSIOLOGY OF HYPERTROPHIC [quizlet.com]
Prevention
To prevent reflux esophagitis, avoid acidic foods, caffeine, eating before going to bed, alcohol, fatty meals, and smoking. [en.wikipedia.org]
The main goal of treatment is to remove the cause of the phlegmonous process in order to achieve effective treatment and prevention of residives. [diki.pl]
Vaginal yeast infection Although many women feel cleaner if they douche after their period or intercourse This may help to prevent a yeast infection. [jachty24.eu]
Secondary Prevention of Esophageal Squamous Cell Carcinoma in Areas Where Smoking, Alcohol, and Betel Quid Chewing are Prevalent. J Formos Med Assoc 2010;109:408–421 13. [twgihealth.com]