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PATHOMA – GI: Questions And Accurate Answers
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PATHOMA – GI: Questions And Accurate Answers
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PATHOMA – GI: Questions And Accurate AnswersWhat causes a cleft lip/palate Right Ans - failure of the facial prominences
to fuse
Behcet syndrome Right Ans - - recurrent aphthmous ulcers, genital ulcers,
uveitis
- immune complex vasculization
Oral herpes Right Ans - - vesicles that rupture leaving shallow painful red
ulcers
- usually due to HSV 1
- [rimary infection in childhood, lesion heals but reamins dormant in the
ganglia of the *trigeminal nerve*
Oral leukoplakia Right Ans - - white plaque, cant be scraped away
- often represents squamous cell dysplasia
Hairy leukoplakia Right Ans - - rough white hairy patch
- lateral tongue
- immunocompromised
- EBV
- squamous cell hyperplasia, NOT premalignant
Erythroplakia Right Ans - - red plaque, represents vascularized leukoplakia
and is highly suggestive of squamous cell dysplasia
- more suggestive of squamous dysplasia that leukoplakia
mumps oral and GI complications Right Ans - - b/l inflamed parotid glands
- ochitis (only in those over 10) which can lead to sterirlity
- pancreatitis
- aspetic meningitis
- increased serum amaylase due to either parotid or pancreatic involvement
sialadentitis Right Ans - - inflammation of salivary gland
- obstructing stone (Sialolithiasis) leading to S. Aureus infection
- unilateral
pleomorphic adenoma Right Ans - - most common tumor of salivary gland
, - benign
- stromal and epithelial tissue
- usually in parotid
- mobile, painless, well circumscribed
-*often recurs *
- if facial nerve damage this shows its transforming into carcinoma
warthin tumor Right Ans - - 2 most common tumor of salivary gland
- parotid
- cystic tumor with lymph tissue
mucoepidermoid carcinoma Right Ans - - most common malignant tumor
or salivary gland
- mucinous and squamous cells
- parotid and often involves the facial n
tracheoesophageal fistula. most common type. symptoms Right Ans - -
congenital defect between esophagus and trachea
- most common is proximal esophageal atresia with distal esophagus arising
from trachea
- vomiting, polyhydramnios, abdominal distension and aspiration with first
feed
esophageal web Right Ans - - protrusion of esophageal mucosa often in
upper esophagus
- dysphagia for poorly chewed food
- risk for esophageal squamous cell carcinoma
- plummer vinson syndrome
zenkre diverticulum Right Ans - - outpuching of pharyngeal mucosa
through defect in muscular wall false diverticulum)
- *upper esophagus* at junction of esophagus and pharynx
- dysphagia, obstruction and halitosis
mallory weiss syndrome Right Ans - - longitudinal laceration of mucosa at
the gastroesophageal junction
- caused by severe vommiting
- *painful* hematemesis
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