Be Kind to your patients- offer them a wet towel for the Ba mustache ! 1 GASTROINTESTINAL PATHOLOGY RT 124 2011
Jan 04, 2016
Be Kind to your patients-offer them a wet towel for the Ba mustache !
1
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
2
3
Normal Esophaguswhich position?
4
Normal Stomachwhich position?
5
Esophageal Strictures Gastric contents/
acid contents reflux into the esophagus
Causing inflammation, scarring stricture
formation.
6
Esophageal Varices
7
Esophogeal varices
8
cancer
9
Esophageal Diverticula
10
GERD
11
12
What do you see
Free air
NG tube
Type of contrast to use?
INTRODUCTION OF GASTRO VIA NG TUBE
13
14
15
Pneumoperitoneum(air under the diaphram)possible perforated bowel
16
Pyloric Stenosis “String Sign”
17
18
Large HIATAL HERNIA (GI)
19
Hiatal Hernia seen on lat CXR
Hiatal Hernia
20
Intrathoracic stomach malrotation
21
22
23
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.
24
Gastric neoplasm (cancer)w/ perforation
25
Increased folds = inflammation
26
Path?
27
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
28
29
Bezoar from eating hair
30
What
Causes
This?
31
Problem
With
This?
Positioning?
What exam is this
32
Small bowel obstruction
33
34End of Path for UGI SMB
35Path for colon
Ca of colon “apple core lesion”
36
37
Diverticulosis (chronic diverticulitis)
38
39
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.
40
Crohn’s Disease
41
Crohn's disease (IBS)Cobblestone appearance
42
Colitis “stove pipe”Crohns Disease / Laxative Use
43
44
Ulcerative colitis
45
CHRONIC Ulcerative colitis
NOTE:
LOSS OF HAUSTRAL MARKINGS
46
Intussuception Volvulus
47
48
49
Volvulus
50
Volvulusin cecum
51
Sigmoidvolvulus
note: beak sign
52
53
Intussusception with reduction by BE
54
Not well prepped
55
56
PERFORATED RECTUM
57
RECTAL CA
58
Inguinal Hernia
59
60
61
APPENDCOLITH
62
What is the most common abdominal emergency surgery in the U.S?
Appendicitis
63
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
64
APPENDICITIS is the most common surgical
emergency seen in hospitals. Six of every hundred persons will get it at some point in their life.
65
66
GB STONES
Calculi in gallbladder and bile ducts
67
“Stratificaton” (layering)of GB stones(cholelithaisis)seen in upright OCG
68
Female Anatomy Review
69
VAGINOGRAM
Or what your image will look like if you put the tip in the wrong place!
70
FISTULA
VAGOGRAM
Be careful with the insertion of the tip!
71
EEL inserted into rectum – OUCH perforating bowel
72