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Quiz 10

Quiz 10. Geral. Caso 1. Paciente idosa, constipação intestinal crônica, colonoscopia para rastreamento CCR. Coloração acastanhada no ceco: Colite isquêmica Colite actínica RCUI Doença de Crohn Nenhuma delas. Caso 2. Mulher jovem. Lesão na gde . curv . Antral . Leiomioma Gist

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Quiz 10

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  1. Quiz 10 Geral

  2. Caso 1 • Paciente idosa, constipação intestinal crônica, colonoscopia para rastreamento CCR. Coloração acastanhada no ceco: • Colite isquêmica • Colite actínica • RCUI • Doença de Crohn • Nenhuma delas

  3. Caso 2 • Mulher jovem. Lesão na gde. curv. Antral. • Leiomioma • Gist • Coristoma • Pâncreas ectópico • Duas corretas

  4. Caso 3 • Adolescente com febre e diarréia aguda. Imagem do reto e sigmóide: • RCUI • Doença de Crohn • Colite infecciosa • Colite colágena • Colite linfocítica

  5. Caso 4 • Meia idade. Imagem do esôfago. Ascite. Anticorpo antimitocôndia positivo: • Cirrose alcoólica • Cirrose biliar primária • Trombose de veia porta • Budd Chiari • Nenhuma delas

  6. Caso 5 • Idoso. Anemia crônica. Lesão na incisura: • Úlcera péptica • GIST • Pâncreas ectópico • Lesão por AINES • Nenhuma delas

  7. Caso 6 • Mulher. 60 anos. Diarréia aquosa 6 vezes ao dia, sem muco ou sangue. Colono normal: • Colite linfocítica • Colite colágena • Colite por estáfilo • Colite por eschericiacoli • Nenhuma delas

  8. Caso 7 • Mulher. 40 anos. Longa história de azia. Esofago distal: • Ectopia gástrica • Barrett • Mallory Weiss • Angiodisplasia • Nenhuma delas

  9. Caso 8 • Homem. 45 anos. Diarréia crônica c/muco e sangue. Emagrecimento. VHS acelerada. PCR +. Lesão de sigmóide: • Crohn • RCUI • Escheríchiacoli • Salmonellatiffi • Nenhuma delas

  10. Caso 9 • Homem. 40 anos. Vômitos. Hematêmese. Achado no esôfago distal: • Cameron • Esofagite grau B com sangramento • Mallory Weiss • Lesão por AINES • Nenhuma delas

  11. Caso 10 • Adolescente, fem. Lesão submucosa, parede post. do corpo gástrico. Anemia. • GIST • Leiomioma • Carcinoma • Lesão submucosa indeterminada • Nenhuma delas

  12. Respostas • Melanosis (or pseudomelanosis) coli • Aberrant or ectopic pancreas • Infectious colitis (Yersinia Pseudotuberculosa was cultured from faeces, and the boy was cured with ciprofloxacin treatmen) • Oesophageal varices caused by primary biliary cirrhosis • Malignant. The clubbing of the mucosal folds adjacent to the ulcer is a typical finding. • The pink band seen in the histological preparation is a collagen band. The diagnose is Collagenous Colitis. • Barret´s oesophagus • Crohn • Mallory Weiss

  13. 10. Síndrome de Carney • A total gastrectomy was done, and the tumours (there were four of them) were found to be malignant leiomyoblastomas with metastatic changes in the regional lymph nodes.These young patients often have pulmonary chondromas and adrenal paragangliomas.

  14. JA Carney. This syndrome is very rare but has a great clinical importance. If one of it´s component, for example a malignant gastric leomyoblastoma, is found in a young girl, the other two, pulmonary chondromas and adrenal paragangliomas, should be looked for during a lifelong surveillance.

  15. FIM

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