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Be Kind to your patients- offer them a wet towel for the Ba mustache !

GASTROINTESTINAL PATHOLOGY. RT 124 2011. Be Kind to your patients- offer them a wet towel for the Ba mustache !. GI DISORDERS. Abdominal pain Gallbladder disease RUQ Acid reflux (GERD) Gastritis Appendicitis Gastroenteritis and food poisoning Bleeding ulcer (hematemesis)

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Be Kind to your patients- offer them a wet towel for the Ba mustache !

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  1. GASTROINTESTINALPATHOLOGY RT 124 2011 Be Kind to your patients-offer them a wet towel for the Ba mustache !

  2. 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

  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. What do you see Free air NG tube Type of contrast to use?

  12. INTRODUCTION OF GASTRO VIA NG TUBE Ng tube

  13. Pneumoperitoneum(air under the diaphram)possible perforated bowel

  14. Pyloric Stenosis “String Sign”

  15. Large HIATAL HERNIA (GI) Hiatal Hernia seen on lat CXR

  16. Hiatal Hernia

  17. Intrathoracic stomach malrotation

  18. 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.

  19. Gastric neoplasm (cancer)w/ perforation

  20. Increased folds = inflammation Path?

  21. 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

  22. Bezoar from eating hair

  23. What Causes This?

  24. Problem With This? Positioning? What exam is this

  25. Small bowel obstruction

  26. End of Path for UGI SMB

  27. Path for colon

  28. Ca of colon “apple core lesion”

  29. Diverticulosis (chronic diverticulitis)

  30. 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.

  31. Crohn’s Disease

  32. Crohn'sdisease (IBS)Cobblestone appearance

  33. Colitis “stove pipe”Crohns Disease / Laxative Use

  34. Ulcerative colitis

  35. CHRONIC Ulcerative colitis NOTE: LOSS OF HAUSTRAL MARKINGS

  36. Intussuception Volvulus

  37. Volvulus

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