Sandbox:Cherry: Difference between revisions

Jump to navigation Jump to search
← Older edit
VisualWikitext
Sudarshana Datta (talk | contribs)
nocaptcha
3,577 edits
WikiBot (talk | contribs)
Bots, Bureaucrats, bureaucrats, interwiki, nocaptcha, Administrators
57,550 edits
m Bot: Removing from Primary care
 
(85 intermediate revisions by 2 users not shown)
Line 1: Line 1:
==Physical examination==
==References==
{{reflist|2}}
{{WH}}
{{WS}}
==References==
{{Reflist|2}}
===Pathophysiology prev===
===Pathophysiology prev===
<div style="-webkit-user-select: none;">
<div style="-webkit-user-select: none;">
Line 9: Line 20:
{{Cirrhosis}}
{{Cirrhosis}}
{{CMG}} {{AE}}
{{CMG}} {{AE}}
==Table 1==
* '''The table below differentiates gastritis from other conditions:'''<ref name="pmid6710074">{{cite journal| author=Sugimachi K, Inokuchi K, Kuwano H, Ooiwa T| title=Acute gastritis clinically classified in accordance with data from both upper GI series and endoscopy. | journal=Scand J Gastroenterol | year= 1984 | volume= 19 | issue= 1 | pages= 31-7 | pmid=6710074 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6710074  }} </ref><ref name="pmid25901896">{{cite journal| author=Sipponen P, Maaroos HI| title=Chronic gastritis. | journal=Scand J Gastroenterol | year= 2015 | volume= 50 | issue= 6 | pages= 657-67 | pmid=25901896 | doi=10.3109/00365521.2015.1019918 | pmc=4673514 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25901896  }} </ref><ref name="pmid16819502">{{cite journal| author=Sartor RB| title=Mechanisms of disease: pathogenesis of Crohn's disease and ulcerative colitis. | journal=Nat Clin Pract Gastroenterol Hepatol | year= 2006 | volume= 3 | issue= 7 | pages= 390-407 | pmid=16819502 | doi=10.1038/ncpgasthep0528 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16819502  }} </ref><ref name="pmid2789799">{{cite journal| author=Sipponen P| title=Atrophic gastritis as a premalignant condition. | journal=Ann Med | year= 1989 | volume= 21 | issue= 4 | pages= 287-90 | pmid=2789799 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2789799  }} </ref><ref name="pmid25133039">{{cite journal| author=Badillo R, Francis D| title=Diagnosis and treatment of gastroesophageal reflux disease. | journal=World J Gastrointest Pharmacol Ther | year= 2014 | volume= 5 | issue= 3 | pages= 105-12 | pmid=25133039 | doi=10.4292/wjgpt.v5.i3.105 | pmc=4133436 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25133039  }} </ref><ref name="pmid17956071">{{cite journal| author=Ramakrishnan K, Salinas RC| title=Peptic ulcer disease. | journal=Am Fam Physician | year= 2007 | volume= 76 | issue= 7 | pages= 1005-12 | pmid=17956071 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17956071  }} </ref><ref name="pmid17985090">{{cite journal| author=Banasch M, Schmitz F| title=Diagnosis and treatment of gastrinoma in the era of proton pump inhibitors. | journal=Wien Klin Wochenschr | year= 2007 | volume= 119 | issue= 19-20 | pages= 573-8 | pmid=17985090 | doi=10.1007/s00508-007-0884-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17985090  }} </ref><ref name="pmid15621988">{{cite journal| author=Dicken BJ, Bigam DL, Cass C, Mackey JR, Joy AA, Hamilton SM| title=Gastric adenocarcinoma: review and considerations for future directions. | journal=Ann Surg | year= 2005 | volume= 241 | issue= 1 | pages= 27-39 | pmid=15621988 | doi= | pmc=1356843 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15621988  }} </ref><ref name="pmid21390139">{{cite journal| author=Ghimire P, Wu GY, Zhu L| title=Primary gastrointestinal lymphoma. | journal=World J Gastroenterol | year= 2011 | volume= 17 | issue= 6 | pages= 697-707 | pmid=21390139 | doi=10.3748/wjg.v17.i6.697 | pmc=3042647 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21390139  }} </ref>


{| class="wikitable" style="border: 0px; font-size: 90%; margin: 3px;" align="center"
 
| colspan="13" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''Differential Diagnosis'''}}
===Pathophysiology prev===
|+
<div style="-webkit-user-select: none;">
| rowspan="3" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Disease'''}}
{| class="infobox" style="position: fixed; top: 65%; right: 10px; margin: 0 0 0 0; border: 0; float: right;"
| rowspan="3" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Cause'''}}
| colspan="9" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Symptoms'''}}
| style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Diagnosis'''}}
| rowspan="3" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Other findings'''}}
|-
|-
| colspan="3" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Pain'''}}
| {{#ev:youtube|https://https://www.youtube.com/watch?v=5szNmKtyBW4|350}}
| rowspan="2" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Nausea & Vomiting'''}}
| rowspan="2" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Heartburn'''}}
| rowspan="2" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Belching or Bloating'''}}
| rowspan="2" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Weight loss'''}}
| rowspan="2" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Loss of Appetite'''}}
| rowspan="2" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Stools'''}}
| rowspan="2" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Endoscopy findings'''}}
|-
|-
| rowspan="1" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Location'''}}
|}
| rowspan="1" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Aggravating Factors'''}}
__NOTOC__
| rowspan="1" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#FFF|'''Alleviating Factors'''}}
{{Cirrhosis}}
|-
{{CMG}} {{AE}}
| style="padding: 5px 5px; background: #DCDCDC;" |[[Acute gastritis|'''Acute gastritis''']]
 
| style="padding: 5px 5px; background: #F5F5F5;" |
== History and Symptoms ==  
* ''[[H. pylori]]''
 
* [[NSAIDS]]
* History should include:
* [[Corticosteroids]]
** Appearance of bowel movements
* [[Alcohol]]
** Travel history
* Spicy food
** Associated symptoms
* [[Viral infections]]
** Immune status
* [[Crohn's disease]]
** Woodland exposure
* [[Autoimmune diseases]]
==References==
* Bile reflux
{{reflist|2}}
* [[Cocaine]] use
 
* Breathing machine or ventilator
{{WH}}
* Ingestion of [[corrosive|corrosives]]
{{WS}}
|
* [[Epigastric pain]]
|Food
|[[Antacids]]
|✔
|✔
|✔
|<nowiki>-</nowiki>
|✔
|[[Melena|Black stools]]
|
* [[Pangastritis]] or antral [[gastritis]]
* [[Gastric erosion|Erosive]] (Superficial, deep, hemorrhagic)
* Nonerosive (''[[H. pylori]]'')
|<nowiki>-</nowiki>
|-
| style="padding: 5px 5px; background: #DCDCDC;" |[[Gastritis|'''Chronic gastritis''']]
| style="padding: 5px 5px; background: #F5F5F5;" |
* ''[[H. pylori]]''
* [[Alcohol]]
* Medications
* [[Autoimmune diseases]]
* Chronic stress
|
* [[Epigastric pain]]
|Food
|[[Antacids]]
|✔
|✔
|✔
|✔
|✔
|<nowiki>-</nowiki>
|''[[H. pylori]] [[gastritis]]''
* [[Atrophy]]
* Intestinal [[metaplasia]]
Lymphocytic gastritis
* Enlarged folds
* Aphthoid erosions
|<nowiki>-</nowiki>
|-
| style="padding: 5px 5px; background: #DCDCDC;" |[[Atrophic gastritis|'''Atrophic gastritis''']]
| style="padding: 5px 5px; background: #F5F5F5;" |
* ''[[H. pylori]]''
* [[Autoimmune disease]]
|
*[[Epigastric pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔
|<nowiki>-</nowiki>
|
|✔
|✔
|<nowiki>-</nowiki>
|''[[H. pylori]]''
* Mucosal [[atrophy]]
[[Autoimmune]]
* Mucosal [[atrophy]]
|
* [[Iron deficiency anemia]]
*Autoimmune gastritis diagnosis includes:
**Antiparietal and anti-IF antibodies
**[[Achlorhydria]] and hypergastrinemia
**Low serum [[vitamin B12|cobalamine]]
|-
| style="padding: 5px 5px; background: #DCDCDC;" |[[Crohn's disease|'''Crohn's disease''']]
| style="padding: 5px 5px; background: #F5F5F5;" |
* [[Autoimmune disease]]
|
* [[Abdominal pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔
|✔
|
* Chronic [[diarrhea]] often bloody with [[pus]] or [[mucus]]
* [[Rectal bleeding]]
|
* Mucosal nodularity with cobblestoning
* Multiple [[aphthous ulcers]]
* Linier or serpiginous ulcerations
* Thickened antral folds
* Antral narrowing
* Hypoperistalsis
* Duodenal strictures
|
* [[Fever]]
* [[Fatigue]]
* [[Anemia]] ([[pernicious anemia]])
|-
| style="padding: 5px 5px; background: #DCDCDC;" |[[GERD|'''GERD''']]
| style="padding: 5px 5px; background: #F5F5F5;" |
* Lower esophageal sphincter abnormalities
* [[Hiatal hernia]]
* Abnormal esophageal contractions
* Prolonged emptying of [[stomach]]
* [[Gastrinoma|Gastrinomas]]
|
* [[Epigastric pain]]
|
* Spicy food
* Tight fitting clothing
|
* [[Antacids]]
* Head elevation during sleep
|✔


(Suspect delayed gastric emptying)
==Other Imaging Findings==
|✔
* [[Endoscopy]]
|<nowiki>-</nowiki>
* [[Barium enema]]
|<nowiki>-</nowiki>
* [[Colonoscopy]]
|<nowiki>-</nowiki>
* [[Sigmoidoscopy]]
|<nowiki>-</nowiki>
|
* [[Esophagitis]]
* [[Barrette's esophagus]]
* [[Strictures]]
|Other symptoms:
* [[Dysphagia]]
* [[Regurgitation]]
* [[Cough|Nocturnal cough]]
* [[Hoarseness]]
Complications
* [[Esophagitis]]
* [[Strictures]]
* Barrette esophagus
|-
| style="padding: 5px 5px; background: #DCDCDC;" |[[Peptic ulcer disease|'''Peptic ulcer disease''']]
| style="padding: 5px 5px; background: #F5F5F5;" |
* ''[[H. pylori]]''
* [[Smoking]]
* [[Alcohol]]
* [[Radiation therapy]]
* Medications
* [[Zollinger-Ellison syndrome]]
|
* [[Epigastric pain]] sometimes extending to back
* [[Right upper quadrant pain]]
|
'''[[Duodenal ulcer]]'''
*Pain aggravates with empty stomach
'''[[Gastric ulcer]]'''
*Pain aggravates with food
|
* [[Antacids]]


* [[Duodenal ulcer]]
==Other diagnostic studies==
:*Pain alleviates with food
== Other Diagnostic Studies ==
|✔
|✔
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|
* [[Melena|Black stools]]
|'''Gastric ulcers'''
* Discrete mucosal lesions with a punched-out smooth ulcer base with whitish fibrinoid base
* Most [[ulcers]] are at the junction of [[fundus]] and antrum
* 0.5-2.5cm
'''Duodenal ulcers'''
* Well-demarcated break in the [[mucosa]] that may extend into the [[muscularis propria]] of the [[duodenum]]
* Found in the first part of [[duodenum]]
* <1cm
|'''Other diagnostic tests'''
* Serum [[gastrin]] levels
* [[Secretin]] stimulation test
* [[Biopsy]]
|-
| style="padding: 5px 5px; background: #DCDCDC;" |[[Gastrinoma|'''Gastrinoma''']]
| style="padding: 5px 5px; background: #F5F5F5;" |
* Associated with [[MEN type 1]]
|
* [[Abdominal pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔


(suspect [[gastric outlet obstruction]])
* Breath hydrogen test
|✔
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|
* [[Melena|Black stools]]
|Useful in collecting the tissue for [[biopsy]]
|
* May present with symptoms of [[GERD]] or [[peptic ulcer disease]]
* Associated with [[MEN type 1]]
'''Diagnostic tests'''
* Serum [[gastrin]] levels
* [[Somatostatin]] receptor [[scintigraphy]]
* [[CT]] and [[MRI]]
|-
| style="padding: 5px 5px; background: #DCDCDC;" |[[Gastric Cancer|'''Gastric Adenocarcinoma''']]
| style="padding: 5px 5px; background: #F5F5F5;" |
* ''[[H. pylori]]'' infection
* Smoked and salted food
|
* [[Abdominal pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔
|✔
|✔
|✔
|✔
|
* [[Melena|Black stools]], or blood in stools
|'''Esophagogastroduodenoscopy'''
* Multiple biopsies are taken to establish the diagnosis
|'''Other symptoms'''
* [[Dysphagia]]
* Early [[satiety]]
* Frequent [[burping]]
|-
| style="padding: 5px 5px; background: #DCDCDC;" |[[Gastric lymphoma|'''Primary gastric lymphoma''']]
| style="padding: 5px 5px; background: #F5F5F5;" |
* ''[[H. pylori]]'' infection
|
* [[Abdominal pain]]
* [[Chest pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|Useful in collecting the tissue for [[biopsy]]
|'''Other symptoms'''
* Painless swollen [[lymph nodes]] in neck and armpit
* Night sweats
* [[Fatigue]]
* [[Fever]]
* [[Cough]] or trouble breathing
|}


==Table==
* [[HIV test]]ing for those patients suspected of having HIV
<div style="width: 85%;"><small>
{| class="wikitable"
! rowspan="3" |Disease
! rowspan="3" |Cause
! colspan="9" |Symptoms
!Diagnosis
! rowspan="3" |Other findings
|-
! colspan="3" |Pain
! rowspan="2" |Nausea
&


Vomiting
==
! rowspan="2" |Heartburn
! rowspan="2" |Belching or
Bloating
! rowspan="2" |Weight loss
! rowspan="2" |Loss of
Appetite
! rowspan="2" |Stools
! rowspan="2" |Endoscopy findings
|-
!Location
!Aggravating Factors
!Alleviating Factors
|-
!Gastric outlet obstruction
|
*[[Peptic ulcer|PUD]]: 5% cases (most commonly affecting [[pylorus]] and initial part of the [[duodenum]])
*[[Polyps|Gastric polyps]]
*[[Caustic|Caustic ingestion]]
*Systemic [[amyloidosis]] of the [[gastrointestinal tract]]
*Eosinophillic [[gastroenteritis]]
*[[Obstruction]] by [[Gallstone disease|gallstones]] (Bouveret syndrome)
*Complication of [[acute pancreatitis]]: [[pancreatic pseudocyst]] formation
*[[Chronic pancreatitis]]
*[[Sarcoidosis]] of the [[Gastrointestinal tract|GIT]]
*[[Bezoar|Bezoars]]
*[[Crohn's disease]] involving the [[duodenum]]
*[[Stomach|Gastro]]-[[Duodenum|duodenal]] [[tuberculosis]]
* Ingestion of [[corrosive|corrosives]]
|
* [[Epigastric pain]]
|Food
|-
|✔
|✔
|✔
|<nowiki>✔</nowiki>
|✔
|[[Melena|Black stools]] in case of Peptic Ulcer Disease
|
*Helps in the determination of site of [[obstruction]]
*Helps in the visualization of the [[Stomach|gastric]] silhouette:
*Helps note the following:
**[[Stomach|Gastric]] [[dilation]]
**Narrowing of the [[pylorus]]
**Presence of [[Ulcer|ulcers]]
**[[Tumor|Tumors]]
**Differentiation of GOO from [[gastroparesis]] where gastric [[dilation]] is not associated with the narrowing of the [[pylorus]]
|<nowiki>-</nowiki>
|-
![[Acute gastritis]]
|
* ''[[H. pylori]]''
* [[NSAIDS]]
* [[Corticosteroids]]
* [[Alcohol]]
* Spicy food
* Viral infections
* [[Crohn's disease]]
* [[Autoimmune diseases]]
* Bile reflux
* [[Cocaine]] use
* Breathing machine or ventilator
* Ingestion of [[corrosive|corrosives]]
|
* [[Epigastric pain]]
|Food
|[[Antacids]]
|✔
|✔
|✔
|<nowiki>-</nowiki>
|✔
|[[Melena|Black stools]]
|
* Pangastritis or antral [[gastritis]]
* [[Gastric erosion|Erosive]] (Superficial, deep, hemorrhagic)
* Nonerosive (''[[H. pylori]]'')
|<nowiki>-</nowiki>
|-
![[Gastritis|Chronic gastritis]]
|
* ''[[H. pylori]]''
* [[Alcohol]]
* Medications
* [[Autoimmune diseases]]
* Chronic stress
|
* [[Epigastric pain]]
|Food
|[[Antacids]]
|✔
|✔
|✔
|✔
|✔
|<nowiki>-</nowiki>
|''[[H. pylori]] [[gastritis]]''
* [[Atrophy]]
* Intestinal [[metaplasia]]
Lymphocytic gastritis
* Enlarged folds
* Aphthoid erosions
|<nowiki>-</nowiki>
|-
![[Atrophic gastritis]]
|
* ''[[H. pylori]]''
* [[Autoimmune disease]]
|[[Epigastric pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔
|<nowiki>-</nowiki>
|
|✔
|✔
|<nowiki>-</nowiki>
|''[[H. pylori]]''
* Mucosal [[atrophy]]
[[Autoimmune]]
* Mucosal [[atrophy]]
|
* [[Iron deficiency anemia]]
Autoimmune gastritis diagnosis include:
* Antiparietal and anti-IF antibodies
* [[Achlorhydria]] and hypergastrinemia
* Low serum [[vitamin B12|cobalamine]]
|-
![[Crohn's disease]]
|
* [[Autoimmune disease]]
|
* [[Abdominal pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔
|✔
|
* Chronic [[diarrhea]] often bloody with [[pus]] or [[mucus]]
* [[Rectal bleeding]]
|
* Mucosal nodularity with cobblestoning
* Multiple [[aphthous ulcers]]
* Linier or serpiginous ulcerations
* Thickened antral folds
* Antral narrowing
* Hypoperistalsis
* Duodenal strictures
|
* [[Fever]]
* [[Fatigue]]
* [[Anemia]] ([[pernicious anemia]])
|-
![[GERD]]
|
* Lower esophageal sphincter abnormalities


* [[Hiatal hernia]]
==Overview==
* Abnormal esophageal contractions
* Prolonged emptying of [[stomach]]
* [[Gastrinomas]]
|
* [[Epigastric pain]]
|
* Spicy food
* Tight fitting clothing
|
* [[Antacids]]
* Head elevation during sleep
|✔


(Suspect delayed gastric emptying)
==References==
|✔
{{reflist|2}}
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|
* [[Esophagitis]]
* Barrette esophagus
* [[Strictures]]
|Other symptoms:
* [[Dysphagia]]
* [[Regurgitation]]
* [[Cough|Nocturnal cough]]
* [[Hoarseness]]
Complications
* [[Esophagitis]]
* [[Strictures]]
* Barrette esophagus
|-
![[Peptic ulcer disease]]
|
* ''[[H. pylori]]''
* [[Smoking]]
* [[Alcohol]]
* [[Radiation therapy]]
* Medications
* Zollinger-ellison syndrome
|
* [[Epigastric pain]] sometimes extending to back
* [[Right upper quadrant pain]]
|
'''[[Duodenal ulcer]]'''
*Pain aggravates with empty stomach
'''[[Gastric ulcer]]'''
*Pain aggravates with food
|
* [[Antacids]]


* [[Duodenal ulcer]]
{{WH}}
:*Pain alleviates with food
{{WS}}
|✔
|✔
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|
* [[Melena|Black stools]]
|'''Gastric ulcers'''
* Discrete mucosal lesions with a punched-out smooth ulcer base with whitish fibrinoid base
* Most [[ulcers]] are at the junction of [[fundus]] and antrum
* 0.5-2.5cm
'''Duodenal ulcers'''
* Well-demarcated break in the [[mucosa]] that may extend into the [[muscularis propria]] of the [[duodenum]]
* Found in the first part of [[duodenum]]
* <1cm
|'''Other diagnostic tests'''
* Serum [[gastrin]] levels
* [[Secretin]] stimulation test
* [[Biopsy]]
|-
![[Gastrinoma]]
|
* Associated with [[MEN type 1]]
|
* [[Abdominal pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔


(suspect [[gastric outlet obstruction]])
===Pathophysiology prev===
|✔
<div style="-webkit-user-select: none;">
|<nowiki>-</nowiki>
{| class="infobox" style="position: fixed; top: 65%; right: 10px; margin: 0 0 0 0; border: 0; float: right;"
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|
* [[Melena|Black stools]]
|Useful in collecting the tissue for [[biopsy]]
|
* May present with symptoms of [[GERD]] or [[peptic ulcer disease]]
* Associated with [[MEN type 1]]
'''Diagnostic tests'''
* Serum [[gastrin]] levels
* [[Somatostatin]] receptor [[scintigraphy]]
* [[CT]] and [[MRI]]
|-
|-
![[Gastric Cancer|Gastric Adenocarcinoma]]
| {{#ev:youtube|https://https://www.youtube.com/watch?v=5szNmKtyBW4|350}}
|
* ''[[H. pylori]]'' infection
* Smoked and salted food
|
* [[Abdominal pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔
|✔
|✔
|✔
|✔
|
* [[Melena|Black stools]], or blood in stools
|'''Esophagogastroduodenoscopy'''
* Multiple biopsies are taken to establish the diagnosis
|'''Other symptoms'''
* [[Dysphagia]]
* Early [[satiety]]
* Frequent [[burping]]
|-
|-
![[Gastric lymphoma|Primary gastric lymphoma]]
|
* ''[[H. pylori]]'' infection
|
* [[Abdominal pain]]
* [[Chest pain]]
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|✔
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|Useful in collecting the tissue for [[biopsy]]
|'''Other symptoms'''
* Painless swollen [[lymph nodes]] in neck and armpit
* Night sweats
* [[Fatigue]]
* [[Fever]]
* [[Cough]] or trouble breathing
|}
|}
__NOTOC__
{{Cirrhosis}}
{{CMG}} {{AE}}


==Video codes==
==Video codes==
Line 615: Line 87:
{{#ev:youtube|4uSSvD1BAHg}}
{{#ev:youtube|4uSSvD1BAHg}}
{{#ev:youtube|PQXb5D-5UZw}}
{{#ev:youtube|PQXb5D-5UZw}}
{{#ev:youtube|UVJYQlUm2A8}}


===Video in table===
===Video in table===
Line 646: Line 119:
===Image and text to the right===
===Image and text to the right===


<figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[File:Global distribution of leptospirosis.jpg|577x577px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline> Recent out break of leptospirosis is reported in Bronx, New York and found 3 cases in the months January and February, 2017.  
<figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline>[[File:Global distribution of leptospirosis.jpg|577x577px]]</figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline> Recent out break of leptospirosis is reported in Bronx, New York and found 3 cases in the months January and February, 2017.  


===Gallery===
===Gallery===
Line 661: Line 134:
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Gastroenterology]]
[[Category:Hepatology]]
[[Category:Disease]]
{{WS}}
{{WS}}
{{WH}}
{{WH}}
Line 672: Line 140:
REFERENCES
REFERENCES
<references />
<references />
[[Category:Gastroenterology]]
[[Category:Needs overview]]
[[Category:Hepatology]]
[[Category:Disease]]

Latest revision as of 00:04, 30 July 2020

Physical examination

References

Template:WH Template:WS

References


Pathophysiology prev

https://https://www.youtube.com/watch?v=5szNmKtyBW4%7C350}}

Cirrhosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cirrhosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Tertiary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case studies

Case #1

Sandbox:Cherry On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Sandbox:Cherry

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Sandbox:Cherry

CDC on Sandbox:Cherry

Sandbox:Cherry in the news

Blogs on Sandbox:Cherry

Directions to Hospitals Treating Cirrhosis

Risk calculators and risk factors for Sandbox:Cherry

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:


Pathophysiology prev

https://https://www.youtube.com/watch?v=5szNmKtyBW4%7C350}}

Cirrhosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cirrhosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Tertiary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case studies

Case #1

Sandbox:Cherry On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Sandbox:Cherry

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Sandbox:Cherry

CDC on Sandbox:Cherry

Sandbox:Cherry in the news

Blogs on Sandbox:Cherry

Directions to Hospitals Treating Cirrhosis

Risk calculators and risk factors for Sandbox:Cherry

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief:

History and Symptoms

  • History should include:
    • Appearance of bowel movements
    • Travel history
    • Associated symptoms
    • Immune status
    • Woodland exposure

References

Template:WH Template:WS

Other Imaging Findings

Other diagnostic studies

Other Diagnostic Studies

  • Breath hydrogen test

==

Overview

References

Template:WH Template:WS

Pathophysiology prev

https://https://www.youtube.com/watch?v=5szNmKtyBW4%7C350}}

Cirrhosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cirrhosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Tertiary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case studies

Case #1

Sandbox:Cherry On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Sandbox:Cherry

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Sandbox:Cherry

CDC on Sandbox:Cherry

Sandbox:Cherry in the news

Blogs on Sandbox:Cherry

Directions to Hospitals Treating Cirrhosis

Risk calculators and risk factors for Sandbox:Cherry

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3] Associate Editor(s)-in-Chief:

Video codes

Normal video

{{#ev:youtube|x6e9Pk6inYI}} {{#ev:youtube|4uSSvD1BAHg}} {{#ev:youtube|PQXb5D-5UZw}} {{#ev:youtube|UVJYQlUm2A8}}

Video in table

{{#ev:youtube|5ucSlgqGAno}}

Floating video

Title
https://https://www.youtube.com/watch?v=ypYI_lmLD7g%7C350}}

Redirect

  1. REDIRECTEsophageal web

synonym website

https://mq.b2i.sg/snow-owl/#!terminology/snomed/10743008

Image

Normal versus Abnormal Barium study of esophagus with varices


Image to the right

C. burnetii, the Q fever causing agent
C. burnetii, the Q fever causing agent

Image and text to the right

<figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline><figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline></figure-inline> Recent out break of leptospirosis is reported in Bronx, New York and found 3 cases in the months January and February, 2017.

Gallery

References

  1. ↑ 1.0 1.1 1.2 Neuroendocrine tumor of the pancreas. Libre Pathology. http://librepathology.org/wiki/index.php/Neuroendocrine_tumour_of_the_pancreas

Template:WS Template:WH


REFERENCES

Retrieved from "https://www.wikidoc.org/index.php?title=Sandbox:Cherry&oldid=1643083"