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Acute abdomen-hyperlipemia syndrome (familial hyperlipoproteinemia type I/familial chylomicronemia) is recurrent abdominal pain with hyperchylomicronemia.
消化内科Connective tissue disease GI involvement: scleroderma/SLE/polyarteritis nodosa/dermatomyositis/RA; scleroderma most prominent.
消化内科Familial adenomatous polyposis (FAP) is autosomal dominant; multiple adenomas throughout colon/rectum; >100 polyps; high cancer risk.
消化内科Acute gastritis is acute diffuse/local gastric mucosal inflammation from extrinsic/intrinsic factors; with enteritis = acute gastroenteritis.
消化内科Acute corrosive gastritis from ingestion of strong acid (sulfuric/HCl/nitric/acrylic/Lysol) or alkali (NaOH/KOH).
消化内科Acute gastric mucosal lesion is gastric mucosal erosion/superficial ulcer/bleeding; NSAIDs/acute stress; from asymptomatic to massive GI bleed.
消化内科Primary TB mesenteric lymphadenitis: hematogenous/enteric spread; secondary from pulmonary/intestinal TB.
消化内科Pseudomembranous colitis (Janbon syndrome) is acute necrotizing colitis with pseudomembrane of fibrin/mucus/necrotic mucosa/inflammatory cells; post-antibiotics/surgery.
消化内科Peutz-Jeghers syndrome is familial; melanotic macules on lips/perioral + multiple GI hamartomatous polyps.
消化内科Chilaiditi syndrome is colon interposed between liver and diaphragm; abdominal pain/bloating/vomiting.
消化内科Griesinger syndrome (1843 Dabin) is hookworm duodenitis; temperate zones; anemia/edema/geophagia.
消化内科Functional dyspepsia (FD) is epigastric pain/burning/bloating after excluding organic GI/biliary/pancreatic disease; >1 month/year. Also early satiety/belching/anorexia/nausea/vomiting. 30% internal medicine visits; 70% GI clinic; 30-40% of GI clinic.
消化内科Dual/multiple hepatitis virus infection: co-infection (simultaneous) or superinfection (sequential). 5 hepatitis viruses; no cross-immunity. Worldwide 280 million HBsAg+; China ~100 million.
消化内科Functional vomiting is involuntary abdominal wall contraction with gastric fundus/LES relaxation expelling gastric contents. Variable impact; mild transient only.
消化内科Gardner syndrome (Weiner-Gardner; 1905 Gardner, 1958 Smith) is autosomal dominant familial polyposis + osteomas + soft tissue tumors. Colonic polyps are adenomatous; 50% cancer risk. Osteomas benign.
消化内科Hepatopulmonary syndrome (HPS) is severe end-stage liver disease complication; triad: underlying liver disease + pulmonary vasodilation + severe hypoxemia. Most common in cirrhosis.
消化内科Non-cholera Vibrio causes wound infection/sep sis/diarrhea; biochemically/serologically distinct from V. cholerae. Include V. parahaemolyticus/mimicus/alginolyticus/holis/parahaemolyticus. Avoid contaminated seafood.
消化内科Nonalcoholic fatty liver disease (NAFLD) is diffuse macrovesicular steatosis excluding alcohol/known liver injury; simple steatosis/NASH/cirrhosis. Primary: insulin resistance/genetic/obesity/diabetes/hyperlipidemia; secondary: malnutrition/TPN/rapid weig
消化内科Retroperitoneal fluid extravasation is bile/pancreatic juice/duodenal juice/lymph/urine leaking into retroperitoneum; mild pain; diarrhea/distension reflex; ileus/psychosis/failure/shock.
消化内科Retroperitoneal lymphadenitis is acute/chronic/TB lymphadenitis from bacteria/viruses/Mycobacterium tuberculosis. Hard to diagnose pre-op. ESR elevated; TB focus/abdominal mass/low fever.
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