Twist and Shout
Junior has an episode of non-bilious projectile vomiting due to this condition involving a lump that could garnish a martini
What is pyloric stenosis? (olive like lump is pyloric hypertrophy)
Start your day with the coffee bean sign, seen in elderly folks with this condition
What is sigmoid volvulus?
Only the transverse part of this organ is intraperitoneal
What is the colon?
Octreotide is an analog of this hormone released by D cells in the antrum, duodenum, and pancreas
What is somatostatin?
GERDy Gary shows this metaplastic change in his Barrett’s esophagus
What is a squamous to simple columnar epithelium?
This is a common cause of intussusception in children and it entails currant-jelly stools
What is Meckel Diverticulum?
Along with polyhydramnios, jejunal atresia presents with this radiographic sign
What is the triple bubble sign? (duodenal atresia is double bubble)
You can pinch this triad-containing structure when placing a finger in the omental foramen (of Winslow)
What is the hepatoduodenal ligament? (Containing hepatic artery proper, common bile duct, and portal vein)
High flow rates and high HCO3- secretion cause this state
What is hyperchloremic acidosis?
Fireball Freddy always smoked em if he had em, and now he has this esophageal cancer
What is squamous cell carcinoma?
Associated with CF, this condition shows dilated small bowel and a microcolon on contrast enema
What is meconium ileus?
Atherosclerotic Andy has postprandial pain and weight loss, so you order this study
What is abdominal CT angiography?
These crescentic mucosal folds are found in the lower duodenum and jejunum
What are plicae circulares? (Increase SA)
Secretin and Glucagon act through cAMP to increase expression of this channel
What is the luminal CFTR channel? (increases HCO3- secretion via Cl- gradient repletion)
Halitosis Haley regurgitates undigested food particles, prompting you to order this study
What is a barium esophagram (barium swallow study)?
In intestinal malrotation, this connective tissue structure is seen on the right side instead of the left
What is the ligament of Treitz? (at the duodenojejunal junction)
HCC can be diagnosed radiographically with this finding
What is arterial hyperenhancement?
The origin of the SMA can be found along the transpyloric plane at this vertebral level
What is L1?
This hormone acts through IP3 to affect acinar cells in the pancreas
What is cholecystokinin (CCK)?
Esophageal varices occur when blood from the portal system backs up into this vein
What is the left gastric vein? Then the esophageal veins
Jaundice and pale white stools in a 3 week old make you suspect this structural abnormality
What is biliary atresia?
Colonoscopy looks normal, but this condition causes watery diarrhea and is treated with budesonide
What is microscopic colitis? (budesonide steroid w/ fast 1st pass)
A peptic ulcer in the posterior duodenal bulb may erode into this artery
What is the gastroduodenal artery?
The release of Gastric inhibitory or glucose-dependent insulinotropic polypeptide (GIP) from K cells depends on this stimulus
What is distension and the presence of glucose and FA?
The second phase of deglutition raises the soft palate, lowers the epiglottis, and relaxes this structure
What is the upper esophageal sphincter? (Pharyngeal phase)