I need a tissue
Blood flows through hepatic lobules in this direction
What is from the portal triad to the central vein?
This nosocomial spore-producing gram positive anaerobic rod is not easygoing
What is Clostridioides difficile? (Tx: po Vancomycin, fidaxomicin for recurrence)
Beware of this premalignant polyp… it means business
What is a villous adenoma?
Fluid stays in your vessels thanks to this hepatocyte-produced binding protein
What is albumin?
You suspect an H. Pylori infection, so you order this non-invasive test
What is a urea breath test?
Intercellular Prussian blue staining, hepatomegaly, and restrictive cardiomyopathy are seen in this condition
What is hemochromatosis?
Reheating your Panda Express fried rice may result in watery diarrhea caused by this bug
What is bacillus cereus?
MLH1 mutations result in microsatellite instability in this syndrome
What is Lynch syndrome?
I could see this antibody through the window
What is Anti-HBc? (core antibody - in the window period or unresolved chronic infection)
The colonoscopy findings in this transmural inflammatory condition remind you of an old Italian street
What is Crohn Disease? (cobblestone appearance)
This type of papillae is found in the terminal sulcus of the tongue
What are circumvallate papillae?
After drinking from a stream, a tenderfoot camper was prescribed this medication to treat their greasy stools
What is metronidazole? (Giardia lamblia infection - cysts or trophozoites in stool)
Sporadic colorectal carcinoma may result from a gain of function in this gene
What is KRAS? (After loss of function of APC)
No erythrocytes here, plasma only
What is the Space of Disse?
A 65 yo M w/ ESRD presents with iron deficiency anemia and occasional hematochezia, he’s hemodynamically stable so you do this
What is a colonoscopy? (Angiodysplasia - AVM in colonic wall commonly seen in end stage renal disease)
Pink as a panther, these cells are found in the upper half of gastric pits
What are parietal cells? (Chief cells are basophilic)
Arthralgias and foamy macrophages are seen in GI infections caused by this organism
What is Tropheryma Whipeli?
This rare condition affects the pancreas or duodenum and increases the risk of peptic ulcer disease
What is Zollinger-Ellison syndrome? (Gastrinoma)
This is a major drawback to performing a TIPS procedure
What is increased risk of hepatic encephalopathy?
A 47 yo F w/ chronic alcohol abuse has 2 months of steatorrhea and weight loss, so you order this fecal lab
What is fecal elastase? (assess for chronic pancreatitis + insufficiency)
Pancreatic pseudocysts are encapsulated by this
What is granulation tissue? (not a true capsule)
This gram negative curved rod likes to keep things basic
What is vibrio cholerae? (Activates Gs, secretory diarrhea, prefers alkaline – PPI increases risk)
This parotid gland tumor has dense lymphoid tissue with germinal centers
What is a Warthin tumor (Adenolymphoma)?
Total bilirubin is 3.43 mg/dL, direct bilirubin is 2.6 mg/dL, and urine coproporphyrin I is high, so you expect to see this change grossly
What is a black pigmented liver? (Dubin-Johnson syndrome)
You order this test to check for portal hypertension in your patient with ascites
What is the serum-ascites albumin ratio (SAAG)? (on paracentesis)