Blok XIII

Patologi Traktus Digestivus

Fakultas Kedokteran
Universitas Kristen Duta Wacana

Refluk Esofagitis

http://3.bp.blogspot.com/-c053VXZYgdw/TcVqNtLzfQI/AAAAAAAAAWo/coeu_nt7v-M/s1600/
esophagitis.gif

Chronic heartburn can damage the esophagus leading to ulcers, scarring, or other
complications.

Reflux esophagitis. Intercellular edema and balloon cells.

Neutrophils are identifi ed within the

squamous epithelium.

Normal squamous mucosa showing basal and suprabasal cells that involve <15% of t
he
thickness of the epithelium. The lamina propria papillae involve approximately 5
0% of the
thickness of the epithelium.

There is basal and suprabasal cell hyperplasia, elongation of the lamina propria
papillae, lack of
surface maturation with the presence of nucleated squamous cells at the
surface of the epithelium, and increased infl ammation in the lamina propria.

Reflux esophagitis. Basal cell hyperplasia, elongation of papillae, and focal ce

ll necrosis.

Reflux esophagitis. Intraepithelial eosinophils.

Reflux esophagitis. Increased number of intraepithelial lymphocytes.

Esofagus Barrett

esp 3
BARRETT S ESOPHAGUS
Columnar metaplasia (often of intestinal type with prominent goblet cells) of
esophageal squamous epithelium.
Complication of long-standing gastroesophageal reflux, to be a well-known
precursor of esophageal adenocarcinoma
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main
2/23/2014
tums-pafkugm-alimentary-tract
18
Barret s esophagus

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23
Adenocarcinoma in barret s esophagus
Invasive to the cardia

Gastritis Akut

Acute erosive gastritis with mucosal necrosis and hemorrhage.

Hemorrhagic gastritis caused by an alcoholic binge characterized by superficial

necrosis
with congestion and fibrinopurulent exudate.

Gastritis Kronik

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Mikroskopis H.pylori di gaster

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gastrkronatrofik
gastrkronatrofik2
Gastritis

Kronis

atrofik

Ulkus Peptikum

helicobacter

diagram-aggravfactor
Diagram faktor pencetus ulkus peptikum

Demam Tifoid

RADANG USUS ( ENTERITIS )

tph 1
TYPHUS ABDOMINALIS

tph 2

DIVERTICULUM KOLON

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Slide29

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Slide30

DIVERTIKULITIS KOLON

Slide31

Slide32

Slide33

Slide34

HEMOROID

trombus4

Adenoma

Adenoma
tubularadenoma
villousadenoma
Tubular adenoma Villous adenoma

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ADENOCARCINOMA OF
LARGE BOWEL

Colon_cancer
www.tutorgig.com/ed/
Moderately differentiated adenocarcinoma (colon)
GI120
http://library.med.utah.edu/WebPath/
Poorly differentiated adenocarcinoma (mucinous), colon
pathologyatlas.ro/
Well diff adenoca
Moderatly diff adenoca
Mucinous adenoca

Slide44

Slide45

Slide46

Hepatitis Akut

hepatitis1

hari-HBV

hari-HBV1

hari-HBV3

Hepatitis Kronik

hatim26

hari-HBV5

06

Sirosis Hepatis

kpa03-25

kpa03-26

Pathophysiological basis of clinical

features of chronic liver disease
Edema : reduced albumin synthesis resulting in
hypoalbuminaemia
Ascites : hypoalbuminaemia
secondary hyperaldosteronisme,
portal hypertension
Haematemesis: ruptured oesophageal varices due to
portal hypertension
Spider nevi hyperoestrogenism
Gynaecomastia:
Purpura& bleeding: reduced clotting factor synthesis
Coma : failure to eliminate toxic gut bacterial metabolites
(false neurotransmitters)
* Infection : reduced Kupffer cell number and function

hatim28

Adenoma Pleomorfik
parotid_tumor_2_sq_322x322

mixgross

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http://img.medscape.com/pi/emed/ckb/pathology/1603817-1607645-1630933-1655152.jp
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Whartin Tumor

Neoplasm of the salivary gland

Warthin tumor: benign tumor of the salivary gland
Patogenesis ? heterotopic salivary gland tissue within parotid lymph node or
proliferation of salivary gland duct with lymphoid tissue formation
tumor Warthin01

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