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1- Celiac disease

a. Positive anti-endomysial antibodies or positive IgA antibodies to tissue


transglutaminase
b. Biopsy will reveal intraepithelial lymphocytic infiltration, crypt hyperplasia and
VILLOUS ATROPHY.
c.

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a.

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a. Causes loss/deactivation of APC


b. Causes deactivation of P53
c. Causes activation of K-RAS
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a.

b. Caused by NSAIDs
c. Chronic atrophic gastritis
d. Autoimmune gastritis
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a. Aka Urea Breath Test


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a. Belching: Excess gas in the stomach or upper intestine released from the
mouth, also known as burping or belching.
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a. Definitive diagnosis is technetium-99m pertechnetate scan


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a. Squamous cell carcinoma – Alcohol and smoking – arises proximal thoracic


esophagus.
b. Adenocarcinoma – GERD and Barret esophagus – arises in gastroesophageal
junction
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a.

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a. Macronodular cirrhosis is a common finding on liver bopsy.


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a. Aka Hereditary nonpolyposis colorectal carcinoma (HNPCC)


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a. Low serum chloride and low serum potassium


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a.

b.

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a. Disorders of esophageal motility “pain while swallowing.”


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a. Dubin-Johnson – Normal urinary coproporphyrin I – Dark Liver


b. Roto syndrome – very high urinary coproporphyrin I
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a.

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a. Anti-smooth muscle antibodies


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a.

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a. Acute cryptitis, crypt abscess, basal plasmacytosis, crypt distortion.


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