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Dr. Manzoor Ahmad gave this lab assignment for Pathophysiology course at University of Lucknow. It includes: Gastroduodenal, Intestinal, Pathophysiology, Zollinger, Ellison, Syndrome, Atrophic, Gastritis, Pud
Typology: Exercises
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Recommended reading:
Additional optional reading: Chapters 3 and 5 in Gastroenterology, Saunders Text and Review Series, 1997, W. B. Saunders Co.
Decide if each of the following statements is true or false?
hypersecretion of gastrin.
cells.
epithelial cells.
absorption of proteins.
epithelial cells by the basolateral Na/K/2Cl-ATPase.
adenylyl cyclase.
of inflammation.
Case 1:
The microscopic slide GI-9 is supposed to show a duodenal biopsy from a 3 year-old female with crampy abdominal pain and 6-8 bowel movements daily. The symptoms have increased in severity in the past 18 months, and have been accompanied by an 8-pound weight loss.
1A) Do you think the lab has mixed-up the biopsies? If so, which part of the intestine does this specimen come from? If not, where are the villi?
Case 2:
The microscopic slide GI-13 shows a section of large intestine resected from a 78 year-old man who presented with crampy abdominal pain and frankly bloody stool. Based on what is shown on the slide, which of the following statements is most likely true about this patient?
Case 3:
Microscopic slides GI-7 and GI-8 are both from patients with inflammatory bowel disease. For each of the following statements, choose the slide that best describes the following histological observation.
3A) Slide GI-7 is from a 26 year-old male with fever, crampy right lower abdominal pain and diarrhea of 2 days' duration. He has had intermittent constipation and diarrhea for 5 years, with 20 pound weight loss. He has also noted knee pain over past 6 months. What is your diagnosis?
3B) Slide GI-8 is from a 41 year-old female with intermittent diarrhea, usually bloody, for 14 years. She has lost 25 pounds over the last year and cannot work. What is your diagnosis?