1. Be Kind to your patients- offer them a wet towel for the Ba mustache !
GASTROINTESTINAL PATHOLOGY RT
Be Kind to your patients- offer them a wet towel for the Ba mustache !

2. Gallbladder disease RUQ Acid reflux (GERD) Gastritis Appendicitis
GI DISORDERS
Abdominal pain
Gallbladder disease RUQ
Acid reflux (GERD)
Gastritis
Appendicitis
Gastroenteritis and food poisoning
Bleeding ulcer (hematemesis)
Hiatal hernia (=Hiatus hernia)
H.pylori gastritis
Colon cancer
Irritable bowel syndrome(IBD)
Crohns disease
Diverticulitis
Diverticulosis
Traveler's diarrhea
Esophageal cancer
Ulcerative colitis
Ulcers (stomach and duodenal)
PYLORIC STENOSIS
INGUINAL HERNIA
INTUSSUSCEPTION
VOLVULUS

4. Normal Esophagus which position?
Fig Normal esophagus as seen on this RAO digital spot film on a 21-year-old woman.

5. Normal Stomach which position?
Fig Normal stomach as seen on this digital spot film on an 18-year-old man.

6. Esophageal Strictures
Gastric contents/ acid contents reflux into the esophagus
Causing
inflammation,
scarring
stricture formation.

7. Esophageal Varices

8. Esophogeal varices

9. cancer

10. Esophageal Diverticula

11. GERD

12. What do you see Free air NG tube Type of contrast to use?

13. INTRODUCTION OF GASTRO VIA NG TUBE

16. Pneumoperitoneum (air under the diaphram) possible perforated bowel

17. Pyloric Stenosis “String Sign”

19. Large HIATAL HERNIA (GI)
seen on lat CXR

20. Hiatal Hernia

21. Intrathoracic stomach malrotation
Fig Intrathoracic stomach indicated by the presence of the entire stomach above the diaphragm, also with malrotation of the stomach.

24. H Pylori Helicobacter Pylori
Half of the world's population is infected
the incidence is decreasing in high- income countries.
H. pylori colonizes the stomach and has been associated with gastric ulcer and cancer.

25. Gastric neoplasm (cancer) w/ perforation

26. Increased folds = inflammation
Path?

28. Bezoars are tightly packed collections of partially digested or undigested material stuck in the stomach or other parts of the digestive tract.
Foreign bodies are small ingested objects that can also get stuck in the digestive tract and sometimes perforate it.
Gastroparesis is a stomach disorder in which the stomach takes too long in emptying its contents

30. Bezoar from eating hair

31. What
Causes
This?

32. Problem
With
This?
Positioning?
What exam is this

33. Small bowel obstruction

34. End of Path for UGI SMB

35. Path for colon

36. Ca of colon “apple core lesion”

38. Diverticulosis (chronic diverticulitis)

40. Ulcerative Colitis is inflammation of the outer lining of the colon only, hence the term colitis.
Crohn's disease, can affect any part of the gut from the mouth to the anus, but most commonly affects the colon or ileum (small bowel) and can involve the full thickness of the bowel wall.
Symptoms
Both types of inflammatory bowel disease may have similar symptoms depending on the site and severity of the inflammation.

41. Crohn’s Disease

42. Crohn's disease (IBS) Cobblestone appearance

43. Colitis “stove pipe” Crohns Disease / Laxative Use

45. Ulcerative colitis

46. CHRONIC Ulcerative colitis
NOTE:
LOSS OF HAUSTRAL MARKINGS

47. Intussuception Volvulus

50. Volvulus

51. Volvulus in cecum

52. Sigmoid volvulus note: beak sign

54. Intussusception with reduction by BE

55. Not well prepped

57. PERFORATED RECTUM

58. RECTAL CA

59. Inguinal Hernia

62. APPENDCOLITH

63. What is the most common abdominal emergency surgery in the U.S?
Appendicitis

64. PAIN ANOREXIA NAUSEA VOMITING FEVER Navel or RLQ pain APPENDICITS
may have one or more of the following signs and symptoms:
Nausea and sometimes vomiting
Loss of appetite
A low-grade fever that starts after other signs and symptoms appear
Constipation
An inability to pass gas
Diarrhea
Abdominal swelling
PAIN
ANOREXIA
NAUSEA
VOMITING
FEVER
Navel or
RLQ pain

65. APPENDICITIS
is the most common surgical emergency seen in hospitals. Six of every hundred persons will get it at some point in their life.

67. GB STONES Calculi in gallbladder and bile ducts

68. “Stratificaton” (layering) of GB stones (cholelithaisis) seen in upright OCG

69. Female Anatomy Review

70. VAGINOGRAM
Or what your image will look like if you put the tip in the wrong place!

71. VAGOGRAM
Be careful with the insertion of the tip!
FISTULA

72. EEL inserted into rectum – OUCH perforating bowel