Special Visual Based Supplement (GIT)

Section 1

Q. 1 Supplement

Question Id: 5454462 Question Type: Subjective Max Marks : 0

Solution:
1. Jejunal mucosa. (CD)
A. Normal.
B. Subtotal villous atrophy in coeliac disease. There is blunting of villi (B), crypt hyperplasia (H) and inflammatory infiltration of the lamina propria (I).

2. Melanin spots on the lips of a patient afflicted with Peutz?Jeghers syndrome (IBD)

3. Peutz-Jeghers syndrome. Typical lip pigmentation. (IBD)(4)

4. Sigmoidoscopic view of moderately active ulcerative colitis. Mucosa is erythematous and friable with contact bleeding. Submucosal blood vessels are no longer visible
(IBD)

5. Barium follow-through showing terminal ileal Crohn's disease. A long stricture is present (arrow A), and more proximally there is ulceration with characteristic 'rose
thorn' ulcers (arrow B). (IBD)

6. Small bowel enema examination showing a narrowed terminal ileum involved with Crohn?s disease ? the ?string? sign of Kantor. (IBD)
7. Supine abdominal radiograph in toxic megacolon. The transverse colon is dilated (7 cm), there is no formed residue in the colon, and large mucosal islands are present in
the ascending colon and hepatic flexure. No haustration is present in the transverse colon, which distinguishes this from ileus of obstruction. Mucosal islands are due to
oedematous remnants or mucosa where there has been extensive ulceration. (IBD)

8. Pyoderma gangrenosum. A large indolent ulcer in a patient with rheumatoid arthritis. Note healing in one part. (IBD)

9. Liver histology: haemochromatosis. This Perls stain shows accumulating iron within hepatocytes, which is stained blue. There is also accumulation of large fat globules
in some hepatocytes (macrovesicular steatosis). Iron also accumulates in Kupffer cells and biliary epithelial cells. (haemochromatosis
10.Haemochromatosis

11.WILSON?S DISEASE ?KAYSER FLEISCHER RING

12. Kayser-Fleischer rings at the junction of the cornea and sclera (arrow) in a patient with Wilson's disease. (Wilson)

13. Varices: endoscopic views. (PHT)

A. Oesophageal varices (arrows) at the lower end of the oesophagus.
B. Gastric varices (arrows).
14. Palmar erythema in chronic liver disease (sparing the centre of the palms).

15. Plain X-ray of the chest showing gas under the right and left diaphragms after perforation of the duodenal ulcer. The patient was admitted in shock with abdominal pain
and abdominal rigidity. (15)

16. Plain abdominal radiograph of a perforated ulcer, showing air under the diaphragm. (DU)