Git Diagnostic Tests.

Diagnostic Procedures in GIT Diseases:

Introduction: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

History: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Procedures in GI Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Procedures in GI Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Procedures in GI Diseases ,[object Object]

Plain X Ray: ,[object Object],[object Object],[object Object]

Contrast studies : ,[object Object]

Tests of structure: Imaging ,[object Object],Indications Major uses Limitations Ba swallow: Dysphagia,rfelux,chest pain,motility disorder Stricture, HH,GERD,Achalasia. Aspiration risk Poor mucosal detail No biopsy Ba meal: Dyspepsia,epigastric pain,vomiting,anemia,perforation. DU,GU,Gastric Ca,GOO, Gastric emptying disorder. Low sensitivity for early cancer. No biopsy No HP assessment. Ba follow through: Diarrhea,abd pain, Obst by stricture Malabsorption. Chrons. Time consuming. Radiation exposure. Ba enema Abn bowel habit,Rectal bleeding,anemia,abd pain Ca, diverticuli,stricture,megacolon. Difficult in elderly. incontinance., No biopsy.

Tests of structure: Imaging ,[object Object],Indications Major uses Limitations US: Masses,abscess,organs,ascites,biliary dilation,gall stones,guided needle aspiration & biopsy. Low sensitive for small ls. Little functional info. Operator dependent. Gass & obesity interfer with it. CT: Pancreatic dis,liver tumor deposits, tumor staging, vascular lesions. Expensive,high radiation, may underestimate stage of cancers as esophagus. MRI: Tumor stage,MRCP,pelvic/perineal, chrons fistula. Time consuming. Clusterphobia,role not fully established,limited availability.

Tests of structure: endoscopy ,[object Object],[object Object]

Gastrointestinal Endoscopy ,[object Object],[object Object]

Gastrointestinal Endoscopy ,[object Object]

Gastrointestinal Endoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Upper Gastrointestinal Endoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnostic Indications Therapeutic Indications

Upper Gastrointestinal Endoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Upper Gastrointestinal Endoscopy

Examples of therapeutic techniques in endoscopy.

Upper Gastrointestinal Endoscopy Normal Esophagus Normal Stomach Normal Duodenum Duodenal Ulcer Gastric Ulcer Esophagitis

Lower Gastrointestinal Endoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnostic Indications Therapeutic Indications

Lower Gastrointestinal Endoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Lower Gastrointestinal Endoscopy

Lower Gastrointestinal Endoscopy Normal Colon Colon Cancer Colon Polyp and Polypectomy

Endoscopic Retrograde Cholangiopancreatogram ,[object Object]

Endoscopic Retrograde Cholangiopancreatogram ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Endoscopic Retrograde Cholangiopancreatogram Gallstone impacted at ampulla, sphincterotomy being done and stones removed

Endoscopic Retrograde Cholangiopancreatogram Pancreatic cancer with dilated bile duct and pancreatic duct (Double Duct sign)

Endoscopic Ultrasound ,[object Object],[object Object],[object Object],[object Object]

Endoscopic Ultrasound A T3 Rectal Tumor on EUS

Diagnostic Procedures in GI Diseases

Capsule Endoscopy ,[object Object],[object Object],Diagnostic Indications

Capsule Endoscopy ,[object Object],[object Object],[object Object],[object Object],Contraindications

Functional Tests in GI Diseases ,[object Object]

Functional Tests in GI Diseases ,[object Object],[object Object],[object Object],[object Object]

Functional Tests in GI Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Functional Tests in GI Diseases Esophageal Manometry Tracings Esophageal Manometry

Functional Tests in GI Diseases 24 Hour pH Monitoring

Functional Tests in GI Diseases Anorectal Manometry

Tests of structure: Biopsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

2.Tests of infection: Bacterial cultures ,[object Object],[object Object],[object Object],[object Object],[object Object]

Functional Tests in GI Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Procedures in GI Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Procedures in GI Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Procedures in GI Diseases ,[object Object],[object Object]

Diagnostic Procedures in GI Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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