home *** CD-ROM | disk | FTP | other *** search
/ Ian & Stuart's Australian Mac 1993 September / September 93.iso / Archives / Applications / Text / Text Editors / Notecard 2.4.7 / Pathology Questions / Esophagus & Stomach < prev    next >
Unknown  |  1992-01-14  |  10.2 KB  |  [NOTE/NoCa]

open in: MacOS 8.1     |     Win98     |     DOS

view JSON data     |     view as text


This file was not able to be converted.
This format is not currently supported by dexvert.

ConfidenceProgramDetectionMatch TypeSupport
100% dexvert MPEG ADTS Layer II (audio/mp2) magic Supported
100% file MPEG ADTS, layer II, v1, 44.1 kHz, Stereo default
99% file data default
71% TrID MP3 audio (ID3 v1.x tag) default (weak)
28% TrID MP3 audio default (weak)
100% gt2 MPEG 1 layer 2 Datei default (weak)


id metadata
keyvalue
macFileType[NOTE]
macFileCreator[NoCa]



hex view
+--------+-------------------------+-------------------------+--------+--------+
|00000000| ff fd 00 2f 00 00 00 c0 | 54 72 75 65 20 64 79 73 |.../....|True dys|
|00000010| 70 68 61 67 69 61 20 63 | 61 6e 20 62 65 20 6d 69 |phagia c|an be mi|
|00000020| 6d 69 63 6b 65 64 20 62 | 79 20 74 68 65 20 70 73 |micked b|y the ps|
|00000030| 79 63 68 6f 6c 6f 67 69 | 63 20 64 69 73 74 75 72 |ychologi|c distur|
|00000040| 62 61 6e 63 65 20 5f 5f | 20 5f 5f 20 77 68 69 63 |bance __| __ whic|
|00000050| 68 20 70 72 6f 64 75 63 | 65 73 20 74 68 65 20 73 |h produc|es the s|
|00000060| 65 6e 73 61 74 69 6f 6e | 20 6f 66 20 75 6e 63 6f |ensation| of unco|
|00000070| 6d 66 6f 72 74 61 62 6c | 65 20 66 75 6c 6c 6e 65 |mfortabl|e fullne|
|00000080| 73 73 20 6f 72 20 61 20 | 22 6c 75 6d 70 20 69 6e |ss or a |"lump in|
|00000090| 20 74 68 65 20 74 68 72 | 6f 61 74 22 20 6e 6f 74 | the thr|oat" not|
|000000a0| 20 6e 65 63 65 73 73 61 | 72 69 6c 79 20 61 73 73 | necessa|rily ass|
|000000b0| 6f 63 69 61 74 65 64 20 | 77 69 74 68 20 73 77 61 |ociated |with swa|
|000000c0| 6c 6c 6f 77 69 6e 67 2e | 00 00 00 11 67 6c 6f 62 |llowing.|....glob|
|000000d0| 75 73 20 68 79 73 74 65 | 72 69 63 75 73 00 00 00 |us hyste|ricus...|
|000000e0| 00 00 00 00 00 00 00 00 | 16 00 01 00 00 00 00 00 |........|........|
|000000f0| 13 00 0e 00 02 00 00 00 | 0e 00 00 00 00 00 00 00 |........|........|
|00000100| 00 00 00 00 00 00 a0 41 | 70 65 72 69 73 74 61 6c |.......A|peristal|
|00000110| 73 69 73 2c 20 70 61 72 | 74 69 61 6c 20 6f 72 20 |sis, par|tial or |
|00000120| 69 6e 63 6f 6d 70 6c 65 | 74 65 20 72 65 6c 61 78 |incomple|te relax|
|00000130| 61 74 69 6f 6e 20 6f 66 | 20 74 68 65 20 4c 45 53 |ation of| the LES|
|00000140| 20 28 6c 6f 77 65 72 20 | 65 73 6f 70 68 61 67 65 | (lower |esophage|
|00000150| 61 6c 20 73 70 68 69 6e | 63 74 65 72 29 20 61 6e |al sphin|cter) an|
|00000160| 64 20 69 6e 63 72 65 61 | 73 65 64 20 62 61 73 61 |d increa|sed basa|
|00000170| 6c 20 74 6f 6e 65 20 6f | 66 20 74 68 65 20 4c 45 |l tone o|f the LE|
|00000180| 53 20 61 72 65 20 61 73 | 73 6f 63 69 61 74 65 64 |S are as|sociated|
|00000190| 20 77 69 74 68 20 74 68 | 69 73 20 64 69 73 65 61 | with th|is disea|
|000001a0| 73 65 3a 20 5f 5f 2e 00 | 00 00 09 61 63 68 61 6c |se: __..|...achal|
|000001b0| 61 73 69 61 00 00 00 00 | 00 00 00 00 00 00 00 16 |asia....|........|
|000001c0| 00 01 00 00 00 00 00 13 | 00 0e 00 02 00 00 00 0e |........|........|
|000001d0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 8c 54 68 |........|......Th|
|000001e0| 65 20 69 6e 66 65 63 74 | 69 76 65 20 6f 72 67 61 |e infect|ive orga|
|000001f0| 6e 69 73 6d 20 54 72 79 | 70 61 6e 6f 73 6f 6d 61 |nism Try|panosoma|
|00000200| 20 63 72 75 7a 69 20 70 | 72 6f 64 75 63 65 73 20 | cruzi p|roduces |
|00000210| 5f 5f 20 64 69 73 65 61 | 73 65 20 74 68 61 74 20 |__ disea|se that |
|00000220| 72 65 73 75 6c 74 73 20 | 69 6e 20 74 68 65 20 64 |results |in the d|
|00000230| 65 73 74 72 75 63 74 69 | 6f 6e 20 6f 66 20 74 68 |estructi|on of th|
|00000240| 65 20 6d 79 65 6e 74 65 | 72 69 63 20 70 6c 65 78 |e myente|ric plex|
|00000250| 75 73 20 61 6e 64 20 70 | 72 6f 64 75 63 65 73 20 |us and p|roduces |
|00000260| 61 63 68 61 6c 61 73 69 | 61 2e 00 00 00 07 43 68 |achalasi|a.....Ch|
|00000270| 61 67 61 73 27 00 00 00 | 06 43 68 61 67 61 73 00 |agas'...|.Chagas.|
|00000280| 00 00 00 00 00 00 16 00 | 01 00 00 00 00 00 13 00 |........|........|
|00000290| 0e 00 02 00 00 00 0e 00 | 00 00 00 00 00 00 00 00 |........|........|
|000002a0| 00 00 00 00 55 49 73 20 | 61 63 68 61 6c 61 73 69 |....UIs |achalasi|
|000002b0| 61 20 61 73 73 6f 63 69 | 61 74 65 64 20 77 69 74 |a associ|ated wit|
|000002c0| 68 20 61 6e 20 69 6e 63 | 72 65 61 73 65 64 20 69 |h an inc|reased i|
|000002d0| 6e 63 69 64 65 6e 63 65 | 20 6f 66 20 63 61 6e 63 |ncidence| of canc|
|000002e0| 65 72 20 6f 66 20 74 68 | 65 20 65 73 6f 70 68 61 |er of th|e esopha|
|000002f0| 67 75 73 3f 20 28 59 2f | 4e 29 00 00 00 01 79 00 |gus? (Y/|N)....y.|
|00000300| 00 00 00 00 00 00 00 00 | 00 00 16 00 01 00 00 00 |........|........|
|00000310| 00 00 13 00 0e 00 02 00 | 00 00 0e 00 00 00 00 00 |........|........|
|00000320| 00 00 00 00 00 00 00 00 | 57 41 72 65 20 77 65 62 |........|WAre web|
|00000330| 73 20 6f 66 20 74 68 65 | 20 65 73 6f 70 68 61 67 |s of the| esophag|
|00000340| 75 73 20 6d 6f 72 65 20 | 61 73 73 6f 63 69 61 74 |us more |associat|
|00000350| 65 64 20 77 69 74 68 20 | 55 50 50 45 52 20 6f 72 |ed with |UPPER or|
|00000360| 20 4c 4f 57 45 52 20 61 | 6e 61 74 6f 6d 79 20 6f | LOWER a|natomy o|
|00000370| 66 20 74 68 65 20 65 73 | 6f 70 68 61 67 75 73 2e |f the es|ophagus.|
|00000380| 00 00 00 05 75 70 70 65 | 72 00 00 00 00 00 00 00 |....uppe|r.......|
|00000390| 00 00 00 00 16 00 01 00 | 00 00 00 00 13 00 0e 00 |........|........|
|000003a0| 02 00 00 00 0e 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000003b0| 00 00 58 41 72 65 20 72 | 69 6e 67 73 20 6f 66 20 |..XAre r|ings of |
|000003c0| 74 68 65 20 65 73 6f 70 | 68 61 67 75 73 20 6d 6f |the esop|hagus mo|
|000003d0| 72 65 20 61 73 73 6f 63 | 69 61 74 65 64 20 77 69 |re assoc|iated wi|
|000003e0| 74 68 20 55 50 50 45 52 | 20 6f 72 20 4c 4f 57 45 |th UPPER| or LOWE|
|000003f0| 52 20 61 6e 61 74 6f 6d | 79 20 6f 66 20 74 68 65 |R anatom|y of the|
|00000400| 20 65 73 6f 70 68 61 67 | 75 73 2e 00 00 00 05 6c | esophag|us.....l|
|00000410| 6f 77 65 72 00 00 00 00 | 00 00 00 00 00 00 00 16 |ower....|........|
|00000420| 00 01 00 00 00 00 00 13 | 00 0e 00 02 00 00 00 0e |........|........|
|00000430| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 c2 54 68 |........|......Th|
|00000440| 65 20 50 6c 75 6d 6d 65 | 72 2d 56 69 6e 73 6f 6e |e Plumme|r-Vinson|
|00000450| 20 28 50 61 74 65 72 73 | 6f 6e 2d 4b 65 6c 6c 79 | (Paters|on-Kelly|
|00000460| 29 20 73 79 6e 64 72 6f | 6d 65 20 69 73 20 61 73 |) syndro|me is as|
|00000470| 73 6f 63 69 61 74 65 64 | 20 77 69 74 68 20 28 46 |sociated| with (F|
|00000480| 45 4d 41 4c 45 2f 20 4d | 41 4c 45 29 20 70 72 65 |EMALE/ M|ALE) pre|
|00000490| 64 6f 6d 69 6e 61 6e 63 | 65 2c 20 20 28 41 54 52 |dominanc|e, (ATR|
|000004a0| 4f 50 48 49 43 20 2f 20 | 20 48 59 50 45 52 54 52 |OPHIC / | HYPERTR|
|000004b0| 4f 50 48 49 43 29 20 67 | 6c 6f 73 73 69 74 69 73 |OPHIC) g|lossitis|
|000004c0| 2c 20 69 72 6f 6e 20 28 | 45 58 43 45 53 53 2f 20 |, iron (|EXCESS/ |
|000004d0| 44 45 46 49 43 49 45 4e | 43 59 29 20 20 61 6e 64 |DEFICIEN|CY) and|
|000004e0| 20 28 52 49 4e 47 53 2f | 20 57 45 42 53 29 20 6f | (RINGS/| WEBS) o|
|000004f0| 66 20 74 68 65 20 65 73 | 6f 70 68 61 67 75 73 2e |f the es|ophagus.|
|00000500| 00 00 00 1f 66 65 6d 61 | 6c 65 20 61 74 72 6f 70 |....fema|le atrop|
|00000510| 68 69 63 20 64 65 66 69 | 63 69 65 6e 63 79 20 77 |hic defi|ciency w|
|00000520| 65 62 73 00 00 00 00 00 | 00 00 00 00 00 00 16 00 |ebs.....|........|
|00000530| 01 00 00 00 00 00 13 00 | 0e 00 02 00 00 00 0e 00 |........|........|
|00000540| 00 00 00 00 00 00 00 00 | 00 00 00 00 bb 4c 6f 77 |........|.....Low|
|00000550| 65 72 20 65 73 6f 70 68 | 61 67 65 61 6c 20 72 69 |er esoph|ageal ri|
|00000560| 6e 67 73 20 61 72 65 20 | 63 61 6c 6c 65 64 20 5f |ngs are |called _|
|00000570| 5f 20 72 69 6e 67 73 2e | 20 20 54 68 65 73 65 20 |_ rings.| These |
|00000580| 61 72 65 20 6e 6f 74 20 | 61 73 73 6f 63 69 61 74 |are not |associat|
|00000590| 65 64 20 77 69 74 68 20 | 69 72 6f 6e 20 64 65 66 |ed with |iron def|
|000005a0| 69 63 69 65 6e 63 79 20 | 61 6e 65 6d 69 61 20 6f |iciency |anemia o|
|000005b0| 72 20 63 6f 6e 66 69 6e | 65 64 20 74 6f 20 77 6f |r confin|ed to wo|
|000005c0| 6d 65 6e 2e 20 20 54 68 | 65 79 20 6f 63 63 75 72 |men. Th|ey occur|
|000005d0| 20 61 74 20 74 68 65 20 | 73 71 75 61 6d 6f 2d 63 | at the |squamo-c|
|000005e0| 6f 6c 75 6d 6e 61 72 20 | 6a 75 6e 63 74 69 6f 6e |olumnar |junction|
|000005f0| 20 6f 66 20 74 68 65 20 | 6c 6f 77 65 72 20 65 73 | of the |lower es|
|00000600| 6f 70 68 61 67 75 73 2e | 00 00 00 0a 53 63 68 61 |ophagus.|....Scha|
|00000610| 74 7a 6b 69 27 73 00 00 | 00 00 00 00 00 00 00 00 |tzki's..|........|
|00000620| 00 16 00 01 00 00 00 00 | 00 13 00 0e 00 02 00 00 |........|........|
|00000630| 00 0e 00 00 00 00 00 00 | 00 00 00 00 00 00 00 6b |........|.......k|
|00000640| 49 73 20 61 6e 20 61 63 | 63 6f 6d 70 61 6e 79 69 |Is an ac|companyi|
|00000650| 6e 67 20 68 69 61 74 61 | 6c 20 68 65 72 6e 69 61 |ng hiata|l hernia|
|00000660| 20 73 65 65 6e 20 77 69 | 74 68 20 31 35 25 20 6f | seen wi|th 15% o|
|00000670| 66 20 70 65 72 73 6f 6e | 73 20 77 69 74 68 20 50 |f person|s with P|
|00000680| 4c 55 4d 4d 45 52 2d 56 | 49 4e 53 4f 4e 20 73 79 |LUMMER-V|INSON sy|
|00000690| 6e 64 72 6f 6d 65 20 6f | 72 20 53 43 48 41 54 5a |ndrome o|r SCHATZ|
|000006a0| 4b 49 27 53 20 72 69 6e | 67 73 3f 00 00 00 0a 53 |KI'S rin|gs?....S|
|000006b0| 63 68 61 74 7a 6b 69 27 | 73 00 00 00 00 00 00 00 |chatzki'|s.......|
|000006c0| 00 00 00 00 16 00 01 00 | 00 00 00 00 13 00 0e 00 |........|........|
|000006d0| 02 00 00 00 0e 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000006e0| 00 00 4d 57 68 69 63 68 | 20 69 73 20 6c 6f 63 61 |..MWhich| is loca|
|000006f0| 74 65 64 20 6c 6f 77 65 | 72 20 69 6e 20 74 68 65 |ted lowe|r in the|
|00000700| 20 65 73 6f 70 68 61 67 | 75 73 20 74 68 65 20 54 | esophag|us the T|
|00000710| 52 41 43 54 49 4f 4e 20 | 6f 72 20 5a 45 4e 4b 45 |RACTION |or ZENKE|
|00000720| 52 27 53 20 64 69 76 65 | 72 74 69 63 75 6c 61 3f |R'S dive|rticula?|
|00000730| 00 00 00 08 74 72 61 63 | 74 69 6f 6e 00 00 00 00 |....trac|tion....|
|00000740| 00 00 00 00 00 00 00 16 | 00 01 00 00 00 00 00 13 |........|........|
|00000750| 00 0e 00 02 00 00 00 0e | 00 00 00 00 00 00 00 00 |........|........|
|00000760| 00 00 00 00 00 ae 53 6d | 61 6c 6c 20 74 65 61 72 |......Sm|all tear|
|00000770| 73 20 28 6c 61 63 65 72 | 61 74 69 6f 6e 73 29 20 |s (lacer|ations) |
|00000780| 69 6e 20 74 68 65 20 65 | 73 6f 70 68 61 67 75 73 |in the e|sophagus|
|00000790| 20 61 72 65 20 66 61 69 | 72 6c 79 20 75 6e 63 6f | are fai|rly unco|
|000007a0| 6d 6d 6f 6e 20 61 6e 64 | 20 6f 63 63 75 72 20 61 |mmon and| occur a|
|000007b0| 73 20 61 20 72 65 73 75 | 6c 74 20 6f 66 20 70 72 |s a resu|lt of pr|
|000007c0| 6f 6c 6f 6e 67 65 64 20 | 76 6f 6d 69 74 69 6e 67 |olonged |vomiting|
|000007d0| 20 61 6e 64 20 61 72 65 | 20 63 6f 6d 6d 6f 6e 6c | and are| commonl|
|000007e0| 79 20 73 65 65 6e 20 69 | 6e 20 61 6c 63 6f 68 6f |y seen i|n alcoho|
|000007f0| 6c 69 63 73 2e 20 20 54 | 68 65 73 65 20 61 72 65 |lics. T|hese are|
|00000800| 20 70 61 72 74 20 6f 66 | 20 5f 5f 20 73 79 6e 64 | part of| __ synd|
|00000810| 72 6f 6d 65 00 00 00 0d | 4d 61 6c 6c 6f 72 79 2d |rome....|Mallory-|
|00000820| 57 65 69 73 73 00 00 00 | 00 00 00 00 00 00 00 00 |Weiss...|........|
|00000830| 16 00 01 00 00 00 00 00 | 13 00 0e 00 02 00 00 00 |........|........|
|00000840| 0e 00 00 00 00 00 00 00 | 00 00 00 00 00 00 44 41 |........|......DA|
|00000850| 62 6f 75 74 20 39 30 25 | 20 6f 66 20 61 6c 6c 20 |bout 90%| of all |
|00000860| 65 73 6f 70 68 61 67 65 | 61 6c 20 68 65 72 6e 69 |esophage|al herni|
|00000870| 61 73 20 61 72 65 20 74 | 68 65 20 28 52 4f 4c 4c |as are t|he (ROLL|
|00000880| 49 4e 47 2f 20 53 4c 49 | 44 49 4e 47 29 20 74 79 |ING/ SLI|DING) ty|
|00000890| 70 65 2e 00 00 00 07 73 | 6c 69 64 69 6e 67 00 00 |pe.....s|liding..|
|000008a0| 00 00 00 00 00 00 00 00 | 00 16 00 01 00 00 00 00 |........|........|
|000008b0| 00 13 00 0e 00 02 00 00 | 00 0e 00 00 00 00 00 00 |........|........|
|000008c0| 00 00 00 00 00 00 00 7e | 45 73 6f 70 68 61 67 65 |.......~|Esophage|
|000008d0| 61 6c 20 6c 61 63 65 72 | 61 74 69 6f 6e 73 20 28 |al lacer|ations (|
|000008e0| 4d 61 6c 6c 6f 72 79 2d | 57 65 69 73 73 20 73 79 |Mallory-|Weiss sy|
|000008f0| 6e 64 72 6f 6d 65 29 20 | 61 63 63 6f 75 6e 74 20 |ndrome) |account |
|00000900| 66 6f 72 20 61 62 6f 75 | 74 20 28 31 2f 20 31 30 |for abou|t (1/ 10|
|00000910| 2f 20 35 30 2f 20 39 30 | 29 20 70 65 72 63 65 6e |/ 50/ 90|) percen|
|00000920| 74 20 6f 66 20 61 6c 6c | 20 63 61 73 65 73 20 6f |t of all| cases o|
|00000930| 66 20 6d 61 73 73 69 76 | 65 20 68 65 6d 61 74 65 |f massiv|e hemate|
|00000940| 6d 65 73 69 73 2e 00 00 | 00 02 31 30 00 00 00 00 |mesis...|..10....|
|00000950| 00 00 00 00 00 00 00 16 | 00 01 00 00 00 00 00 13 |........|........|
|00000960| 00 0e 00 02 00 00 00 0e | 00 00 00 00 00 00 00 00 |........|........|
|00000970| 00 00 00 00 00 71 57 68 | 69 63 68 20 69 73 20 74 |.....qWh|ich is t|
|00000980| 68 65 20 66 69 72 73 74 | 20 61 6e 64 20 66 6f 72 |he first| and for|
|00000990| 65 6d 6f 73 74 20 63 61 | 75 73 65 20 6f 66 20 65 |emost ca|use of e|
|000009a0| 73 6f 70 68 61 67 69 74 | 69 73 3f 0d a5 20 49 4e |sophagit|is?.. IN|
|000009b0| 54 55 42 41 54 49 4f 4e | 0d a5 20 52 45 46 4c 55 |TUBATION|.. REFLU|
|000009c0| 58 0d a5 20 55 52 45 4d | 49 41 0d a5 20 43 41 4e |X.. UREM|IA.. CAN|
|000009d0| 44 49 44 49 41 53 49 53 | 0d a5 20 47 56 48 20 44 |DIDIASIS|.. GVH D|
|000009e0| 49 53 45 41 53 45 0d 00 | 00 00 06 72 65 66 6c 75 |ISEASE..|...reflu|
|000009f0| 78 00 00 00 1c 47 56 48 | 20 3d 20 67 72 61 66 74 |x....GVH| = graft|
|00000a00| 20 76 73 2e 20 68 6f 73 | 74 20 64 69 73 65 61 73 | vs. hos|t diseas|
|00000a10| 65 00 00 00 00 00 00 00 | 16 00 01 00 00 00 00 00 |e.......|........|
|00000a20| 13 00 0e 00 02 00 00 00 | 0e 00 00 00 00 00 00 00 |........|........|
|00000a30| 00 00 00 00 00 00 a9 42 | 61 73 61 6c 20 7a 6f 6e |.......B|asal zon|
|00000a40| 65 20 68 79 70 65 72 70 | 6c 61 73 69 61 20 65 78 |e hyperp|lasia ex|
|00000a50| 63 65 65 64 69 6e 67 20 | 32 39 25 20 6f 66 20 74 |ceeding |29% of t|
|00000a60| 68 65 20 65 70 69 74 68 | 65 6c 69 61 6c 20 74 68 |he epith|elial th|
|00000a70| 69 63 6b 6e 65 73 73 2c | 20 61 6e 64 20 69 6e 74 |ickness,| and int|
|00000a80| 72 61 65 70 69 74 68 65 | 6c 69 61 6c 20 28 45 4f |raepithe|lial (EO|
|00000a90| 53 49 4e 4f 50 48 49 4c | 2f 20 4c 59 4d 50 48 4f |SINOPHIL|/ LYMPHO|
|00000aa0| 43 59 54 45 2f 20 4d 41 | 43 52 4f 50 48 41 47 45 |CYTE/ MA|CROPHAGE|
|00000ab0| 2f 20 50 4d 4e 29 20 63 | 65 6c 6c 73 20 61 72 65 |/ PMN) c|ells are|
|00000ac0| 20 63 68 61 72 61 63 74 | 65 72 69 73 74 69 63 73 | charact|eristics|
|00000ad0| 20 6f 66 20 65 73 6f 70 | 68 61 67 69 74 69 73 2e | of esop|hagitis.|
|00000ae0| 00 00 00 0a 65 6f 73 69 | 6e 6f 70 68 69 6c 00 00 |....eosi|nophil..|
|00000af0| 00 00 00 00 00 00 00 00 | 00 16 00 01 00 00 00 00 |........|........|
|00000b00| 00 13 00 0e 00 02 00 00 | 00 0e 00 00 00 00 00 00 |........|........|
|00000b10| 00 00 00 00 00 00 00 df | 49 6e 20 70 61 74 69 65 |........|In patie|
|00000b20| 6e 74 73 20 77 69 74 68 | 20 70 65 72 73 69 73 74 |nts with| persist|
|00000b30| 65 6e 74 20 67 61 73 74 | 72 6f 65 73 6f 70 68 61 |ent gast|roesopha|
|00000b40| 67 65 61 6c 20 72 65 66 | 6c 75 78 2c 20 74 68 65 |geal ref|lux, the|
|00000b50| 20 64 69 73 74 61 6c 20 | 65 73 6f 70 68 61 67 75 | distal |esophagu|
|00000b60| 73 20 6d 61 79 20 62 65 | 63 6f 6d 65 20 6c 69 6e |s may be|come lin|
|00000b70| 65 64 20 77 69 74 68 20 | 63 6f 6c 75 6d 6e 61 72 |ed with |columnar|
|00000b80| 20 73 65 63 72 65 74 6f | 72 79 20 65 70 69 74 68 | secreto|ry epith|
|00000b90| 65 6c 69 75 6d 20 72 61 | 74 68 65 72 20 74 68 61 |elium ra|ther tha|
|00000ba0| 6e 20 74 68 65 20 75 73 | 75 61 6c 20 73 74 72 61 |n the us|ual stra|
|00000bb0| 74 69 66 69 65 64 20 73 | 71 75 61 6d 6f 75 73 20 |tified s|quamous |
|00000bc0| 65 70 69 74 68 65 6c 69 | 75 6d 2e 20 20 54 68 69 |epitheli|um. Thi|
|00000bd0| 73 20 69 73 20 6f 66 74 | 65 6e 20 72 65 66 65 72 |s is oft|en refer|
|00000be0| 72 65 64 20 74 6f 20 61 | 73 20 5f 5f 20 65 73 6f |red to a|s __ eso|
|00000bf0| 70 68 61 67 75 73 2e 00 | 00 00 09 42 61 72 72 65 |phagus..|...Barre|
|00000c00| 74 74 27 73 00 00 00 00 | 00 00 00 00 00 00 00 16 |tt's....|........|
|00000c10| 00 01 00 00 00 00 00 13 | 00 0e 00 02 00 00 00 0e |........|........|
|00000c20| 00 00 00 00 00 00 00 00 | 00 00 00 00 01 13 49 6e |........|......In|
|00000c30| 20 74 68 65 20 5f 5f 20 | 68 69 61 74 61 6c 20 68 | the __ |hiatal h|
|00000c40| 65 72 6e 69 61 2c 20 61 | 20 70 6f 72 74 69 6f 6e |ernia, a| portion|
|00000c50| 20 6f 66 20 74 68 65 20 | 63 61 72 64 69 61 63 20 | of the |cardiac |
|00000c60| 65 6e 64 20 6f 66 20 74 | 68 65 20 73 74 6f 6d 61 |end of t|he stoma|
|00000c70| 63 68 20 64 69 73 73 65 | 63 74 73 20 61 6c 6f 6e |ch disse|cts alon|
|00000c80| 67 73 69 64 65 20 74 68 | 65 20 65 73 6f 70 68 61 |gside th|e esopha|
|00000c90| 67 75 73 20 74 68 72 6f | 75 67 68 20 61 20 64 65 |gus thro|ugh a de|
|00000ca0| 66 65 63 74 20 69 6e 20 | 74 68 65 20 64 69 61 70 |fect in |the diap|
|00000cb0| 68 72 61 67 6d 20 74 6f | 20 70 72 6f 64 75 63 65 |hragm to| produce|
|00000cc0| 20 61 6e 20 69 6e 74 72 | 61 74 68 6f 72 61 63 69 | an intr|athoraci|
|00000cd0| 63 20 73 61 63 2e 20 20 | 54 68 69 73 20 74 79 70 |c sac. |This typ|
|00000ce0| 65 20 6f 66 20 68 69 61 | 74 61 6c 20 68 65 72 6e |e of hia|tal hern|
|00000cf0| 69 61 20 6d 6f 72 65 20 | 61 73 73 6f 63 69 61 74 |ia more |associat|
|00000d00| 65 64 20 77 69 74 68 3a | 0d a5 20 73 74 72 61 6e |ed with:|.. stran|
|00000d10| 67 75 6c 61 74 69 6f 6e | 20 61 6e 64 20 49 4e 46 |gulation| and INF|
|00000d20| 41 52 43 54 49 4f 4e 0d | a5 20 67 61 73 74 72 6f |ARCTION.|. gastro|
|00000d30| 65 73 6f 70 68 61 67 65 | 61 6c 20 52 45 46 4c 55 |esophage|al REFLU|
|00000d40| 58 00 00 00 19 70 61 72 | 61 65 73 6f 70 68 61 67 |X....par|aesophag|
|00000d50| 65 61 6c 20 69 6e 66 61 | 72 63 74 69 6f 6e 00 00 |eal infa|rction..|
|00000d60| 00 12 72 6f 6c 6c 69 6e | 67 20 69 6e 66 61 72 63 |..rollin|g infarc|
|00000d70| 74 69 6f 6e 00 00 00 00 | 00 00 00 16 00 01 00 00 |tion....|........|
|00000d80| 00 00 00 13 00 0e 00 02 | 00 00 00 0e 00 00 00 00 |........|........|
|00000d90| 00 00 00 00 00 00 00 00 | 00 e7 54 68 65 20 68 69 |........|..The hi|
|00000da0| 73 74 6f 6c 6f 67 69 63 | 20 63 68 61 6e 67 65 73 |stologic| changes|
|00000db0| 20 69 6e 20 5f 5f 20 5f | 5f 20 61 72 65 20 63 68 | in __ _|_ are ch|
|00000dc0| 61 72 61 63 74 65 72 69 | 7a 65 64 20 62 79 20 62 |aracteri|zed by b|
|00000dd0| 61 73 61 6c 20 7a 6f 6e | 65 20 68 79 70 65 72 70 |asal zon|e hyperp|
|00000de0| 6c 61 73 69 61 20 65 78 | 63 65 65 64 69 6e 67 20 |lasia ex|ceeding |
|00000df0| 32 30 25 20 6f 66 20 74 | 68 65 20 65 70 69 74 68 |20% of t|he epith|
|00000e00| 65 6c 69 61 6c 20 74 68 | 69 63 6b 6e 65 73 73 2c |elial th|ickness,|
|00000e10| 20 70 61 70 69 6c 6c 61 | 65 20 65 78 74 65 6e 64 | papilla|e extend|
|00000e20| 69 6e 67 20 69 6e 74 6f | 20 74 68 65 20 73 75 70 |ing into| the sup|
|00000e30| 65 72 66 69 63 69 61 6c | 20 74 68 69 72 64 20 6f |erficial| third o|
|00000e40| 66 20 74 68 65 20 65 70 | 69 74 68 65 6c 69 75 6d |f the ep|ithelium|
|00000e50| 20 61 6e 64 20 74 68 65 | 20 70 72 65 73 65 6e 63 | and the| presenc|
|00000e60| 65 20 6f 66 20 69 6e 74 | 72 61 65 70 69 74 68 65 |e of int|raepithe|
|00000e70| 6c 69 61 6c 20 65 6f 73 | 69 6e 6f 70 68 69 6c 73 |lial eos|inophils|
|00000e80| 2e 00 00 00 12 72 65 66 | 6c 75 78 20 65 73 6f 70 |.....ref|lux esop|
|00000e90| 68 61 67 69 74 69 73 00 | 00 00 13 42 61 72 72 65 |hagitis.|...Barre|
|00000ea0| 74 74 27 73 20 65 73 6f | 70 68 61 67 75 73 00 00 |tt's eso|phagus..|
|00000eb0| 00 00 00 00 00 16 00 01 | 00 00 00 00 00 13 00 0e |........|........|
|00000ec0| 00 02 00 00 00 0e 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000ed0| 00 00 00 8f 54 68 65 20 | 6d 6f 73 74 20 6f 6d 69 |....The |most omi|
|00000ee0| 6e 6f 75 73 20 63 6f 6d | 70 6c 69 63 61 74 69 6f |nous com|plicatio|
|00000ef0| 6e 20 6f 66 20 42 61 72 | 72 65 74 74 27 73 20 65 |n of Bar|rett's e|
|00000f00| 73 6f 70 68 61 67 75 73 | 20 69 73 20 5f 5f 2c 20 |sophagus| is __, |
|00000f10| 77 68 69 63 68 20 69 73 | 20 69 6e 63 72 65 61 73 |which is| increas|
|00000f20| 65 64 20 62 79 20 61 62 | 6f 75 74 20 28 31 30 2d |ed by ab|out (10-|
|00000f30| 32 30 2f 33 30 2d 34 30 | 2f 35 30 2d 36 30 29 20 |20/30-40|/50-60) |
|00000f40| 63 6f 6d 70 61 72 65 64 | 20 74 6f 20 74 68 65 20 |compared| to the |
|00000f50| 67 65 6e 65 72 61 6c 20 | 70 6f 70 75 6c 61 74 69 |general |populati|
|00000f60| 6f 6e 2e 00 00 00 14 61 | 64 65 6e 6f 63 61 72 63 |on.....a|denocarc|
|00000f70| 69 6e 6f 6d 61 20 33 30 | 2d 34 30 00 00 00 00 00 |inoma 30|-40.....|
|00000f80| 00 00 00 00 00 00 16 00 | 01 00 00 00 00 00 13 00 |........|........|
|00000f90| 0e 00 02 00 00 00 0e 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000fa0| 00 00 00 00 a1 28 53 51 | 55 41 4d 4f 55 53 20 43 |.....(SQ|UAMOUS C|
|00000fb0| 45 4c 4c 2f 20 41 44 45 | 4e 4f 43 41 52 43 49 4e |ELL/ ADE|NOCARCIN|
|00000fc0| 4f 4d 41 29 20 6d 61 6b | 65 73 20 75 70 20 74 68 |OMA) mak|es up th|
|00000fd0| 65 20 67 72 65 61 74 65 | 73 74 20 70 65 72 63 65 |e greate|st perce|
|00000fe0| 6e 74 61 67 65 20 6f 66 | 20 65 73 6f 70 68 61 67 |ntage of| esophag|
|00000ff0| 65 61 6c 20 63 61 6e 63 | 65 72 73 2e 20 20 41 72 |eal canc|ers. Ar|
|00001000| 65 20 63 68 69 6c 64 72 | 65 6e 20 61 72 65 20 61 |e childr|en are a|
|00001010| 66 66 65 63 74 65 64 20 | 69 6e 20 61 20 70 72 6f |ffected |in a pro|
|00001020| 70 6f 72 74 69 6f 6e 20 | 65 71 75 61 6c 20 74 6f |portion |equal to|
|00001030| 20 74 68 61 74 20 6f 66 | 20 61 64 75 6c 74 73 3f | that of| adults?|
|00001040| 20 28 59 2f 4e 29 00 00 | 00 0f 73 71 75 61 6d 6f | (Y/N)..|..squamo|
|00001050| 75 73 20 63 65 6c 6c 20 | 6e 00 00 00 00 00 00 00 |us cell |n.......|
|00001060| 14 6b 69 64 73 20 73 65 | 6c 64 6f 6d 20 61 66 66 |.kids se|ldom aff|
|00001070| 65 63 74 65 64 00 00 00 | 16 00 01 00 00 00 00 00 |ected...|........|
|00001080| 13 00 0e 00 02 00 00 00 | 0e 00 00 00 00 00 00 00 |........|........|
|00001090| 00 00 00 00 00 00 dd 41 | 72 65 20 74 68 65 20 66 |.......A|re the f|
|000010a0| 6f 6c 6c 6f 77 69 6e 67 | 20 66 61 63 74 6f 72 73 |ollowing| factors|
|000010b0| 20 61 72 65 20 61 73 73 | 6f 63 69 61 74 65 64 20 | are ass|ociated |
|000010c0| 77 69 74 68 20 41 44 45 | 4e 4f 43 41 52 43 49 4e |with ADE|NOCARCIN|
|000010d0| 4f 4d 41 20 6f 72 20 53 | 51 55 41 4d 4f 55 53 20 |OMA or S|QUAMOUS |
|000010e0| 43 45 4c 4c 20 63 61 72 | 63 69 6e 6f 6d 61 20 6f |CELL car|cinoma o|
|000010f0| 66 20 74 68 65 20 65 73 | 6f 70 68 61 67 75 73 3f |f the es|ophagus?|
|00001100| 0d a5 20 67 65 6e 65 74 | 69 63 20 70 72 65 64 69 |.. genet|ic predi|
|00001110| 73 70 6f 73 69 74 69 6f | 6e 0d a5 20 64 69 65 74 |spositio|n.. diet|
|00001120| 20 68 69 67 68 20 69 6e | 20 6e 69 74 72 69 74 65 | high in| nitrite|
|00001130| 73 2c 20 6c 6f 77 20 69 | 6e 20 76 69 74 61 6d 69 |s, low i|n vitami|
|00001140| 6e 73 20 28 65 67 2e 20 | 41 20 26 20 43 29 0d a5 |ns (eg. |A & C)..|
|00001150| 20 61 63 68 61 6c 61 73 | 69 61 0d a5 20 74 6f 62 | achalas|ia.. tob|
|00001160| 61 63 63 6f 2f 61 6c 63 | 6f 68 6f 6c 20 69 6e 74 |acco/alc|ohol int|
|00001170| 61 6b 65 20 00 00 00 0d | 73 71 75 61 6d 6f 75 73 |ake ....|squamous|
|00001180| 20 63 65 6c 6c 00 00 00 | 00 00 00 00 00 00 00 00 | cell...|........|
|00001190| 16 00 01 00 00 00 00 00 | 13 00 0e 00 02 00 00 00 |........|........|
|000011a0| 0e 00 00 00 00 00 00 00 | 00 00 00 00 00 00 5d 41 |........|......]A|
|000011b0| 72 65 20 6d 6f 73 74 20 | 65 73 6f 70 68 61 67 65 |re most |esophage|
|000011c0| 61 6c 20 63 61 6e 63 65 | 72 73 20 61 72 65 20 6c |al cance|rs are l|
|000011d0| 6f 63 61 74 65 64 20 69 | 6e 20 74 68 65 20 55 50 |ocated i|n the UP|
|000011e0| 50 45 52 2c 20 4d 49 44 | 44 4c 45 20 6f 72 20 4c |PER, MID|DLE or L|
|000011f0| 4f 57 45 52 20 74 68 69 | 72 64 20 6f 66 20 74 68 |OWER thi|rd of th|
|00001200| 65 20 65 73 6f 70 68 61 | 67 75 73 3f 00 00 00 06 |e esopha|gus?....|
|00001210| 6d 69 64 64 6c 65 00 00 | 00 00 00 00 00 0d 6e 65 |middle..|......ne|
|00001220| 78 74 20 69 73 20 6c 6f | 77 65 72 00 00 00 16 00 |xt is lo|wer.....|
|00001230| 01 00 00 00 00 00 13 00 | 0e 00 02 00 00 00 0e 00 |........|........|
|00001240| 00 00 00 00 00 00 00 00 | 00 00 00 00 63 53 74 61 |........|....cSta|
|00001250| 67 69 6e 67 20 69 73 20 | 63 6f 6d 6d 6f 6e 6c 79 |ging is |commonly|
|00001260| 20 64 6f 6e 65 20 66 6f | 72 20 61 64 65 6e 6f 63 | done fo|r adenoc|
|00001270| 61 72 63 69 6e 6f 6d 61 | 20 62 75 74 20 6e 6f 74 |arcinoma| but not|
|00001280| 20 73 71 75 61 6d 6f 75 | 73 20 63 65 6c 6c 20 63 | squamou|s cell c|
|00001290| 61 72 63 69 6e 6f 6d 61 | 20 6f 66 20 74 68 65 20 |arcinoma| of the |
|000012a0| 65 73 6f 70 68 61 67 75 | 73 2e 20 28 54 2f 46 29 |esophagu|s. (T/F)|
|000012b0| 00 00 00 01 66 00 00 00 | 00 00 00 00 0d 64 6f 6e |....f...|.....don|
|000012c0| 65 20 66 6f 72 20 62 6f | 74 68 00 00 00 16 00 01 |e for bo|th......|
|000012d0| 00 00 00 00 00 13 00 0e | 00 02 00 00 00 0e 00 00 |........|........|
|000012e0| 00 00 00 00 00 00 00 00 | 00 00 00 9a 54 68 65 20 |........|....The |
|000012f0| 63 61 70 61 63 69 74 79 | 20 74 6f 20 73 65 63 72 |capacity| to secr|
|00001300| 65 74 65 20 68 79 64 72 | 6f 63 68 6c 6f 72 69 63 |ete hydr|ochloric|
|00001310| 20 61 63 69 64 20 69 73 | 20 64 69 72 65 63 74 6c | acid is| directl|
|00001320| 79 20 70 72 6f 70 6f 72 | 74 69 6f 6e 61 6c 20 74 |y propor|tional t|
|00001330| 6f 20 74 68 65 20 6e 75 | 6d 62 65 72 73 20 6f 66 |o the nu|mbers of|
|00001340| 20 28 43 48 49 45 46 2f | 20 50 41 52 49 45 54 41 | (CHIEF/| PARIETA|
|00001350| 4c 2f 20 50 41 4e 45 54 | 48 29 20 63 65 6c 6c 73 |L/ PANET|H) cells|
|00001360| 20 70 72 65 73 65 6e 74 | 20 69 6e 20 74 68 65 20 | present| in the |
|00001370| 67 6c 61 6e 64 73 20 6f | 66 20 74 68 65 20 73 74 |glands o|f the st|
|00001380| 6f 6d 61 63 68 2e 00 00 | 00 08 70 61 72 69 65 74 |omach...|..pariet|
|00001390| 61 6c 00 00 00 00 00 00 | 00 00 00 00 00 16 00 01 |al......|........|
|000013a0| 00 00 00 00 00 13 00 0e | 00 02 00 00 00 0e 00 00 |........|........|
|000013b0| 00 00 00 00 00 00 00 00 | 00 00 00 86 41 43 55 54 |........|....ACUT|
|000013c0| 45 20 6f 72 20 43 48 52 | 4f 4e 49 43 20 67 61 73 |E or CHR|ONIC gas|
|000013d0| 74 72 69 74 69 73 3f 0d | a5 20 63 68 72 6f 6e 69 |tritis?.|. chroni|
|000013e0| 63 20 75 73 65 20 6f 66 | 20 61 73 70 69 72 69 6e |c use of| aspirin|
|000013f0| 0d a5 20 65 78 63 65 73 | 73 69 76 65 20 61 6c 63 |.. exces|sive alc|
|00001400| 6f 68 6f 6c 20 69 6e 74 | 61 6b 65 0d a5 20 68 65 |ohol int|ake.. he|
|00001410| 61 76 79 20 73 6d 6f 6b | 69 6e 67 0d a5 20 73 79 |avy smok|ing.. sy|
|00001420| 73 74 65 6d 69 63 20 69 | 6e 66 65 63 74 69 6f 6e |stemic i|nfection|
|00001430| 73 20 28 65 67 2e 20 73 | 61 6c 6d 6f 6e 65 6c 6c |s (eg. s|almonell|
|00001440| 61 29 00 00 00 05 61 63 | 75 74 65 00 00 00 00 00 |a)....ac|ute.....|
|00001450| 00 00 00 00 00 00 16 00 | 01 00 00 00 00 00 13 00 |........|........|
|00001460| 0e 00 02 00 00 00 0e 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001470| 00 00 00 00 fe 41 72 65 | 20 74 68 65 20 66 6f 6c |.....Are| the fol|
|00001480| 6c 6f 77 69 6e 67 20 63 | 68 61 72 61 63 74 65 72 |lowing c|haracter|
|00001490| 69 73 74 69 63 73 20 6f | 66 20 74 79 70 65 20 41 |istics o|f type A|
|000014a0| 2c 20 42 20 6f 72 20 41 | 42 20 67 61 73 74 72 69 |, B or A|B gastri|
|000014b0| 74 69 73 3f 0d a5 20 63 | 69 72 63 75 6c 61 74 69 |tis?.. c|irculati|
|000014c0| 6e 67 20 61 6e 74 69 2d | 70 61 72 69 65 74 61 6c |ng anti-|parietal|
|000014d0| 20 61 6e 64 20 61 6e 74 | 69 2d 49 46 20 61 6e 74 | and ant|i-IF ant|
|000014e0| 69 62 6f 64 69 65 73 0d | a5 20 68 79 70 6f 2d 20 |ibodies.|. hypo- |
|000014f0| 6f 72 20 61 63 68 6c 6f | 72 68 79 64 72 69 61 0d |or achlo|rhydria.|
|00001500| a5 20 68 69 67 68 20 67 | 61 73 74 72 69 63 20 70 |. high g|astric p|
|00001510| 48 0d a5 20 68 79 70 65 | 72 67 61 73 74 72 69 6e |H.. hype|rgastrin|
|00001520| 65 6d 69 61 0d a5 20 69 | 6e 76 6f 6c 76 65 73 20 |emia.. i|nvolves |
|00001530| 62 6f 64 79 2d 66 75 6e | 64 75 73 0d a5 20 73 69 |body-fun|dus.. si|
|00001540| 67 6e 69 66 69 63 61 6e | 74 20 67 61 73 74 72 69 |gnifican|t gastri|
|00001550| 63 20 61 74 72 6f 70 68 | 79 20 61 6e 64 20 69 6e |c atroph|y and in|
|00001560| 74 65 73 74 69 6e 61 6c | 20 6d 65 74 61 70 6c 61 |testinal| metapla|
|00001570| 73 69 61 00 00 00 01 61 | 00 00 00 00 00 00 00 00 |sia....a|........|
|00001580| 00 00 00 16 00 01 00 00 | 00 00 00 13 00 0e 00 02 |........|........|
|00001590| 00 00 00 0e 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000015a0| 00 f7 41 72 65 20 74 68 | 65 20 66 6f 6c 6c 6f 77 |..Are th|e follow|
|000015b0| 69 6e 67 20 63 68 61 72 | 61 63 74 65 72 69 73 74 |ing char|acterist|
|000015c0| 69 63 73 20 6f 66 20 74 | 79 70 65 20 41 2c 20 42 |ics of t|ype A, B|
|000015d0| 20 6f 72 20 41 42 20 67 | 61 73 74 72 69 74 69 73 | or AB g|astritis|
|000015e0| 3f 0d a5 20 69 6e 76 6f | 6c 76 65 73 20 61 6e 74 |?.. invo|lves ant|
|000015f0| 72 75 6d 0d a5 20 65 78 | 63 65 73 73 69 76 65 20 |rum.. ex|cessive |
|00001600| 61 63 69 64 20 73 65 63 | 72 65 74 69 6f 6e 0d a5 |acid sec|retion..|
|00001610| 20 61 73 73 6f 63 69 61 | 74 65 64 20 6d 61 69 6e | associa|ted main|
|00001620| 6c 79 20 77 69 74 68 20 | 64 75 6f 64 65 6e 61 6c |ly with |duodenal|
|00001630| 20 75 6c 63 65 72 0d a5 | 20 67 61 73 74 72 69 6e | ulcer..| gastrin|
|00001640| 20 73 65 63 72 65 74 69 | 6f 6e 20 77 69 74 68 69 | secreti|on withi|
|00001650| 6e 20 6e 6f 72 6d 61 6c | 20 6c 65 76 65 6c 73 0d |n normal| levels.|
|00001660| a5 20 6e 6f 20 73 69 67 | 6e 69 66 69 63 61 6e 74 |. no sig|nificant|
|00001670| 20 67 61 73 74 72 69 63 | 20 61 74 72 6f 70 68 79 | gastric| atrophy|
|00001680| 20 6f 72 20 69 6e 74 65 | 73 74 69 6e 61 6c 20 6d | or inte|stinal m|
|00001690| 65 74 61 70 6c 61 73 69 | 61 00 00 00 01 62 00 00 |etaplasi|a....b..|
|000016a0| 00 00 00 00 00 00 00 00 | 00 16 00 01 00 00 00 00 |........|........|
|000016b0| 00 13 00 0e 00 02 00 00 | 00 0e 00 00 00 00 00 00 |........|........|
|000016c0| 00 00 00 00 00 00 00 91 | 41 72 65 20 74 68 65 20 |........|Are the |
|000016d0| 66 6f 6c 6c 6f 77 69 6e | 67 20 63 68 61 72 61 63 |followin|g charac|
|000016e0| 74 65 72 69 73 74 69 63 | 73 20 6f 66 20 74 79 70 |teristic|s of typ|
|000016f0| 65 20 41 2c 20 42 20 6f | 72 20 41 42 20 67 61 73 |e A, B o|r AB gas|
|00001700| 74 72 69 74 69 73 3f 0d | a5 20 61 73 73 6f 63 69 |tritis?.|. associ|
|00001710| 61 74 65 64 20 77 69 74 | 68 20 48 61 73 68 69 6d |ated wit|h Hashim|
|00001720| 6f 74 6f 27 73 20 61 6e | 64 20 41 64 64 69 73 6f |oto's an|d Addiso|
|00001730| 6e 27 73 0d a5 20 6d 61 | 79 20 70 72 65 64 69 73 |n's.. ma|y predis|
|00001740| 70 6f 73 65 20 74 6f 20 | 70 65 72 6e 69 63 69 6f |pose to |pernicio|
|00001750| 75 73 20 61 6e 65 6d 69 | 61 00 00 00 01 61 00 00 |us anemi|a....a..|
|00001760| 00 00 00 00 00 00 00 00 | 00 16 00 01 00 00 00 00 |........|........|
|00001770| 00 13 00 0e 00 02 00 00 | 00 0e 00 00 00 00 00 00 |........|........|
|00001780| 00 00 00 00 00 00 00 f4 | 41 72 65 20 74 68 65 20 |........|Are the |
|00001790| 66 6f 6c 6c 6f 77 69 6e | 67 20 63 68 61 72 61 63 |followin|g charac|
|000017a0| 74 65 72 69 73 74 69 63 | 73 20 6f 66 20 74 79 70 |teristic|s of typ|
|000017b0| 65 20 41 2c 20 42 20 6f | 72 20 41 42 20 67 61 73 |e A, B o|r AB gas|
|000017c0| 74 72 69 74 69 73 3f 0d | a5 20 69 6e 76 6f 6c 76 |tritis?.|. involv|
|000017d0| 65 73 20 61 6e 74 72 75 | 6d 0d a5 20 73 74 72 6f |es antru|m.. stro|
|000017e0| 6e 67 20 61 73 73 6f 63 | 69 61 74 69 6f 6e 20 77 |ng assoc|iation w|
|000017f0| 69 74 68 20 67 61 73 74 | 72 69 63 20 61 74 72 6f |ith gast|ric atro|
|00001800| 70 68 79 2c 20 70 6f 6c | 79 70 73 20 61 6e 64 20 |phy, pol|yps and |
|00001810| 63 61 72 63 69 6e 6f 6d | 61 0d a5 20 69 6e 74 65 |carcinom|a.. inte|
|00001820| 73 74 69 6e 61 6c 20 6d | 65 74 61 70 6c 61 73 69 |stinal m|etaplasi|
|00001830| 61 0d a5 20 68 79 70 6f | 63 68 6c 6f 72 68 79 64 |a.. hypo|chlorhyd|
|00001840| 72 69 61 20 62 75 74 20 | 6e 6f 20 61 63 68 6c 6f |ria but |no achlo|
|00001850| 72 68 79 64 72 69 61 0d | a5 20 67 61 73 74 72 69 |rhydria.|. gastri|
|00001860| 6e 20 6c 65 76 65 6c 73 | 20 77 69 74 68 69 6e 20 |n levels| within |
|00001870| 6e 6f 72 6d 61 6c 20 72 | 61 6e 67 65 00 00 00 02 |normal r|ange....|
|00001880| 61 62 00 00 00 00 00 00 | 00 00 00 00 00 16 00 01 |ab......|........|
|00001890| 00 00 00 00 00 13 00 0e | 00 02 00 00 00 0e 00 00 |........|........|
|000018a0| 00 00 00 00 00 00 00 00 | 00 00 01 2e 5f 5f 20 5f |........|....__ _|
|000018b0| 5f 20 69 73 20 61 20 62 | 61 63 74 65 72 69 61 20 |_ is a b|acteria |
|000018c0| 74 68 61 74 20 69 73 20 | 36 35 25 20 6f 66 20 74 |that is |65% of t|
|000018d0| 68 65 20 74 69 6d 65 20 | 61 73 73 6f 63 69 61 74 |he time |associat|
|000018e0| 65 64 20 77 69 74 68 20 | 63 68 72 6f 6e 69 63 20 |ed with |chronic |
|000018f0| 67 61 73 74 72 69 74 69 | 73 20 61 6e 64 20 38 35 |gastriti|s and 85|
|00001900| 2d 31 30 30 25 20 6f 66 | 20 74 68 65 20 74 69 6d |-100% of| the tim|
|00001910| 65 20 61 73 73 6f 63 69 | 61 74 65 64 20 77 69 74 |e associ|ated wit|
|00001920| 68 20 64 75 6f 64 65 6e | 61 6c 20 75 6c 63 65 72 |h duoden|al ulcer|
|00001930| 73 2e 20 20 54 68 65 20 | 6f 72 67 61 6e 69 73 6d |s. The |organism|
|00001940| 20 72 65 6d 61 69 6e 73 | 20 6f 6e 20 74 68 65 20 | remains| on the |
|00001950| 65 70 69 74 68 65 6c 69 | 75 6d 2e 20 20 54 68 65 |epitheli|um. The|
|00001960| 20 6f 72 67 61 6e 69 73 | 6d 20 62 72 65 61 6b 73 | organis|m breaks|
|00001970| 20 64 6f 77 6e 20 74 68 | 65 20 73 75 70 65 72 66 | down th|e superf|
|00001980| 69 63 69 61 6c 20 67 6c | 79 63 6f 70 72 6f 74 65 |icial gl|ycoprote|
|00001990| 69 6e 73 20 69 6e 20 74 | 68 65 20 67 61 73 74 72 |ins in t|he gastr|
|000019a0| 69 63 20 6d 75 63 6f 75 | 73 20 61 6c 6c 6f 77 69 |ic mucou|s allowi|
|000019b0| 6e 67 20 66 6f 72 20 74 | 68 65 20 65 72 6f 73 69 |ng for t|he erosi|
|000019c0| 6f 6e 20 6f 66 20 74 68 | 69 73 20 6c 61 79 65 72 |on of th|is layer|
|000019d0| 20 74 6f 20 6f 63 63 75 | 72 2e 00 00 00 15 43 61 | to occu|r.....Ca|
|000019e0| 6d 70 79 6c 6f 62 61 63 | 74 65 72 20 70 79 6c 6f |mpylobac|ter pylo|
|000019f0| 72 75 73 00 00 00 09 43 | 20 70 79 6c 6f 72 75 73 |rus....C| pylorus|
|00001a00| 00 00 00 00 00 00 00 16 | 00 01 00 00 00 00 00 13 |........|........|
|00001a10| 00 0e 00 02 00 00 00 0e | 00 00 00 00 00 00 00 00 |........|........|
|00001a20| 00 00 00 00 00 a4 5f 5f | 20 64 69 73 65 61 73 65 |......__| disease|
|00001a30| 20 69 73 20 63 68 61 72 | 61 63 74 65 72 69 7a 65 | is char|acterize|
|00001a40| 64 20 62 79 20 74 68 65 | 20 66 6f 6c 6c 6f 77 69 |d by the| followi|
|00001a50| 6e 67 3a 0d a5 20 63 65 | 72 65 62 72 69 66 6f 72 |ng:.. ce|rebrifor|
|00001a60| 6d 20 65 6e 6c 61 72 67 | 65 6d 65 6e 74 20 6f 66 |m enlarg|ement of|
|00001a70| 20 74 68 65 20 72 75 67 | 61 6c 20 66 6f 6c 64 73 | the rug|al folds|
|00001a80| 0d a5 20 65 78 63 65 73 | 73 69 76 65 20 6d 75 63 |.. exces|sive muc|
|00001a90| 6f 75 73 20 73 65 63 72 | 65 74 69 6f 6e 73 0d a5 |ous secr|etions..|
|00001aa0| 20 69 64 69 6f 70 61 74 | 68 69 63 0d a5 20 70 72 | idiopat|hic.. pr|
|00001ab0| 65 73 65 6e 74 73 20 69 | 6e 20 74 68 65 20 33 30 |esents i|n the 30|
|00001ac0| 73 20 61 6e 64 20 34 30 | 73 2e 00 00 00 0b 4d 65 |s and 40|s.....Me|
|00001ad0| 6e 65 74 72 69 65 72 27 | 73 00 00 00 00 00 00 00 |netrier'|s.......|
|00001ae0| 00 00 00 00 16 00 01 00 | 00 00 00 00 13 00 0e 00 |........|........|
|00001af0| 02 00 00 00 0e 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001b00| 00 00 63 47 61 73 74 72 | 69 63 20 6c 65 73 69 6f |..cGastr|ic lesio|
|00001b10| 6e 73 20 74 68 61 74 20 | 61 72 65 20 61 73 73 6f |ns that |are asso|
|00001b20| 63 69 61 74 65 64 20 77 | 69 74 68 20 69 6e 63 72 |ciated w|ith incr|
|00001b30| 65 61 73 65 73 20 69 6e | 20 69 6e 74 72 61 63 72 |eases in| intracr|
|00001b40| 61 6e 69 61 6c 20 70 72 | 65 73 73 75 72 65 20 61 |anial pr|essure a|
|00001b50| 72 65 20 6b 6e 6f 77 6e | 20 61 73 20 5f 5f 20 75 |re known| as __ u|
|00001b60| 6c 63 65 72 73 2e 00 00 | 00 09 43 75 73 68 69 6e |lcers...|..Cushin|
|00001b70| 67 27 73 00 00 00 00 00 | 00 00 00 00 00 00 16 00 |g's.....|........|
|00001b80| 01 00 00 00 00 00 13 00 | 0e 00 02 00 00 00 0e 00 |........|........|
|00001b90| 00 00 00 00 00 00 00 00 | 00 00 00 00 36 47 41 53 |........|....6GAS|
|00001ba0| 54 52 49 43 20 6f 72 20 | 44 55 4f 44 45 4e 41 4c |TRIC or |DUODENAL|
|00001bb0| 20 75 6c 63 65 72 73 20 | 61 72 65 20 6d 6f 72 65 | ulcers |are more|
|00001bc0| 20 63 6f 6d 6d 6f 6e 20 | 6f 6e 20 66 65 6d 61 6c | common |on femal|
|00001bd0| 65 73 3f 00 00 00 07 67 | 61 73 74 72 69 63 00 00 |es?....g|astric..|
|00001be0| 00 00 00 00 00 00 00 00 | 00 16 00 01 00 00 00 00 |........|........|
|00001bf0| 00 13 00 0e 00 02 00 00 | 00 0e 00 00 00 00 00 00 |........|........|
|00001c00| 00 00 00 00 00 00 01 03 | 47 41 53 54 52 49 43 20 |........|GASTRIC |
|00001c10| 6f 72 20 44 55 4f 44 45 | 4e 41 4c 20 75 6c 63 65 |or DUODE|NAL ulce|
|00001c20| 72 3f 0d a5 20 67 65 6e | 65 74 69 63 20 70 72 65 |r?.. gen|etic pre|
|00001c30| 64 69 73 70 6f 73 69 74 | 69 6f 6e 0d a5 20 69 6e |disposit|ion.. in|
|00001c40| 63 72 65 61 73 65 64 20 | 69 6e 20 4f 20 62 6c 6f |creased |in O blo|
|00001c50| 6f 64 20 74 79 70 65 73 | 0d a5 20 61 73 73 6f 63 |od types|.. assoc|
|00001c60| 69 61 74 65 64 2e 20 77 | 2f 20 61 6c 63 6f 68 6f |iated. w|/ alcoho|
|00001c70| 6c 69 63 20 63 69 72 72 | 68 6f 73 69 73 2c 20 63 |lic cirr|hosis, c|
|00001c80| 68 72 6f 6e 69 63 20 72 | 65 6e 61 6c 20 66 61 69 |hronic r|enal fai|
|00001c90| 6c 75 72 65 2c 20 43 4f | 50 44 20 61 6e 64 20 20 |lure, CO|PD and |
|00001ca0| 20 20 20 20 20 20 20 20 | 20 20 20 20 20 20 20 20 | | |
|00001cb0| 20 20 20 20 20 20 20 20 | 20 20 20 68 79 70 65 72 | | hyper|
|00001cc0| 70 61 72 61 74 68 79 72 | 6f 69 64 69 73 6d 0d a5 |parathyr|oidism..|
|00001cd0| 20 6d 6f 72 65 20 72 61 | 70 69 64 20 67 61 73 74 | more ra|pid gast|
|00001ce0| 72 69 63 20 65 6d 70 74 | 79 69 6e 67 0d a5 20 69 |ric empt|ying.. i|
|00001cf0| 6e 63 72 65 61 73 65 64 | 20 67 61 73 74 72 69 6e |ncreased| gastrin|
|00001d00| 20 70 72 6f 64 75 63 74 | 69 6f 6e 00 00 00 08 64 | product|ion....d|
|00001d10| 75 6f 64 65 6e 61 6c 00 | 00 00 00 00 00 00 00 00 |uodenal.|........|
|00001d20| 00 00 16 00 01 00 00 00 | 00 00 13 00 0e 00 02 00 |........|........|
|00001d30| 00 00 0e 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001d40| ba 41 72 65 20 74 68 65 | 20 66 6f 6c 6c 6f 77 69 |.Are the| followi|
|00001d50| 6e 67 20 61 73 73 6f 63 | 69 61 74 65 64 20 77 69 |ng assoc|iated wi|
|00001d60| 74 68 20 47 41 53 54 52 | 49 43 20 6f 72 20 44 55 |th GASTR|IC or DU|
|00001d70| 4f 44 45 4e 41 4c 20 75 | 6c 63 65 72 3f 0d a5 20 |ODENAL u|lcer?.. |
|00001d80| 20 69 6e 6a 75 72 79 20 | 74 6f 20 67 61 73 74 72 | injury |to gastr|
|00001d90| 69 63 20 6d 75 63 6f 73 | 61 6c 20 6c 61 79 65 72 |ic mucos|al layer|
|00001da0| 0d a5 20 20 70 79 6c 6f | 72 69 63 20 72 65 66 6c |.. pylo|ric refl|
|00001db0| 75 78 0d a5 20 20 69 6e | 63 72 65 61 73 65 64 20 |ux.. in|creased |
|00001dc0| 62 61 63 6b 20 64 69 66 | 66 75 73 69 6f 6e 20 6f |back dif|fusion o|
|00001dd0| 66 20 68 79 64 72 6f 67 | 65 6e 20 69 6f 6e 73 0d |f hydrog|en ions.|
|00001de0| a5 20 20 63 68 72 6f 6e | 69 63 20 61 6e 74 72 61 |. chron|ic antra|
|00001df0| 6c 20 67 61 73 74 72 69 | 74 69 73 00 00 00 07 67 |l gastri|tis....g|
|00001e00| 61 73 74 72 69 63 00 00 | 00 00 00 00 00 00 00 00 |astric..|........|
|00001e10| 00 16 00 01 00 00 00 00 | 00 13 00 0e 00 02 00 00 |........|........|
|00001e20| 00 0e 00 00 00 00 00 00 | 00 00 00 00 00 00 00 5d |........|.......]|
|00001e30| 41 72 65 20 67 61 73 74 | 72 69 63 20 75 6c 63 65 |Are gast|ric ulce|
|00001e40| 72 73 20 61 72 65 20 6d | 6f 72 65 20 63 6f 6d 6d |rs are m|ore comm|
|00001e50| 6f 6e 6c 79 20 66 6f 75 | 6e 64 20 6f 6e 20 74 68 |only fou|nd on th|
|00001e60| 65 20 4c 45 53 53 45 52 | 20 6f 72 20 47 52 45 41 |e LESSER| or GREA|
|00001e70| 54 45 52 20 63 75 72 76 | 61 74 75 72 65 20 6f 66 |TER curv|ature of|
|00001e80| 20 74 68 65 20 73 74 6f | 6d 61 63 68 3f 00 00 00 | the sto|mach?...|
|00001e90| 06 6c 65 73 73 65 72 00 | 00 00 00 00 00 00 00 00 |.lesser.|........|
|00001ea0| 00 00 16 00 01 00 00 00 | 00 00 13 00 0e 00 02 00 |........|........|
|00001eb0| 00 00 0e 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001ec0| ab 44 55 4f 44 45 4e 41 | 4c 20 6f 72 20 47 41 53 |.DUODENA|L or GAS|
|00001ed0| 54 52 49 43 20 75 6c 63 | 65 72 3f 0d a5 20 65 70 |TRIC ulc|er?.. ep|
|00001ee0| 69 67 61 73 74 72 69 63 | 2c 20 67 6e 61 77 69 6e |igastric|, gnawin|
|00001ef0| 67 20 70 61 69 6e 0d a5 | 20 70 61 69 6e 20 72 65 |g pain..| pain re|
|00001f00| 6c 69 65 76 65 64 20 62 | 79 20 6d 69 6c 6b 2c 20 |lieved b|y milk, |
|00001f10| 66 6f 6f 64 20 65 74 63 | 2e 0d a5 20 70 61 69 6e |food etc|... pain|
|00001f20| 20 72 65 66 65 72 72 65 | 64 20 74 6f 20 74 68 65 | referre|d to the|
|00001f30| 20 62 61 63 6b 20 6f 72 | 20 72 69 67 68 74 20 75 | back or| right u|
|00001f40| 70 70 65 72 20 71 75 61 | 64 72 61 6e 74 0d a5 20 |pper qua|drant.. |
|00001f50| 6e 6f 20 6d 61 6c 69 67 | 6e 61 6e 74 20 74 72 61 |no malig|nant tra|
|00001f60| 6e 73 66 6f 72 6d 61 74 | 69 6f 6e 0d 00 00 00 08 |nsformat|ion.....|
|00001f70| 64 75 6f 64 65 6e 61 6c | 00 00 00 00 00 00 00 00 |duodenal|........|
|00001f80| 00 00 00 16 00 01 00 00 | 00 00 00 13 00 0e 00 02 |........|........|
|00001f90| 00 00 00 0e 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001fa0| 00 c6 44 55 4f 44 45 4e | 41 4c 20 6f 72 20 47 41 |..DUODEN|AL or GA|
|00001fb0| 53 54 52 49 43 20 75 6c | 63 65 72 3f 0d a5 20 62 |STRIC ul|cer?.. b|
|00001fc0| 6f 72 69 6e 67 2c 20 67 | 6e 61 77 69 6e 67 20 70 |oring, g|nawing p|
|00001fd0| 61 69 6e 0d a5 20 65 78 | 70 65 72 69 65 6e 63 65 |ain.. ex|perience|
|00001fe0| 20 70 61 69 6e 20 33 30 | 20 6d 69 6e 75 74 65 73 | pain 30| minutes|
|00001ff0| 20 61 66 74 65 72 20 65 | 61 74 69 6e 67 20 77 2f | after e|ating w/|
|00002000| 6f 20 72 65 6c 69 65 66 | 20 66 72 6f 6d 20 65 61 |o relief| from ea|
|00002010| 74 69 6e 67 0d a5 20 70 | 61 69 6e 20 72 65 66 65 |ting.. p|ain refe|
|00002020| 72 72 65 64 20 74 6f 20 | 62 61 63 6b 20 61 6e 64 |rred to |back and|
|00002030| 20 6c 65 66 74 20 75 70 | 70 65 72 20 71 75 61 64 | left up|per quad|
|00002040| 72 61 6e 74 0d a5 20 6d | 61 79 20 68 61 76 65 20 |rant.. m|ay have |
|00002050| 6d 61 6c 69 67 6e 61 6e | 74 20 74 72 61 6e 73 66 |malignan|t transf|
|00002060| 6f 72 6d 61 74 69 6f 6e | 00 00 00 07 67 61 73 74 |ormation|....gast|
|00002070| 72 69 63 00 00 00 00 00 | 00 00 00 00 00 00 16 00 |ric.....|........|
|00002080| 01 00 00 00 00 00 13 00 | 0e 00 02 00 00 00 0e 00 |........|........|
|00002090| 00 00 00 00 00 00 00 00 | 00 00 00 00 7d 4e 61 6d |........|....}Nam|
|000020a0| 65 20 74 68 65 20 6d 6f | 73 74 20 63 6f 6d 6d 6f |e the mo|st commo|
|000020b0| 6e 20 66 6f 75 72 20 74 | 79 70 65 73 20 6f 66 20 |n four t|ypes of |
|000020c0| 6d 61 6c 69 67 6e 61 6e | 74 20 63 61 6e 63 65 72 |malignan|t cancer|
|000020d0| 20 69 6e 20 74 68 65 20 | 73 74 6f 6d 61 63 68 20 | in the |stomach |
|000020e0| 69 6e 20 6f 72 64 65 72 | 20 6f 66 20 69 6e 63 72 |in order| of incr|
|000020f0| 65 61 73 69 6e 67 20 66 | 72 65 71 75 65 6e 63 79 |easing f|requency|
|00002100| 3a 20 5f 5f 28 39 30 25 | 29 2c 20 5f 5f 28 34 25 |: __(90%|), __(4%|
|00002110| 29 2c 20 5f 5f 28 33 25 | 29 2e 00 00 00 1c 63 61 |), __(3%|).....ca|
|00002120| 72 63 69 6e 6f 6d 61 20 | 6c 79 6d 70 68 6f 6d 61 |rcinoma |lymphoma|
|00002130| 20 63 61 72 63 69 6e 6f | 69 64 00 00 00 2e 63 61 | carcino|id....ca|
|00002140| 72 63 69 6e 6f 6d 61 20 | 28 39 30 25 29 20 20 6c |rcinoma |(90%) l|
|00002150| 79 6d 70 68 6f 6d 61 20 | 28 34 25 29 20 20 63 61 |ymphoma |(4%) ca|
|00002160| 72 63 69 6e 6f 69 64 20 | 28 33 25 29 00 00 00 21 |rcinoid |(3%)...!|
|00002170| 61 64 65 6e 6f 63 61 72 | 63 69 6e 6f 6d 61 20 6c |adenocar|cinoma l|
|00002180| 79 6d 70 68 6f 6d 61 20 | 63 61 72 63 69 6e 6f 69 |ymphoma |carcinoi|
|00002190| 64 00 00 00 16 00 01 00 | 00 00 00 00 13 00 0e 00 |d.......|........|
|000021a0| 02 00 00 00 0e 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000021b0| 00 00 c1 43 41 52 43 49 | 4e 4f 4d 41 2c 20 4c 59 |...CARCI|NOMA, LY|
|000021c0| 4d 50 48 4f 4d 41 20 6f | 72 20 53 41 52 43 4f 4d |MPHOMA o|r SARCOM|
|000021d0| 41 3f 0d a5 20 69 6e 63 | 72 65 61 73 65 64 20 72 |A?.. inc|reased r|
|000021e0| 69 73 6b 20 66 6f 72 20 | 74 79 70 65 20 41 20 62 |isk for |type A b|
|000021f0| 6c 6f 6f 64 20 67 72 6f | 75 70 73 0d a5 20 69 6e |lood gro|ups.. in|
|00002200| 63 72 65 61 73 65 64 20 | 73 61 6c 74 20 69 6e 74 |creased |salt int|
|00002210| 61 6b 65 0d a5 20 64 65 | 63 72 65 61 73 65 64 20 |ake.. de|creased |
|00002220| 70 72 6f 74 65 69 6e 20 | 69 6e 74 61 6b 65 0d a5 |protein |intake..|
|00002230| 20 74 79 70 65 20 41 20 | 61 6e 64 20 41 42 20 63 | type A |and AB c|
|00002240| 68 72 6f 6e 69 63 20 67 | 61 73 74 72 69 74 69 73 |hronic g|astritis|
|00002250| 20 61 6e 64 20 70 65 72 | 6e 69 63 69 6f 75 73 20 | and per|nicious |
|00002260| 61 6e 65 6d 69 61 20 69 | 6e 63 72 65 61 73 65 20 |anemia i|ncrease |
|00002270| 72 69 73 6b 00 00 00 09 | 63 61 72 63 69 6e 6f 6d |risk....|carcinom|
|00002280| 61 00 00 00 00 00 00 00 | 00 00 00 00 16 00 01 00 |a.......|........|
|00002290| 00 00 00 00 13 00 0e 00 | 02 00 00 00 0e 00 00 00 |........|........|
|000022a0| 00 00 00 00 00 00 00 00 | 00 01 11 47 61 73 74 72 |........|...Gastr|
|000022b0| 69 63 20 63 61 72 63 69 | 6e 6f 6d 61 20 69 73 20 |ic carci|noma is |
|000022c0| 64 69 76 69 64 65 64 20 | 69 6e 74 6f 20 32 20 73 |divided |into 2 s|
|000022d0| 74 61 67 65 73 2e 20 20 | 53 74 61 67 65 20 31 20 |tages. |Stage 1 |
|000022e0| 6f 72 20 65 61 72 6c 79 | 20 67 61 73 74 72 69 63 |or early| gastric|
|000022f0| 20 63 61 72 63 69 6e 6f | 6d 61 2c 20 69 73 20 64 | carcino|ma, is d|
|00002300| 65 74 65 72 6d 69 6e 65 | 64 20 62 79 20 74 68 65 |etermine|d by the|
|00002310| 20 66 61 63 74 20 74 68 | 61 74 20 74 68 65 72 65 | fact th|at there|
|00002320| 20 69 73 20 6e 6f 20 70 | 65 6e 65 74 72 61 74 69 | is no p|enetrati|
|00002330| 6f 6e 20 6f 66 20 74 68 | 65 20 53 55 42 4d 55 43 |on of th|e SUBMUC|
|00002340| 4f 53 41 2c 20 4d 55 53 | 43 55 4c 41 52 49 53 20 |OSA, MUS|CULARIS |
|00002350| 4d 55 43 4f 53 41 45 20 | 6f 72 20 4d 55 53 43 55 |MUCOSAE |or MUSCU|
|00002360| 4c 41 52 49 53 20 50 52 | 4f 50 52 49 41 2e 20 20 |LARIS PR|OPRIA. |
|00002370| 54 75 6d 6f 72 73 20 70 | 65 6e 65 74 72 61 74 69 |Tumors p|enetrati|
|00002380| 6e 67 20 62 65 79 6f 6e | 64 20 74 68 69 73 20 70 |ng beyon|d this p|
|00002390| 6f 69 6e 74 20 61 72 65 | 20 74 65 72 6d 65 64 20 |oint are| termed |
|000023a0| 61 64 76 61 6e 63 65 64 | 20 67 61 73 74 72 69 63 |advanced| gastric|
|000023b0| 20 63 61 72 63 69 6e 6f | 6d 61 73 2e 00 00 00 12 | carcino|mas.....|
|000023c0| 6d 75 73 63 75 6c 61 72 | 69 73 20 70 72 6f 70 72 |muscular|is propr|
|000023d0| 69 61 00 00 00 00 00 00 | 00 00 00 00 00 16 00 01 |ia......|........|
|000023e0| 00 00 00 00 00 13 00 0e | 00 02 00 00 00 0e 00 00 |........|........|
|000023f0| 00 00 00 00 00 00 00 00 | 00 00 00 61 54 68 65 20 |........|...aThe |
|00002400| 6d 6f 73 74 20 66 61 76 | 6f 72 65 64 20 6c 6f 63 |most fav|ored loc|
|00002410| 61 74 69 6f 6e 20 6f 66 | 20 67 61 73 74 72 69 63 |ation of| gastric|
|00002420| 20 63 61 72 63 69 6e 6f | 6d 61 20 69 73 20 74 68 | carcino|ma is th|
|00002430| 65 20 4c 45 53 53 45 52 | 20 6f 72 20 47 52 45 41 |e LESSER| or GREA|
|00002440| 54 45 52 20 63 75 72 76 | 61 74 75 72 65 20 6f 66 |TER curv|ature of|
|00002450| 20 74 68 65 20 73 74 6f | 6d 61 63 68 3f 00 00 00 | the sto|mach?...|
|00002460| 06 6c 65 73 73 65 72 00 | 00 00 00 00 00 00 00 00 |.lesser.|........|
|00002470| 00 00 16 00 01 00 00 00 | 00 00 13 00 0e 00 02 00 |........|........|
|00002480| 00 00 0e 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002490| 4f 4d 65 74 61 73 74 61 | 74 69 63 20 73 70 72 65 |OMetasta|tic spre|
|000024a0| 61 64 20 6f 66 20 67 61 | 73 74 72 69 63 20 63 61 |ad of ga|stric ca|
|000024b0| 72 63 69 6e 6f 6d 61 20 | 74 6f 20 74 68 65 20 6f |rcinoma |to the o|
|000024c0| 76 61 72 69 65 73 20 69 | 73 20 6b 6e 6f 77 6e 20 |varies i|s known |
|000024d0| 61 73 20 74 68 65 20 5f | 5f 20 74 75 6d 6f 72 2e |as the _|_ tumor.|
|000024e0| 00 00 00 0a 4b 72 75 6b | 65 6e 62 65 72 67 00 00 |....Kruk|enberg..|
|000024f0| 00 00 00 00 00 00 00 00 | 00 16 00 01 00 00 00 00 |........|........|
|00002500| 00 13 00 0e 00 02 00 00 | 00 0e 00 00 00 00 00 00 |........|........|
|00002510| 00 00 00 00 00 00 00 6c | 54 68 65 20 64 69 66 66 |.......l|The diff|
|00002520| 75 73 65 20 74 68 69 63 | 6b 65 6e 69 6e 67 20 6f |use thic|kening o|
|00002530| 66 20 74 68 65 20 67 61 | 73 74 72 69 63 20 77 61 |f the ga|stric wa|
|00002540| 6c 6c 20 69 6e 20 63 61 | 72 63 69 6e 6f 6d 61 20 |ll in ca|rcinoma |
|00002550| 69 73 20 74 65 72 6d 65 | 64 20 22 6c 65 61 74 68 |is terme|d "leath|
|00002560| 65 72 2d 62 6f 74 74 6c | 65 22 20 73 74 6f 6d 61 |er-bottl|e" stoma|
|00002570| 63 68 20 61 6c 73 6f 20 | 63 61 6c 6c 65 64 20 5f |ch also |called _|
|00002580| 5f 20 5f 5f 00 00 00 10 | 6c 69 6e 69 74 69 73 20 |_ __....|linitis |
|00002590| 70 6c 61 73 74 69 63 61 | 00 00 00 00 00 00 00 00 |plastica|........|
|000025a0| 00 00 00 16 00 01 00 00 | 00 00 00 13 00 0e 00 02 |........|........|
|000025b0| 00 00 00 0e 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000025c0| 00 a9 46 6f 72 20 75 6e | 63 65 72 74 61 69 6e 20 |..For un|certain |
|000025d0| 72 65 61 73 6f 6e 73 2c | 20 74 68 65 20 5f 5f 20 |reasons,| the __ |
|000025e0| 6e 6f 64 65 73 20 61 6e | 64 20 5f 5f 20 6e 6f 64 |nodes an|d __ nod|
|000025f0| 65 73 20 61 72 65 20 6f | 66 74 65 6e 20 69 6e 76 |es are o|ften inv|
|00002600| 6f 6c 76 65 64 20 61 6e | 64 20 65 6e 6c 61 72 67 |olved an|d enlarg|
|00002610| 65 64 20 65 61 72 6c 79 | 20 69 6e 20 74 68 65 20 |ed early| in the |
|00002620| 63 6f 75 72 73 65 20 6f | 66 20 67 61 73 74 72 69 |course o|f gastri|
|00002630| 63 20 63 61 72 63 69 6e | 6f 6d 61 2e 20 20 54 68 |c carcin|oma. Th|
|00002640| 65 20 66 6f 72 6d 65 72 | 20 61 72 65 20 61 6c 73 |e former| are als|
|00002650| 6f 20 6b 6e 6f 77 6e 20 | 61 73 20 56 69 72 63 68 |o known |as Virch|
|00002660| 6f 77 27 73 20 6e 6f 64 | 65 73 2e 00 00 00 17 73 |ow's nod|es.....s|
|00002670| 75 70 72 61 63 6c 61 76 | 69 63 75 6c 61 72 20 73 |upraclav|icular s|
|00002680| 63 61 6c 65 6e 65 00 00 | 00 00 00 00 00 00 00 00 |calene..|........|
|00002690| 00 16 00 01 00 00 00 00 | 00 13 00 0e 00 02 00 00 |........|........|
|000026a0| 00 0e 00 00 00 00 00 00 | 00 00 00 00 00 00 01 10 |........|........|
|000026b0| 54 68 72 65 65 20 74 79 | 70 65 73 20 6f 66 20 47 |Three ty|pes of G|
|000026c0| 49 20 6c 79 6d 70 68 6f | 6d 61 73 2e 20 20 5f 5f |I lympho|mas. __|
|000026d0| 5f 20 6c 79 6d 70 68 6f | 6d 61 73 20 61 72 69 73 |_ lympho|mas aris|
|000026e0| 65 20 69 6e 20 70 61 74 | 69 65 6e 74 73 20 77 69 |e in pat|ients wi|
|000026f0| 74 68 20 6c 6f 6e 67 20 | 73 74 61 6e 64 69 6e 67 |th long |standing|
|00002700| 20 6d 61 6c 61 62 73 6f | 72 70 74 69 6f 6e 20 73 | malabso|rption s|
|00002710| 79 6e 64 72 6f 6d 65 20 | 61 6e 64 20 61 72 65 20 |yndrome |and are |
|00002720| 68 69 73 74 69 6f 63 79 | 74 69 63 2e 20 20 5f 5f |histiocy|tic. __|
|00002730| 5f 20 6c 79 6d 70 68 6f | 6d 61 73 20 61 72 65 20 |_ lympho|mas are |
|00002740| 61 73 73 6f 63 69 61 74 | 65 64 20 77 69 74 68 20 |associat|ed with |
|00002750| 6c 6f 6e 67 20 73 74 61 | 6e 64 69 6e 67 20 6d 61 |long sta|nding ma|
|00002760| 6c 61 62 73 6f 72 70 74 | 69 6f 6e 20 70 6c 75 73 |labsorpt|ion plus|
|00002770| 20 6c 6f 6e 67 20 73 74 | 61 6e 64 69 6e 67 20 6d | long st|anding m|
|00002780| 75 63 6f 73 61 6c 20 70 | 6c 61 73 6d 61 63 79 74 |ucosal p|lasmacyt|
|00002790| 6f 73 69 73 2e 20 20 54 | 68 65 20 5f 5f 5f 20 6c |osis. T|he ___ l|
|000027a0| 79 6d 70 68 6f 6d 61 20 | 68 61 73 20 61 6e 20 75 |ymphoma |has an u|
|000027b0| 6e 6b 6e 6f 77 6e 20 65 | 74 69 6f 6c 6f 67 79 2e |nknown e|tiology.|
|000027c0| 00 00 00 26 73 70 72 75 | 65 2d 61 73 73 6f 63 69 |...&spru|e-associ|
|000027d0| 61 74 65 64 20 4d 65 64 | 69 74 65 72 72 61 6e 65 |ated Med|iterrane|
|000027e0| 61 6e 20 57 65 73 74 65 | 72 6e 00 00 00 00 00 00 |an Weste|rn......|
|000027f0| 00 00 00 00 00 16 00 01 | 00 00 00 00 00 13 00 0e |........|........|
|00002800| 00 02 00 00 00 0e 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002810| 00 00 00 7b 57 68 69 63 | 68 20 69 73 20 74 68 65 |...{Whic|h is the|
|00002820| 20 66 69 72 73 74 20 61 | 6e 64 20 66 6f 72 65 6d | first a|nd forem|
|00002830| 6f 73 74 20 63 61 75 73 | 65 20 6f 66 20 65 73 6f |ost caus|e of eso|
|00002840| 70 68 61 67 65 61 6c 20 | 70 65 72 66 6f 72 61 74 |phageal |perforat|
|00002850| 69 6f 6e 3f 0d a5 20 49 | 41 54 52 4f 47 45 4e 49 |ion?.. I|ATROGENI|
|00002860| 43 0d a5 20 52 45 46 4c | 55 58 0d a5 20 55 52 45 |C.. REFL|UX.. URE|
|00002870| 4d 49 41 0d a5 20 43 41 | 4e 44 49 44 49 41 53 49 |MIA.. CA|NDIDIASI|
|00002880| 53 0d a5 20 47 56 48 20 | 44 49 53 45 41 53 45 00 |S.. GVH |DISEASE.|
|00002890| 00 00 0a 49 41 54 52 4f | 47 45 4e 49 43 00 00 00 |...IATRO|GENIC...|
|000028a0| 00 00 00 00 00 00 00 00 | 16 00 01 00 00 00 00 00 |........|........|
|000028b0| 13 00 0e 00 02 00 00 00 | 0e 00 00 00 00 00 00 00 |........|........|
|000028c0| 00 00 00 00 00 00 00 0a | 49 41 54 52 4f 47 45 4e |........|IATROGEN|
|000028d0| 49 43 00 00 00 00 00 00 | 00 00 |IC......|.. |
+--------+-------------------------+-------------------------+--------+--------+