3 - Approach To GI Flashcards
Halitosis
Bad breath
Halitosis could mean
Dental disease, necrotic oral tumor, oral foreign body, uremia, GI ulcers, gastric tumor
Dysphagia
Difficulty in eating
Gagging is a what sign
Pharyngeal sign
How is gagging stimulated
Mechanical irritation of posterior palate or pharynx
Gagging could be due to
Foreign body, post nasal drip, nasopharyngeal polyp, pharyngitis, and nausea
Ptyalism
Drooling
Retchig
Unproductive vomiting
Regurgitation is active or passive
Passive
Regurgitation definition
PASSIVE expulsion of food, fluid, or other material
Vomiting
ACTIVE expulsion of ingesta from the stomach
Localization of regurgitation
Esophagus
Localization of vomiting
Caudal to gastroesophageal sphincter - stomach, small intestine
Nausea with regurgitation?
No
Bile with regurgitation
No
Questions to ask for regurgitation v vomiting
Is there abdominal press, warning, is there bile material expelled
Hematemesis
Vomiting blood
Hematemesis can be signs of
Gastric ulcer/erosion, duodenal ulceration, tumors, coaguloapthy
Hematochezia
Frank red blood in teh stool
Hematochezia indicates disease of
Anal sac, rectum, large intestine
If the Hematochezia is independent of defecation what is it
Anal sac disease
If the Hematochezia is w normal stool
Rectal disease
If Hematochezia is with diarrhea
Large intestine disease
Melena
Black, tarry feces - digested blood