Approach To Patient With Gastrointestinal Disease

Question 1

10 symptoms associated with G.I disorders

Answer 1

Dyspepsia 
Abdominal distension 
Early satiety 
Jaundice 
Heartburn 
Nausea and vomiting 
Hematemesis 
hematochezia 
Dysphagia 
Diarrhoea / Constipation 
Loss of appetite 
Weight loss
Odynophagia
Abdominal pain
Melena stools

Question 2

Examination sequence

Answer 2

1. Observation
   2 palpation
2. Percussion
3. Auscultation

Question 3

Positioning patient for G.I exam

Answer 3

Flat or on one pillow

Question 4

G.I causes of clubbing

Answer 4

IBD
Chronic ulcer disease
Ulcerative colitis

Question 5

Clubbing stages

Answer 5

1. Sponginess of tip
2. Loss of nail or nailfold angle
3. Accentuated nail convexity
   4 . Thickening of distal phalanx

Question 6

Clubbing stages

Answer 6

1. Sponginess of tip
2. Loss of nail or nailfold angle
3. Accentuated nail convexity
   4 . Thickening of distal phalanx

Question 7

Kolionychia cause

Answer 7

Chronic Iron deficiency

Question 8

Leukonychia cause

Answer 8

Low albumin level

Question 9

What is Dyspepsia?

Answer 9

Indigestion

Question 10

Hematochezia

Answer 10

passage of fresh blood through the anus, usually in or with stools

Question 11

How different is Melena from Hematochezia?

Answer 11

Melena is often associated with blood in the stomach or duodenum (upper gastrointestinal bleeding eg. Peptic Ulcer) whiles Hematochezia is associated with blood that originates from the lower gastrointestinal tract such sigmoid colon or the rectum

Question 12

What you created a flashcard today?

Answer 12

Let’s build it together

Question 13

Yellowing of sclera

Answer 13

Indicative of Jaundice

Question 14

Enlarged parotid

Answer 14

Alcohlics
Mumps
Lymphoma

Question 15

Atrophic glossitis

Answer 15

Iron, Folate B12 deficiency

Question 16

Spider naevi

Answer 16

Collection of small dilated arterioles(blood vessels) clustered very close to the surface of the skin. Cluster of vessels is web like with a central spot and radiating vessels.

If >5, Chronic liver disease

Question 17

Palmar erythema

Answer 17

Chronic Liver Disease

Thyrotoxicosis

Question 18

Skin pigmentation

Answer 18

Haematochromatosis(Iron overload)

Question 19

Hepatic bruits heard during auscultation

Answer 19

Hepatocellular carcinoma

Question 20

Renal bruits

Answer 20

Renal Artery stenosis

Question 21

Dupuytrens contracture

Answer 21

Liver cirrhosis

Question 22

Dupuytrens contracture

Answer 22

Liver cirrhosis

Question 23

Asterixes

Answer 23

Liver encephalopathy

Question 24

Pulse

Answer 24

Diarrhea - Weak thready pulse

Question 25

Pulse

Answer 25

Diarrhea - Weak thready pulse