Clinical features Flashcards
1
Q
GORD
A
Heartburn Pain - worse after meals, lying down Pain relieved by antacids Acid regurgitation - bitter taste in mouth Waterbrash
2
Q
Peptic ulcer disease
A
Epigastric pain Malaena Haematemesis Dysphasia Early satiation
3
Q
Ascending cholangitis
A
URQ pain Fever, riggers Jaundice Nausea and vomiting Anorexia Fever Shock
4
Q
Cholecystitis
A
RUQ/epigastric pain Biliary colic (severe cramps pain) Episodic pain - preceded by fatty food or ETOH Nausea and vomiting Fever Mild jaundice Shock --> murphy's sign
5
Q
Bowel obstruction
A
Abdominal pain - dull, crampy and intermittent Abdominal distention Vomiting Constipation Dehydration
Examination: abdo may be firm or tender and bowel sounds may be absent
6
Q
GI perforation
A
Sudden/severe abdo pain and tenderness Nausea and vomiting Haematemesis PR bleed Fever/rigors Sepsis
Examination: abdo tenderness, rigidity and rebound tenderness
7
Q
GI malignancy
A
Blood in stool Weight loss Fatigue Abdo pain/mass Bloating Anaemia Constipation or diarrhoea/change in bowel habits
8
Q
Malabsorption
A
Growth retardation Weight loss Diarrhoea, constipation Bloating Cramping Glossitis, anaemia, bleeding problems, steatorrhoea
9
Q
Chronic pancreatitis
A
ULQ pain Nausea and vomiting Steatorrhoea Malabsorption Loose stools
10
Q
Acute pancreatitis
A
Severe epigastric pain Nausea and vomiting Anorexia Fever, chills, rigor Shock
Examination: peritonitis, Cullen’s sign and Grey-Turner’s sign
11
Q
Diverticulitis
A
Typical LLQ abdo pain Dull constant pain Nausea and vomiting Diarhoea and constipation Fever Peritonitis
12
Q
Colitis
A
Pain mild-severe Diarrhoea or constipation Bloody diarrhoea Flatulence Fatigue Weight loss Anorexia
13
Q
Hepatitis
A
Initial syndrome: Asymptomatic Fatigue Anorexia Nausea RUQ tenderness Jaundice Dark urine Fulminant hepatitis Later: symptoms of liver failure
14
Q
Hepatic failure
A
Jaundice
Ascites and oedema
Examination: enlarged or small liver, splenomegaly, coagulopathy, oedema, caput medusa, palmar erythema, duputren’s contracture, asterixis, scratch marks, retro hepaticus
15
Q
Portal hypertension
A
Ascites
Splenomegaly
Oesophageal varices - haematemesis
Caput medusa
