Common Presentation of GI disease in PC Flashcards

1
Q

What Abtx are most likely to cause Nausea and Vomiting.

A

Macrolides

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2
Q

What viral infections are most likely to cause N/V

A

Norovirus

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3
Q

What are the functional disorders of the GI tract causing N/V?

A

Gastroparesis, IBS, Non-ulcer dyspepsia

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4
Q

What are the obstructive disorders of the GI tract causing N/V?

A

Adhesions, Achalasia, intussuseption, pyloric stenosis, volvulus

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5
Q

What are the organic disorders of the GI tract causing N/V?

A

Appendicitis, cholecystitis, hepatitis, IBD

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6
Q

What are CNS causes of N/V

A

increased ICP
Migraine
Vestibular disorders
Closed head injury

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7
Q

What are Psychiatric Causes of N/V?

A

Anorexia, Bulemia, Depression, Anxiety

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8
Q

What are Red Flags Associated with N/V?

A
>55yo
Unintended Weight Loss
Progressive dysphagia
Persistant Vomiting
GI Bleeding 
Altered Mental Status
FHx of GI Cancer
Feculent vomiting (obstruction in Low GI)
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9
Q

What infections cause Diarrhea?

A

Travel History: EHEC, ETEC, Cholera, Typhus
Foodborne: Salmonella, Staph, Yersinia, E. Coli,
Viral: Rotavirus, Norovirus
Giardia

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10
Q

What are the enterotoxigenic Bacteria?

A

E. Coli, Shigella, C. Diff

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11
Q

What are the Red Flags of Diarrhea?

A
Bloody/Tarry Stools
Extremities of age
Recent Travel
Unintentional Wt loss
High Fever
Volume of stool
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12
Q

What does it mean if they have alternating diarrhea and constipation?

A

Functional Problem. IBS

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13
Q

What are some common causes of Bloating?

A

Air travel, dietary changes, aerophagia, gastroparesis, gastric outlet obstruction, dietary factors, IBS

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14
Q

Bloating Red Flags

A
Age
Anemia
Fluid or mass
Sustained visible distention
Wt loss
N/V and Diarrhea
GI Bleed
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15
Q

Red Flags for Dyspepsia?

A
Wt loss
Age of onset
GI bleed
FHx abdominal cancer
New onset without obvious trigger.
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16
Q

What is the correct order for abdominal Exam?

A
Inspect
Ascultate
Light then Deep palpation
Maneuvers
(Look, listen, and feel)
17
Q

What are the Maneuvers to do for abdominal Pain?

A
Murphy's sign
McBurney's sign
Rovsing's sign
Lloyds
Carnetts
Psoas
Grey-Cullen
18
Q

What doe pain in the RUQ mean?

A

Cholecystitis/cholangitis

Hepatitis

19
Q

What doe pain in the LUQ mean?

A

Splenic Rupture

20
Q

What doe pain in the RLQ mean?

A

Appendicitis

Crohn’s disease

21
Q

What doe pain in the LLQ mean?

A

Diverticulitis
UC
Irritable Bowel Syndrome

22
Q

What doe pain in the Periumbilical region mean?

A

Intestinal obstruction
Early Appendicitis
Aortic dissection

23
Q

What doe pain in the R or LLQ mean?

A

Urethrolithiasis
Ectopic Pregnancy
Ruptured Ovarian Cyst

24
Q

What doe pain in the Suprapubic Region mean?

A

Cystitis

PID

25
Q

What doe pain in the Rrectum mean?

A

Hemmhoroids
Fissures
Prutitis Ani