Common Presentations in Primary Care Flashcards
1
Q
What are the classes of functional GI disorders?
A
- motility
- peristalsis
- digestion
- filtration and removal of toxins
- metabolism of stuff
- fluid balance
- absorption of nutrients
2
Q
causes of nausea and vomiting?
A
- iatrogenic (medications-acne meds, hormones, opitates)
- toxic (ethanol, arsenic, pesticides, ricin)
- infectious (food borne, virus, bacterial toxins-Staph coccus)
- GI disorder (functional-gastroparesis-slow motility, IBS,non-ulcer dyspepsia, obstruction..)
- CNS or psychiatric issues (inc intracranial pressure)
3
Q
What is a bad sign with vomit?
A
Blood in the vomit - or for realy any GI issue
4
Q
Red flags for GI issues?
A
- older than 55yrs
- unintended weight loss
- progressive dysphagia
- persistnet vomting
- GI bleeding
- altered mental status
- famly Hx of GI cancer
- feculent vomiting
5
Q
Gallbladder cancers common with which population?
A
Chileans
6
Q
Gastric cancer where?
A
Asia
7
Q
If you see encoporesis in a kid also think?
A
enuriesis - and vice versa
8
Q
Most common cause for diarrhea anywhere?
A
rotavirus
9
Q
Diarrhea - check for/work-up?
A
- check for blood
- leukocytes
- stool pH
- ova and parasites
- stool culture
- enzyme immunoassays for viral pathogens
10
Q
common parasite in US suburbia?
A
giardia
11
Q
red flags for diarrhea
A
- bloody poop (red=lower GI vs tarry=upper GI)
- extremes of age
- recent travel
- unintentional WL
- high F
- volume of stool
12
Q
Alternation with diarrhea usually is?
A
IBS - functional disorder
13
Q
Woman presents with bloating think…
A
ovarian cancer
14
Q
Cholestitis radiates to?
A
right shoulder
15
Q
Splenic rupture/ abscess ratiates to?
A
left shoulder
