Epigastric Pain Flashcards
0
Q
Pain better with food
A
Duodenal ulcer
1
Q
Pain worse with food
A
Gastric ulcer, ischemic bowel disease, biliary colic (if after eating fatty foods; most likely pain will be in RUQ)
2
Q
Weight loss
A
Cancer or gastric ulcer (pain –> decreased appetite)
3
Q
Tenderness
A
Pancreatitis
4
Q
Cough in morning or at night
A
GERD
5
Q
Diabetes, bloating
A
Gastroparesis
6
Q
History is unremarkable
A
Non-ulcer dyspepsia
7
Q
Pain is constant, severe, not related to eating, and radiates to the back
A
Pancreatitis
8
Q
Pain radiates into the chest, sore throat, hoarse voice
A
GERD
9
Q
Initial treatment for epigastric pain
A
PPI
10
Q
Best test to determine etiology of epigastric pain related to ulcer disease
A
Endoscopy
13
Q
The MCC of epigastric pain
A
Non-ulcer dyspepsia (50-90% of all cases)
