EXAM #3: GI DISEASE IN PRIMARY CARE Flashcards
What class of antibiotics is most commonly implicated in the development of nausea and vomiting?
Macrolides
What are the functional disorders of the GI system?
1) Gastroparesis
2) IBS
3) non-ulcer dyspepsia
*All caused by abnormal functioning of GI system
What causes bowel obstruction?
1) Adhesions
2) Achalasia
3) Inusssusception
4) Pyloric stenosis
5) Volvulus
List the organic GI disorders.
1) Appendicitis
2) Cholecystitis
3) Hepatitis
4) IBD
What are the red flags relating to nausea/vomiting?
- Older than 55
- Weight loss
- Progressive dysphagia
- Persistent vomiting
- GI bleed
- AMS
- Hx. of GI cancer
- Feculant vomiting
When is diarrhea chronic?
14 days
What are the red flags related to diarrhea?
- Melena
- Hematochezia
- Extremes of age
- Recent travel
- Unintended weight loss
- High fever
- Large volumes of stool
What are the red flags associated with a chief complaint of constipation?
- Unable to pass gas
- Weight loss
- Hx of cancer
Why is constant bloating a red flag?
Can be seen with ovarian cancer and ascites
What are the red flags of bloating?
- Extremes of age
- Anemia
- Abdominal distension
- Exam suggesting fluid of mass
- Weight loss
- Co-nausea, vomiting, diarrhea
- GI bleeding
What are the red flags of dyspepsia?
- Abnormal PE
- Weight loss
- Extremes of age
- GI bleeding
- Family hx of abdominal cancer
- Lab abnormalities
- New onset w/out trigger
What is a positive Rovsing’s sign associated with?
Appendicitis
Palpation of the LLQ= pain in the RLQ
What is a Carnett’s sign?
- Patient is essentially asked to do an abdominal crunch
- Pain is worse= positive sign
Indicates rectus sheath problem, NOT an intra-abdominal etiology
What are the primary etiologies of epigastric pain?
GERD Gastritis Duodenal ulcer Gastric malignancy Pancreatitis
What are the primary etiologies of RUQ pain?
Cholecystitis
Hepatitis
What is the primary etiology of LUQ pain?
Splenic rupture
What is intense pain radiating from the LUQ to the left shoulder called?
Positive Kehr’s Sign
What are the primary etiologies of RLQ pain?
Appendicitis
Crohn’s Disease
+
Ureterolithiasis
Ectopic pregnancy
Ruptured ovarian cyst
What are the primary etiologies of LLQ pain?
Diverticulitis
UC
IBS
+
Ureterolithiasis
Ectopic pregnancy
Ruptured ovarian cyst
What are the primary etiologies of periumbilical pain?
Intestinal obstruction
Early appendicitis
Aortic dissection
What are the primary etiologies of suprapubic pain?
Cystitis
PID
What are the primary etiologies of rectal pain?
Hemorrhoids
Fissures
Pruritis ani
What is Grey-Turner’s sign associated with?
Hemorrhagic pancreatitis
Seen with RETROPERITONEAL bleeding
