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Gasto > Gasto S&S 1 > Flashcards

Gasto S&S 1 Flashcards

1
Q

Flatus derived from two sources

A

Swallowed air (Nitrogen) Bacterial Infection

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2
Q

H. Pylori tests

A

(BEST) - Fecal antigen test: spec & sens
Can be used to detect post-treatment eradication
Carbon-13 urea breath test: spec & sens

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3
Q

Retching

A

spasmodic respiratory and abdominal movements

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4
Q

Dyspepsia Findings

A

PT hx: Relationship to meals PE unremarkable Mild TTP -

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5
Q

Hiccup treatment w/ meds

A

Chlorpromazine (Tegretol) – for intractable hiccups

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6
Q

Hypovolemia - Tilts

A

HR increase of at least 30 BPM after 3M of standing Isolated from Orthostatic HOTN

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7
Q

Dyspepsia does not mean

A

does not mean Heartburn

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8
Q

N/V - Acute onset without ABD Pain

A

Food poisoning, acute gastroenteritis, systemic illness

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9
Q

Boerhaave syndrome

A

rupture of the esophagus

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10
Q

FODMAPS

A

Short chain carbs

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11
Q

N/V - Treatments

A

Fluids
BRAT diet (bland foods)
Ginger

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12
Q

H. Pylori (Morph - Where found?)

A

GNB Spiral in mucosal surface next to EPI’s and in gastric pits

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13
Q

Functional Dyspepsia treatments

A

MC cause of Chronic dyspepsia Treatments Lifestyle Pharmacotherapy

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14
Q

N/V - Acute onset with ABD Pain

A

Peritoneal irritation
Acute obstruction
Gastroparesis

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15
Q

Dyspepsia

A

upset stomach upper abd Epigastric Pain or Burning
Early Satiety
Postprandial Fullness

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16
Q

H. Pylori (test when pt has)

A

dyspeptic patients
chronic GERD patients
suspected or confirmed PUD patients (Common cause)

17
Q

Persistant hiccups req-

A

Full Hx - PE (serious)

18
Q

H. Pylori x4 therapy (14D)

A

PPI
Bismuth subsalicylate
Tetracycline
Metronidazole

19
Q

Indigestion

A

overeating or eating too quickly

20
Q

N/V - Findings

A

Hx PE - Dehydration Dry mucous membranes
Skin turgor
Or

21
Q

Vomiting - Causes

A

serotonin 5-HT3 receptors

22
Q

Hiccup causes

A

Gastric distention Temp Changes Etoh

23
Q

Dyspepsia Etiologies

A

Food or Drug Intolerance Functional Dyspepsia Luminal GI Tract Dysfunction Helicobacter Pylori

24
Q

Alarm Symptoms

A

Weight loss
Dysphagia - (Odynophagia)
Recurrent vomiting
Evidence of bleeding - Hematochezia (+FOBT)
Anemia Family HX - Colon Cancer - IBS

25
Q

H. Pylori x3 therapy (14D)

A

PPI
Clarithromycin
Amoxicillin or metronidazole

26
Q

Flatus W/U & treatment

A

Potential Malabsorption Avoid FODMAPS

27
Q

Antiemetics

A

Serotonin 5-HT3-receptor antagonists
Dopamine antagonists
Antihistamines

28
Q

Orthostatic HOTN - Tilts results

A 
A decline of:
≥ 20mm Hg in systolic 
or 
≥10 mm Hg in diastolic blood pressure 
after 3 minutes of standing 
= orthostatic hypotension.
29
Q

Tilts - process

A
  1. Patient lies down head flat at least 3m
  2. Measure BP/pulse supine
  3. Sit for 1 minute.
    – Note diaphoresis, pallor, dizziness, weakness, or visual change w/ position change. Check sitting bp/pulse.
  4. Stand.
    – Note diaphoresis, pallor, dizziness, weak
30
Q

Vomiting does not mean

A

does not mean Regurgitation

31
Q

Singultus

A

Involuntary contractions of the diaphragm

L>R if hemidiaphragm

32
Q

Dyspepsia - Further Eval

A

Upper EGD - other than uncomplicated dyspepsia Fail to respond to treat w/in 6 weeks

33
Q

Gastro etiology

A

What organ is located where it hurts

34
Q

N/V clinical pearl

A

Can Pt tolerate PO?

35
Q

Dyspepsia

A

CBC
Chem 17 (CMP)
Thyroid Panel
H pylori -

36
Q

EGD

A

Exam Esophagus, Stomach, 1st part of duodenum

37
Q

Dyspepsia Empirc Treatment (Who-what)

A

<55YO w/ no alams H. Pylori test PPI 4-6W

38
Q

Vomiting - Complications

A

Boerhaave syndrome

Mallory-Weiss tear

Gasto (6 decks)

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