Gastro histories Flashcards

1
Q

Where would you feel pain if you had pancreatitis?

A

Right and left hyocondriac and epigastric region

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2
Q

Where would you feel pain if you had Gastric ulcers?

A

Right and left hypochondriac, epigastric and umbilical region

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3
Q

Where would you feel pain if you had gall stones?

A

Right hypochondriac and epigastric regions

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4
Q

Where would you feel pain if you had biliary colic?

A

Right hypochondriac

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5
Q

Where would you feel pain if you had heartburn?

A

Epigastric

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6
Q

Where would you feel pain if you had an epigastric hernia?

A

Epigastric

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7
Q

Where would you feel pain if you had Kidney stones?

A

Left and right lumbar

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8
Q

Where would you feel pain if you had a UTI?

A

Left and right lumbar and hypogastric regions

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9
Q

Where would you feel pain if you were constipated?

A

left and right lumbar region

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10
Q

Where would you feel pain if you had IBD?

A

Left lumbar, Umbilical, hypogastric and left iliac

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11
Q

Where would you feel pain if you had Diverticular disease?

A

Umbilical or hypogastric region

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12
Q

Where would you feel pain if you had appendicitis?

A

Umbilical (early), hypogastric and right iliac

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13
Q

Where would you feel pain if you had an aortic anneurysm?

A

Umbilical

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14
Q

Where would you feel pain if you had an ectopic pregnancy?

A

Right or left iliac

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15
Q

Where would you feel pain if you had an ovarian torsion?

A

Right or left iliac

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16
Q

Symptoms of crohns?

A

RLQ crampy or constant pain, mucus or blood in stool, prolonged diarrhoea, weight loss, fever, clubbing.

17
Q

Risk factors for crohns?

A

Age 15-40 60-80
FHx of crohns
White ancestry

18
Q

Diagnostic test for Crohns?

A

Colonoscopy with biopsy

19
Q

What would blood tests show for crohns?

A

Anaemia (malabsorption), low B12, Raised CRP and ESR.

20
Q

How would you treat crohns?

A

Prednisalone, Azathioprine

21
Q

Where is the pain initially for appendicitis?

A

Initially umbilical pain.

22
Q

Presentation of appendicitis?

A

Umbilical then RLQ pain, anorexia, N+V, Rebound tenderness, Rosvig’s sign in RIF

23
Q

Presentation of peptic ulcers?

A

Chronic upper abdo pain, risk factors such as h.pylori or use of NSAIDS, Pain related to hunger, specific foods or time of day, heart burn.

24
Q

Treatment for h.pylori peptic ulcers?

A

PPI + Clari and Amoxicillin

25
Q

Red flag symptoms for Upper GI cancers?

A

Dysphagia in older age group, weight loss, jaundice (over 40’s) upper abdo mass, Treatment resistant dyspepsia, unexplained low Hb, haematemesis.

26
Q

Red flag symptoms for lower GI cancers?

A

+ve faecal occult blood tests, abdo pain and weight loss, unexplained rectal bleeding, Iron def anaemia (over 60’s), rectal/abdo mass.

27
Q

Presentation of GORD?

A

Heartburn, belching, acid brash, chronic cough, increased salivation, hoarseness, throat clearing.

28
Q

Risk factors for GORD?

A

FHx, older age, hiatus hernia, NSAIDS

29
Q

Investigations for GORD?

A

8 week trial of PPI’s to see if affective. Can do endoscopy if indications.

30
Q

Treatment for GORD?

A

PPI, Antacids, Weight loss, smoking cessation, small regular meals.

31
Q

Presentation of coeliac disease?

A

Diarrhoea, bloating, abdopain/discomfort, anaemia, Aphthous ulcers and angular stomatitis. stinking stools that float.

32
Q

Investigations for coeliac?

A

FBC (low Hb and microcyctic anaemia), IGA transglutaminase testing.
Endoscopy with duodenal biopsy (diagnostic)

33
Q

Presentation of UC?

A

Episodic or chronic diarrhoea (+- blood or mucus), Crampy abdo discomfort, Fever, malaise, anorexia during attacks, clubbing, aphthous ulcers, erythema nodosum, may also have joint problems.

34
Q

Treatment for UC?

A
5 ASA (mesalazine), oral pred. 
IV hydrocortisone if severe.