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PCP > Gastro PCP presentations > Flashcards

Gastro PCP presentations Flashcards

1
Q

Vomiting:

Quality

A

Blood
Mucus
Bile-stained

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2
Q

What’s the word for vomiting blood?

A

Haematemesis

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3
Q

Vomiting:

Time

A

Normal stuff
+
Relationship to meal time
& Morning vomiting

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4
Q

Vomiting:

Context

A

New medications
Sick contacts
Travel
Pregnancy

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5
Q

Vomiting

Associated features

A 
Nausea
MI things
Gastro things
Pregnancy things
Dehydration things (as a result of vomiting)
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6
Q

“MI things” associated features

A

Chest pain

Sweating

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7
Q

“Gastro things” associated features

A

Diarrhoea
Fever
Abdo pain
Vommiting

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8
Q

“Dehydration things” associated features

A

Headache
Thirst/dry mouth
Decreased urination

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9
Q

“Pregnancy things” associated features

A

Amenorrhoea

Breast changes

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10
Q

Dysphagia:

What are the important two things to determine?

A

Where it gets stuck - oropharyngeal vs oesophageal

Solids only or solids & liquids

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11
Q

Dysphagia:

Associated features

A 
Odynophagia
Coughing
Choking
Reflux
Loss of appetite
Tremors (Parkinson's)
Cancer things
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12
Q

“Cancer things” associated features

A

Weight loss
Loss of appetite
Fever
Night sweats

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13
Q

Dysphagia:

FHx

A 
Neuromuscular problems (Parkinson's, MS)
Cancer
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14
Q

What the word for loss of peristalsis in oesophagus?

A

Achalasia

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15
Q

Diarrhoea:

Quality

A

How watery
Blood
Mucus
Steatorrhoea (difficulty flushing)

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16
Q

Diarrhoea:

Severity

A

Volume

17
Q

Diarrhoea:

Context

A
  1. Contact
  2. Travel
  3. Strange food
  4. Meds / ABs
18
Q

Diarrhoea:

Associated features

A

Gastro things
Malabsorptive things
Dehydration things (as a consequence)
Weight loss (as a consequence)

19
Q

Define acute diarrhoea

A

A few days

20
Q

Define persistant diarrhoea

A

2-4 weeks

21
Q

Define chronic diarrhoea

(cf chronic cough)

A

4+ weeks

Cough: 8+ weeks

22
Q

Constipation:

Context

A

Diet (low fibre)
Medications (codeine)
Immobility

23
Q

Constipation:

Associated features

A

Abdo pain
Rectal bleeding
Cancer things
Hypothyroid things

24
Q

Constipation:

FHx

A

Cancer

25
Q

Rectal bleeding:

Quality

A

Colour

Mixing

26
Q

What’s the word for black, tarry stools?

A

Melaena

27
Q

Why is malaena black?

A

The blood is oxidised by gut bacteria

28
Q

Would can bright rectal bleeding indicate?

A

Blood from rectum:

Anal fissure, haemorrhoids

29
Q

What can dark red rectal bleeding indicate

A

Bleeding from large intestines

30
Q

Alcohol:

Broad framework

A 
Quantitative
Circumstances/triggers
Dependence
Harm
Quitting
31
Q

Alcohol:

Quantitative questions

A

Do you drink
How often
Type & how much on a typical day
How often they have 4+ drinks

32
Q

Alcohol:

Dependence questions

A

Hard to stop once you’ve started
Unmet obligations
Morning drinking

33
Q

Alcohol:

Harm questions

A 
Injuries
Blackouts
Guilt
3rd party concern
Financial, legal, social harm
34
Q

Alcohol:

Quitting questions

A

Current motivation
Previous attempts
Previous tequniques

35
Q

Jaundice:

Context

A 
Alcoholism
Travel / vaccination
Tattoos / piercings
IVDU
Unprotected sex
36
Q

Jaundice:

Associated features

A

Pee (dark)
Poo (pale)
Puritis
Pain

Cirrhosis things
Malaria or sickle cell things
Gallstone things (pain is extreme and intermittent)

37
Q

“Cirrhosis things”

A

Oedema / ascites
Bruising
Gynaecomastia/amennorhoea
?

PCP (15 decks)

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