Gastrointestinal Flashcards
What can refer pain to LUQ
- Gastric Ulcer
- Pneumonia
- Spleen issues
- Aortic aneurysm
What can refer pain to LLQ
- Ileitis
- Sigmoid diverticulitis
- Kidney stone
- Ureteral stone
- Intestinal obstruction
What can refer pain to RUQ
- Hepatomegaly
- Duodenal ulcer
- Pneumonia
- Hepatitis
- Bilirary stones
- Cholecystitis (gallbaldder inflammation)
What can refer pain to RLQ
- Cholecystitis
- Appendicitis
- Kidney stones
- Ureteral stone
- Intestinal obstruction
Where would a gastric ulcer refer pain
Left upper quad
Where do the liver/gallbladder refer pain
- Right neck
- Right shoulder
- RUQ
Where does the lung/diaphragm refer pain
- Left neck
- Left shoulder
Where does heart refer pain
- Left chest and arm
- Between shoulder blades
Where does stomach refer pain
-center of chest and center of back
Where does pancreas refer pain
Left upper quad
Where does small intestine refer pain
Center of abdominal region
Where does appendix refer pain
RLQ
Where does kidney refer pain
LLQ
RLQ
upper legs
Where does bladder refer pain
Lower groin and inner legs
Major cause of GI bleeding
NSAIDS
What types of foods can make GERD worse
Spicy, acidic foods, fatty foods
How to make hiatal hernia or GERD better
Left sidelying
AVOID flat supine or valsalva
Most common cause of gastitis
NSAIDS
Coffee-ground emeisis can mean what
Peptic ulcer
What is a peptic ulcer caused by
H.pylori
Where does peptic ulcer refer pain
- Midback
- Epigastric region
Diverticular dz would refer pain where
Left side of body
Is peptic ulcer made worse or better with food
better
Where would pain be for someone with diverticulitis
Left lower quadrant
What is Cholecystitis
inflammation of gallbladder
What is Crohn’s Dz
inflammation of bowel
What are causes of diverticulitis
low fiber diet
Are most people with diverticulitis symptomatic
no
Why do esophageal varicies occur
When blood flow to the liver is obstructed by scar tissue
Femoral hernias are common with who
Pregnant or obese women (large women)
What position will help someone with GERD
left sidelying
Do most inguinal hernias occur in men or women
Men
Sx of cholecysitis
Pain in right upper quadrant, radiates to interscapular region, often
asymptomatic, jaundice, fever, abdominal rigidity
Sx of gallstones
Intense pain in upper right quadrant
Can back pain be a sign of a peptic ulcer
yes
Normal WBC count
5-10
Normal platelet values
140-400
Normal Hemoglobin
12-17
Will increased reflexes occur with too much or too little Ca
too little Ca (hypocalcemia)
Diuretics can lead to what
Hyponatremia (too little sodium)
Pitting edema will occur with too much or too little Na
too little
Will too much or too little K+ cause ventricular fibrilation
too much K+
Hypotension will be caused by too much or too little Na
too little Na
Normal values for Na
134-142
Normal values for K+
3.7-5.1
Normal Ca values
8.6-10.3
Will cushing’s syndrome lead to too much or too little Na
too much
Will Addison’s dz lead to too much or too little K+
too much
