Gastrointestinal Disease

Question 1

What are the key signs and symptoms of GI disorders that may mimic MSK disorders?

Answer 1

Dysphagia, odynophagia, arthralgia, epigastric pain radiating to the back, referred shoulder pain (arthralgia, referred pain to mid-back, pelvis, and sacrum).

Question 2

What are the signs and symptoms of gastroesophageal reflux disease (GERD)?

Answer 2

Heartburn, regurgitation, chest pain, ‘lump’ in the throat (pain around the chest, upper back).

Question 3

What are the risk factors for GERD?

Answer 3

Obesity, smoking, pregnancy, certain medications (pain may present in chest or back).

Question 4

What are the signs and symptoms of peptic ulcer disease?

Answer 4

Epigastric pain, nausea, vomiting, back pain, night pain, pain affected by food (pain in the mid-back, lower back).

Question 5

What are the risk factors for peptic ulcer disease?

Answer 5

NSAID use, H. pylori infection, smoking, alcohol use (pain may radiate to the upper back or chest).

Question 6

What are the signs and symptoms of appendicitis?

Answer 6

RLQ pain, nausea, vomiting, low-grade fever, tenderness at McBurney’s point (pain radiates to the right groin, abdomen).

Question 7

What are the risk factors for appendicitis?

Answer 7

Age, family history, inflammation, infection (can lead to referred pain in the groin or right lower quadrant).

Question 8

What are the signs and symptoms of Crohn’s disease?

Answer 8

Abdominal pain, weight loss, fatigue, joint pain (pain radiating to the low back, pelvis, and sacrum).

Question 9

What are the risk factors for Crohn’s disease?

Answer 9

Family history, smoking, diet, genetics (may cause joint pain, low back pain).

Question 10

What are the signs and symptoms of ulcerative colitis?

Answer 10

Abdominal pain, joint pain, rectal bleeding, fatigue, weight loss (may refer to the low back and pelvis).

Question 11

What are the risk factors for ulcerative colitis?

Answer 11

Family history, smoking, infection, genetic predisposition (can lead to shoulder, back, or pelvic pain).

Question 12

What are the signs and symptoms of colorectal cancer?

Answer 12

Abdominal pain, changes in bowel habits, rectal bleeding, fatigue, weight loss (pain may refer to the back, pelvis, or lower abdomen).

Question 13

What are the risk factors for colorectal cancer?

Answer 13

Age > 40, family history, smoking, alcohol use, African-American ethnicity (may cause radiating pain to the lower extremities).

Question 14

What are the signs and symptoms of a psoas abscess?

Answer 14

Lower abdominal pain, fever, loss of appetite, night sweats (pain may radiate to the hip or groin).

Question 15

What are the risk factors for a psoas abscess?

Answer 15

Recent abdominal surgery, infection (may lead to lower abdominal pain).

Question 16

What are the signs and symptoms of an obturator abscess?

Answer 16

Pelvic pain, fever, abdominal discomfort (pain may radiate to the RLQ).

Question 17

What are the risk factors for an obturator abscess?

Answer 17

Appendicitis, infection, peritonitis (leads to referred pelvic pain).

Question 18

What is Kehr’s sign and what condition does it indicate?

Answer 18

L shoulder pain with pressure on the upper abdomen, indicating free air in the abdominal cavity or blood (may indicate ruptured spleen or trauma).

Question 19

What is Danforth’s sign and what condition does it indicate?

Answer 19

L shoulder pain with inspiration, indicating free air in the abdominal cavity or blood (suggestive of abdominal trauma or laparoscopy).

Question 20

What is the clinical significance of McBurney’s point?

Answer 20

Tenderness 1/3 the distance from ASIS to umbilicus, indicates appendicitis (may radiate pain to the right groin).

Question 21

What is Blumberg’s sign (rebound tenderness) and what condition does it indicate?

Answer 21

Rebound tenderness in RLQ, indicates peritoneal inflammation or appendicitis (pain may refer to the lower right abdomen or groin).

Question 22

What is the Pinch an Inch test and what is it used for?

Answer 22

Pinching abdominal skin for tenderness, used to detect peritonitis or appendicitis (pain felt in RLQ).

Question 23

What are the signs and symptoms of NSAID-induced gastropathy?

Answer 23

Abdominal pain, GI bleeding, mid-back pain, nausea, vomiting, fluid retention (pain radiates to RUQ).

Question 24

What are the risk factors for NSAID-induced gastropathy?

Answer 24

Age > 65, smoking, alcohol use, corticosteroid or SSRI use (may lead to GI bleeding or upper back pain).

Question 25

What are the signs and symptoms of inflammatory bowel disease (IBD)?

Answer 25

Abdominal pain, diarrhea, joint pain, weight loss, skin lesions (pain can radiate to the back or pelvis).

Question 26

What are the risk factors for inflammatory bowel disease (IBD)?

Answer 26

Family history, smoking, autoimmune diseases, diet (can lead to low back pain).

Question 27

What are the signs and symptoms of dysphagia and odynophagia?

Answer 27

Difficulty swallowing, painful swallowing, feeling of food stuck in throat (may cause chest pain or referred pain to the upper back).

Question 28

What are the common risk factors for dysphagia and odynophagia?

Answer 28

Stroke, esophageal cancer, GERD, infection (may cause pain in the chest or throat).

Question 29

What are the signs and symptoms of epigastric pain?

Answer 29

Burning sensation, nausea, pain worsening with eating (pain in the mid-back or upper abdomen).

Question 30

What are the signs and symptoms of epigastric pain radiating to the back?

Answer 30

Back pain, heartburn, nausea, vomiting, night pain (pain refers to the mid-back).

Question 31

What are the risk factors for epigastric pain radiating to the back?

Answer 31

Ulcers, GERD, medications, infections (may cause referred pain to the back).

Question 32

What are the symptoms of referred shoulder pain associated with GI conditions?

Answer 32

L shoulder pain, worsened by pressure or inspiration (may indicate GI conditions like ulcers or pancreatitis).

Question 33

What GI conditions can refer pain to the shoulder?

Answer 33

Pancreatic cancer, ulcers, laparoscopy, abdominal trauma (pain radiates to the shoulder).

Question 34

What are the common signs of GI bleeding?

Answer 34

Blood in stool, black tarry stools, vomiting blood, fatigue (may present with pain in the abdomen or back).

Question 35

What are the risk factors for GI bleeding?

Answer 35

NSAID use, age > 65, alcohol use, smoking (can lead to abdominal and back pain).

Question 36

What are the signs and symptoms of constipation and diarrhea?

Answer 36

Constipation: difficulty passing stool, bloating; Diarrhea: frequent loose stools, abdominal cramps (can cause referred pain to the lower abdomen).

Question 37

What are the causes and risk factors for constipation and diarrhea?

Answer 37

Diet, medications, infection, stress (may cause pelvic or lower back pain).

Question 38

What are the signs and symptoms of gastrointestinal infections?

Answer 38

Nausea, vomiting, diarrhea, fever, abdominal pain (pain in the lower abdomen or back).

Question 39

What are the risk factors for gastrointestinal infections?

Answer 39

Travel, contaminated food/water, infection, poor hygiene (may cause lower abdominal or pelvic pain).

Question 40

What are the musculoskeletal symptoms associated with GI disorders?

Answer 40

Low back pain, sacroiliitis, referred pain to the pelvis, hips, or shoulder (may present with arthralgia or morning stiffness).