Gastrointestinal Disease Flashcards
What are the key signs and symptoms of GI disorders that may mimic MSK disorders?
Dysphagia, odynophagia, arthralgia, epigastric pain radiating to the back, referred shoulder pain (arthralgia, referred pain to mid-back, pelvis, and sacrum).
What are the signs and symptoms of gastroesophageal reflux disease (GERD)?
Heartburn, regurgitation, chest pain, ‘lump’ in the throat (pain around the chest, upper back).
What are the risk factors for GERD?
Obesity, smoking, pregnancy, certain medications (pain may present in chest or back).
What are the signs and symptoms of peptic ulcer disease?
Epigastric pain, nausea, vomiting, back pain, night pain, pain affected by food (pain in the mid-back, lower back).
What are the risk factors for peptic ulcer disease?
NSAID use, H. pylori infection, smoking, alcohol use (pain may radiate to the upper back or chest).
What are the signs and symptoms of appendicitis?
RLQ pain, nausea, vomiting, low-grade fever, tenderness at McBurney’s point (pain radiates to the right groin, abdomen).
What are the risk factors for appendicitis?
Age, family history, inflammation, infection (can lead to referred pain in the groin or right lower quadrant).
What are the signs and symptoms of Crohn’s disease?
Abdominal pain, weight loss, fatigue, joint pain (pain radiating to the low back, pelvis, and sacrum).
What are the risk factors for Crohn’s disease?
Family history, smoking, diet, genetics (may cause joint pain, low back pain).
What are the signs and symptoms of ulcerative colitis?
Abdominal pain, joint pain, rectal bleeding, fatigue, weight loss (may refer to the low back and pelvis).
What are the risk factors for ulcerative colitis?
Family history, smoking, infection, genetic predisposition (can lead to shoulder, back, or pelvic pain).
What are the signs and symptoms of colorectal cancer?
Abdominal pain, changes in bowel habits, rectal bleeding, fatigue, weight loss (pain may refer to the back, pelvis, or lower abdomen).
What are the risk factors for colorectal cancer?
Age > 40, family history, smoking, alcohol use, African-American ethnicity (may cause radiating pain to the lower extremities).
What are the signs and symptoms of a psoas abscess?
Lower abdominal pain, fever, loss of appetite, night sweats (pain may radiate to the hip or groin).
What are the risk factors for a psoas abscess?
Recent abdominal surgery, infection (may lead to lower abdominal pain).
What are the signs and symptoms of an obturator abscess?
Pelvic pain, fever, abdominal discomfort (pain may radiate to the RLQ).
What are the risk factors for an obturator abscess?
Appendicitis, infection, peritonitis (leads to referred pelvic pain).
What is Kehr’s sign and what condition does it indicate?
L shoulder pain with pressure on the upper abdomen, indicating free air in the abdominal cavity or blood (may indicate ruptured spleen or trauma).
What is Danforth’s sign and what condition does it indicate?
L shoulder pain with inspiration, indicating free air in the abdominal cavity or blood (suggestive of abdominal trauma or laparoscopy).
What is the clinical significance of McBurney’s point?
Tenderness 1/3 the distance from ASIS to umbilicus, indicates appendicitis (may radiate pain to the right groin).
What is Blumberg’s sign (rebound tenderness) and what condition does it indicate?
Rebound tenderness in RLQ, indicates peritoneal inflammation or appendicitis (pain may refer to the lower right abdomen or groin).
What is the Pinch an Inch test and what is it used for?
Pinching abdominal skin for tenderness, used to detect peritonitis or appendicitis (pain felt in RLQ).
What are the signs and symptoms of NSAID-induced gastropathy?
Abdominal pain, GI bleeding, mid-back pain, nausea, vomiting, fluid retention (pain radiates to RUQ).
What are the risk factors for NSAID-induced gastropathy?
Age > 65, smoking, alcohol use, corticosteroid or SSRI use (may lead to GI bleeding or upper back pain).
What are the signs and symptoms of inflammatory bowel disease (IBD)?
Abdominal pain, diarrhea, joint pain, weight loss, skin lesions (pain can radiate to the back or pelvis).
What are the risk factors for inflammatory bowel disease (IBD)?
Family history, smoking, autoimmune diseases, diet (can lead to low back pain).
What are the signs and symptoms of dysphagia and odynophagia?
Difficulty swallowing, painful swallowing, feeling of food stuck in throat (may cause chest pain or referred pain to the upper back).
What are the common risk factors for dysphagia and odynophagia?
Stroke, esophageal cancer, GERD, infection (may cause pain in the chest or throat).
What are the signs and symptoms of epigastric pain?
Burning sensation, nausea, pain worsening with eating (pain in the mid-back or upper abdomen).
What are the signs and symptoms of epigastric pain radiating to the back?
Back pain, heartburn, nausea, vomiting, night pain (pain refers to the mid-back).
What are the risk factors for epigastric pain radiating to the back?
Ulcers, GERD, medications, infections (may cause referred pain to the back).
What are the symptoms of referred shoulder pain associated with GI conditions?
L shoulder pain, worsened by pressure or inspiration (may indicate GI conditions like ulcers or pancreatitis).
What GI conditions can refer pain to the shoulder?
Pancreatic cancer, ulcers, laparoscopy, abdominal trauma (pain radiates to the shoulder).
What are the common signs of GI bleeding?
Blood in stool, black tarry stools, vomiting blood, fatigue (may present with pain in the abdomen or back).
What are the risk factors for GI bleeding?
NSAID use, age > 65, alcohol use, smoking (can lead to abdominal and back pain).
What are the signs and symptoms of constipation and diarrhea?
Constipation: difficulty passing stool, bloating; Diarrhea: frequent loose stools, abdominal cramps (can cause referred pain to the lower abdomen).
What are the causes and risk factors for constipation and diarrhea?
Diet, medications, infection, stress (may cause pelvic or lower back pain).
What are the signs and symptoms of gastrointestinal infections?
Nausea, vomiting, diarrhea, fever, abdominal pain (pain in the lower abdomen or back).
What are the risk factors for gastrointestinal infections?
Travel, contaminated food/water, infection, poor hygiene (may cause lower abdominal or pelvic pain).
What are the musculoskeletal symptoms associated with GI disorders?
Low back pain, sacroiliitis, referred pain to the pelvis, hips, or shoulder (may present with arthralgia or morning stiffness).
