GI Flashcards
1
Q
DIARRHEA
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
2
Q
CONSTIPATION
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
3
Q
HEMORRHOIDS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
4
Q
ANAL FISSURE
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
5
Q
ANORECTAL ABSCESS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
6
Q
ANORECTAL FISTULA
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
7
Q
PILONIDAL DISEASE
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
8
Q
INFLAMMATORY BOWEL DISEASE
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
9
Q
IRRITABLE BOWEL SYNDROMME
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
10
Q
GERD
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
11
Q
ESOPHAGITIS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
12
Q
ESOPHAGEAL STRICTURE
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
13
Q
ESOPHAGEAL SPASM
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
14
Q
MALLORY WEISS/BOERHAAVE
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
15
Q
GASTRITIS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
16
Q
PEPTIC ULCER
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
17
Q
GI BLEED
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
18
Q
DIVERTICULITIS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7. Don't just read off note, they'll fail you. Don't say "um" -why you're calling -who you are -where are you calling from -BLUF -pert + -pert - If you give bad information, you'll get bad advice. If you misdiagnose, take the new information and present the patient as if you got it right. Just preface it with " Hey sir/ma'am, I crit failed the scenario." Don't MEDADVICE for things that you can look up yourself. Crit failures are 20% Misdiagnosing is not a crit failuresdfdf. Evne if you figure out what the real dx is
19
Q
APPENDICITIS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
- obstruction of the appendix
- Initial vague/colicky periumbilical or epigastric pain, pain shift to RLQ, worse when walking or coughing, N/V, low grade fever
- +Psoas/obturator, + rebound,
- CBC/DIFF, UA (Hematuria, pyuria)
- Broad spectrum IV abx
6. - VGE, Constipation, Bowel obstruction
20
Q
CHOLECYSTITIS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
- bile concentration crystals create sludge, large fatty meal
- acute attack, pain in epigastrium or right hypochondrium, Vomiting, Fever
- Murphy sign, palpable gallbladder, Jaundice
- Plain rads, CT
- withhold of oral feedings, IV abx, narcs for pain
- MEDEVAC.
- Peptic ulcer, Acute pancreatitis, Hepatitis, Appendicitis, Pneumonia
21
Q
PACREATITIS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
- biliary tract disease or heavy alcohol intake, hyperlipidemia, hypercalcemia
- abrupt, steady, boring, epigastric pain, worse by walking and lying supine, better by sitting and leaning forward. radiates to the back or the right or left. N/V, hx of alcohol/heavy meal.
- Fever, tachycardia, hypotension, pallor/cool clammy, mild jaundice, upper abdl mass may be palpated
- CBC (leukocytosis), Elevated serum Lipase, UA (proteinuria, granular casts), Glucometer, Elevated serum lactic dehydrogenase. Plain radiographs, CT scan, US, EKG (ST-T waves changes)
- withholding food and liquids by mouth, bed rest, fluids, narcs for pain
- MEDEVAC.
- Acute cholecystitis, Duodenal ulcer, Intestinal obstruction, Leaking aortic aneurysm, Renal colic
22
Q
HERNIA
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
23
Q
BOWEL OBSTRUCTION
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
1. 2. 3. 4. 5. 6. 7.
24
Q
SECONDARY PERITONITIS
- Defintion/Causes
- SX
- Physical Exam Findings
- Labs/Rad
- Tx
- Disposition
- DDX
A
- appendicitis, cholecystitis, diverticulitis, pancreatitis, bowel perforation.
- fever, tachycardia, hypotension
- fetal position, board-like abdomen, shake the pelvis, + iliopsoas/obturator
- CBC/DIFF, UA, Blood Cultures, ABD Xray
- Broad spectrum IV ABX (ertapenem), Fluids
- MEDEVAC
- appendicitis, cholecystitis, diverticulitis, pancreatitis, bowel perforation