GI Flashcards

1
Q

DIARRHEA

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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2
Q

CONSTIPATION

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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3
Q

HEMORRHOIDS

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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4
Q

ANAL FISSURE

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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5
Q

ANORECTAL ABSCESS

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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6
Q

ANORECTAL FISTULA

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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7
Q

PILONIDAL DISEASE

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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8
Q

INFLAMMATORY BOWEL DISEASE

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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6.
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9
Q

IRRITABLE BOWEL SYNDROMME

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
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6.
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10
Q

GERD

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
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6.
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11
Q

ESOPHAGITIS

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
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6.
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12
Q

ESOPHAGEAL STRICTURE

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
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6.
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13
Q

ESOPHAGEAL SPASM

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
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6.
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14
Q

MALLORY WEISS/BOERHAAVE

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
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6.
7.
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15
Q

GASTRITIS

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
2.
3.
4.
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6.
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16
Q

PEPTIC ULCER

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
2.
3.
4.
5.
6.
7.
17
Q

GI BLEED

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
2.
3.
4.
5.
6.
7.
18
Q

DIVERTICULITIS

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
2.
3.
4.
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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

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
  1. obstruction of the appendix
  2. Initial vague/colicky periumbilical or epigastric pain, pain shift to RLQ, worse when walking or coughing, N/V, low grade fever
  3. +Psoas/obturator, + rebound,
  4. CBC/DIFF, UA (Hematuria, pyuria)
  5. Broad spectrum IV abx
    6.
  6. VGE, Constipation, Bowel obstruction
20
Q

CHOLECYSTITIS

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
  1. bile concentration crystals create sludge, large fatty meal
  2. acute attack, pain in epigastrium or right hypochondrium, Vomiting, Fever
  3. Murphy sign, palpable gallbladder, Jaundice
  4. Plain rads, CT
  5. withhold of oral feedings, IV abx, narcs for pain
  6. MEDEVAC.
  7. Peptic ulcer, Acute pancreatitis, Hepatitis, Appendicitis, Pneumonia
21
Q

PACREATITIS

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
  1. biliary tract disease or heavy alcohol intake, hyperlipidemia, hypercalcemia
  2. 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.
  3. Fever, tachycardia, hypotension, pallor/cool clammy, mild jaundice, upper abdl mass may be palpated
  4. CBC (leukocytosis), Elevated serum Lipase, UA (proteinuria, granular casts), Glucometer, Elevated serum lactic dehydrogenase. Plain radiographs, CT scan, US, EKG (ST-T waves changes)
  5. withholding food and liquids by mouth, bed rest, fluids, narcs for pain
  6. MEDEVAC.
  7. Acute cholecystitis, Duodenal ulcer, Intestinal obstruction, Leaking aortic aneurysm, Renal colic
22
Q

HERNIA

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
2.
3.
4.
5.
6.
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23
Q

BOWEL OBSTRUCTION

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
1. 
2.
3.
4.
5.
6.
7.
24
Q

SECONDARY PERITONITIS

  1. Defintion/Causes
  2. SX
  3. Physical Exam Findings
  4. Labs/Rad
  5. Tx
  6. Disposition
  7. DDX
A
  1. appendicitis, cholecystitis, diverticulitis, pancreatitis, bowel perforation.
  2. fever, tachycardia, hypotension
  3. fetal position, board-like abdomen, shake the pelvis, + iliopsoas/obturator
  4. CBC/DIFF, UA, Blood Cultures, ABD Xray
  5. Broad spectrum IV ABX (ertapenem), Fluids
  6. MEDEVAC
  7. appendicitis, cholecystitis, diverticulitis, pancreatitis, bowel perforation