GI 3 Flashcards

1
Q

aging: when do changes begin in the GI system?

A

BEFORE age 50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What oral changes will be seen with aging?

A
  • tooth enamel wear » periodontal disease
  • sensory changes with decreased appetite
  • salivation decreases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why is is problematic for there to be decreased salivation?

A

swallowing is more difficult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

GI organs: changes with age

A
  • lose some mm tone, but still perform well
  • difficulty swallowing
  • reduced esophageal peristalsis
  • large intestine slowing
  • decreased production of intrinsic factor that promotes vit B12 absorption
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

GI organs and changes with age: What might difficulty swallowing be caused by?

A
  • decreased salivation

- muscular dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GI organs and changes with age: Reduced esophageal peristalsis results in

A

GERD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GI organs and changes with age: implications of slowing down large intestine

A
  • constipation

- slowed mineral absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Most clinically meaningful GI sx (aside from constitutional sx)

A
  • dysphagia
  • odynophagia
  • GI bleed
  • epigastric pain with radiation to back
  • sx affected by food
  • early satiety with WL
  • fecal incontinence
  • referred shoulder pain
  • psoas abscess
  • ttp over McBurney’s point
  • neuropathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is odynophagia?

A

pain during swallowing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

causal factors for odynophagia

A
  • esophagitis

- esophageal spasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pain AFTER eating: What might be going on?

A
  • odynophagia

- coronary ischemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How to differentiate pain after eating?

______ type of pain is relieved by upright position

A

esophagitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How to differentiate pain after eating?

______ type of pain is relieved by supine position (or nitroglycerin)

A

cardiac pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Does esophagitis require medical attention?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

% of Americans who are constipated

A

25%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is obstipation

A

intractable constipation

17
Q

Criteria for constipation

A

Rome III diagnostic criteria for functional constipation

18
Q

What is the Rome III dx criteria?

A
  • must meet 2 or more
  • present for the last 3 months
  • sx onset at least 6 months prior to dx