GI

Question 1

Describe the characteristics of peptic ulcer pain

Answer 1

dull/burning
epigastric
relieved by eating
episodic => worse at night and waking patient up

Question 2

Pancreatic pain characteristics

Answer 2

steady epigastric
reduced by leaning forward
radiation to the back
also vomiting

Question 3

Biliary pain ‘coli’ characteristics

Answer 3

constant/severe
epigastric
lasts for hours
May become more sever and localised to upper quadrant with cholecystitis

Question 4

renal colic characteristic

Answer 4

colic pain superimposed on constant pain

loin to groin

Question 5

Bowel obstruction characteristics (pain)

Answer 5

colicky 2-3 min in small bowel and 10-15 in large bowel

also vomiting, constipation and abdominal distention

Question 6

What signs of bowel obstruction can be recognized on examination

Answer 6

abdominal distension

Question 7

List common causes of weight loss with increased nutrient intake

Answer 7

malabsorption

increased metabolic demand i.e. hyperthyrodism

Question 8

List different types of diarrhoea

Answer 8

secretion => due to infection => secretion of fluids from the GI
Osmotic => large volume stool related to food intake i.e. lactose intolerance
abnormal intestinal motility i..e. IBS
Exudative due to colonic inflammation => small volume but frequent with blood and mucus
malabsorption => steatorrhoea, smelly. floaty

Question 9

what is the treatment for TIA

Answer 9

clopidegrel => anti-platelet

Question 10

what is glossitis and what is it attributed to

Answer 10

smooth, red, sore tongue due to iron, folate or B12 deficiency

Question 11

What are the causes of abdominal distension

Answer 11

fat
fluid 
fetus
flatus (gas)
feaces
filthy tumour
fantom pregnancy