GI Flashcards
Where does esophagus pain refer to?
T5-T10
Where do liver and respiratory diaphragm pains refer to?
C3-C5
Where do the gallbladder, stomach, pancreas, and small intestine refer pain to?
T6-T9
Where do the colon, appendix and pelvic viscera refer pain to?
T10-T11
Where do the sigmoid colon, rectum and testes refer pain to?
T11-L1
What are the signs of a GI bleed?
• Coffee ground emesis (vomit) – indicative of perforated peptic or duodenal ulcer
• Bloody diarrhea – indicative of
ulcerative colitis
• Bright red blood – indicative of
pathology close to the rectum
• Melena – black, tarry stool –
indicative of large quantities of blood
in the stool
What do coffee ground emesis indicate?
indicative of perforated peptic or duodenal ulcer
What does bloody diarrhea indicate?
indicative of
ulcerative colitis
What does bright red blood when someone goes to the bathroom indicate?
indicative of pathology close to the rectum
What does melena indicate? What does it look like?
black, tarry stool –
indicative of large quantities of blood
in the stool
Pain associated with gastric ulcer – pain
begins ____-____ minutes after eating
30 to 90 minutes
Pain associated with duodenal or pyloric
ulcers – pain may occur __-__ hours after meals
2-4 hours
Food (does/ doesn’t) relieve the pain of a gastric ulcer
Doesn’t
Food (does/ doesn’t) relieve the symptoms of a duodenal ulcer
Does, maybe
Intense, boring pain associated with
cancer (is/ isn’t) relieved with food
Isn’t
Acute diarrhea with associated fever, cramps, and
blood or pus in the stool indicates…
invasive enteric infection
Chronic diarrhea, associated with weightloss is indicative of…
neoplastic or inflammatory bowel disease
True or false; antibiotics can cause diarrhea
True
Which anaerobic bacterium is associated with diarrhea?
Clostridium difficile: (C.difficile)
What are the signs and symptoms of a psoas abscess?
• Fever ( up and down) • Night Sweats • Abdominal pain • Loss of appetite or GI upset • Back, pelvic, abdominal, hip, and/or knee pain • Antalgic gait • Palpable, tender mass
What are they typical symptoms of GERD?
- heart burn
- regurgitation with bitter taste in mouth
- belching
What are the atypical symptoms of GERD?
- check pain unrelated to activity
- sensation of a lump in the throat
- difficulty swallowing (dysphagia)
- painful swallowing (odynophagia)
- wheezing, coughing, hoarseness
- asthma
- sore throat, laryngitis
- weight loss
- anemia
What are the signs and symptoms of a peptic ulcer?
- heart burn aggravated by food but relieved by other food, milk, antacids or vomiting
- night pain
- radiating back pain
- right shoulder pain (rare)
- light headed/ fainting
- nausea
- vomiting
- anorexia
- weight loss
- bloody stools
- black tarry stools
What are the signs and symptoms of pancreatitis?
- epigastric pain radiating to the back
- nausea and vomiting
- fever and sweating
- tachycardia
- malaise
- weakness
- bluish discoloration of abdomen or flanks
- jaundice
What are the signs and symptoms of pancreatic carcinoma?
- Epigastric/ upper abdominal pain radiating to the back
- LBP *could be the only symptom
- jaundice
- anorexia and weight loss
- light colored stool
- constipation
- nausea and vomiting
- weakness
Signs and symptoms of irritable bowel syndrome
- Painful abdominal cramps
- Constipation
- Diarrhea
- Nausea and vomiting
- Anorexia
- Flatulence
- Foul breath
