GI clin correlations

Question 1

what does eructation mean

Answer 1

burping

Question 2

what is it called when you have committing of blood or coffee-ground like emesis

Answer 2

hematemesis

*can be cased by gastric ulcer

Question 3

what is melena

Answer 3

• black stool

- 90% related to upper GI bleed

Question 4

what is hematochezia

Answer 4

• red stool (from blood)

- usually from lower GI bleed (possible MASSIVE UGIB)

Question 5

what are dietary/ drug related causes of black stool

Answer 5

iron supplements
beets
blueberries
pepto-bismol 
red-food dye

Question 6

what is a prominent risk factor for developing a small bowel obstruction

Answer 6

prior abdominal or pelvic surgery

*will see dilated bowel in X-ray

Question 7

what does Schatzki’s ring cause

Answer 7

stricture around LES

-causes esophageal dysphagia: mechanical obstruction

Question 8

what does Zenkers diverticulum cause

Answer 8

oropharyngeal dysphagia-structural disorder

• diverticulum in proximal esophagus
• causes halitosis cause food gets stuck
• use barium swallow to identify

Question 9

where are gastrinomas of ZES normally located

Answer 9

in pancreas

*associated with MEN 1

Question 10

what indicates a positive Rovsing’s sign

Answer 10

pain felt in the RLQ when palpating the LLQ

*appendicitis

Question 11

MALT lymphoma is most highly related to ___

Answer 11

H. pylori infection

Question 12

medical term for indigestion

Answer 12

dyspepsia

Question 13

what test would you use for dysphagia

Answer 13

barium swallow test

Question 14

is bilirubin level found in a BMP? CMP?

Answer 14

not a BMP but it is in a CMP