GI History Flashcards
1
Q
Cardinal GI symptoms
A
Weight loss Anorexia Nausea and vomiting Haematemesis Dysphagia Reflux/dyspepsia Abdo pain Jaundice Altered bowel habit Rectal bleeding
2
Q
Change in bowel habit questions
A
Increased freq/looser consistency
How often do you open bowels/how much each time
Any blood or mucus
Tenesmus
Constipation (when was last bowel movement/last pass wind)
3
Q
Dysphagia Qs
A
Solids or liquids?
If liquids first-> neurological
If solids first-> obstructive
Sudden/progressive/intermittent/progressive
4
Q
What must be asked about in abdo pain in women under 50?
A
Last menstrual period
pregnant? ectopic?
5
Q
Abdo pain further tests
A
Urinalysis & pregnancy test Bloods (FBC, U&Es, CRP, LFTs, glucose, amylase, group and save, cultures if fever) Vaginal swabs (PID) ABG (esp if pancreatitis suspected) Ultrasound/Xray Barium meal Endoscopy
6
Q
R iliac fossa pain
A
Appendicits Diverticulitis IBD Intestinal obstruction Perforation Obstructed/incarcerated hernia Rupture/tortion of ovarian cyst Pelvic inflam disease Ectopic pregnancy UTI Renal calculi Testicular torsion Musculoskeletal
7
Q
Specific causes of diarrhoea
A
Medication (laxatives/antibiotics) Recent travel Contact (animals/ill family) Diet (meats/eggs/seafood/dairy/wheat) PMH (IBD, abdo surgery, HIV, malignancy) Occupation & FH
8
Q
Chronic diarrhoea, steatorrhoea w/undigested food in stool causes
A
Malabsorption Coeliac Chronic pancreatitis diabetes Pancreatic cancer Lymphoma
9
Q
Chronic infective diarrhoea?
A
HIV enteropathy, schistosomiasis, ileocaecal TB
10
Q
Bloody diarrhoea causes
A
E Coli 0157 Shigella, Slamonella, Campylobacter C. diff Schistosomiasis Drugs (NSAIDs)
11
Q
Extra intestinal signs of IBD?
A
Eyes (iritis/uveitis/episcleritis) Arthritis/osteoporosis Derm (erythema nodosum, pyoderma granulosum, aphtous mouth ulcers) Autoimmune haemolytic anaemia Clubbing Growth failure
