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Year Club 2023 GI > GI History > Flashcards

GI History Flashcards

1
Q

Dysphagia?

A

Difficulty swallowing

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2
Q

Odynophagia?

A

Hurts to swallow

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3
Q

What to think with dysphagia/odynophagia?

A

Malignancy

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4
Q

Heartburn and reflux think?

A

GORD espescially when lying down
HOWEVER
MI is in the differentials

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5
Q

Anorexia

A

Loss of appetite

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6
Q

What to think with indigestion?

A

Peptic ulcer/GORD/ H Pylori

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7
Q

Haematemesis?

A

Due to upper GI bleeding, above duodenal flexure

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8
Q

PR bleeding- bright red blood?

A

Sigmoid colon, rectum or anal canal is source

Most commonly heamorrhoids

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9
Q

PR bleeding- darker blood mixed with stool?

A

Above rectum bleeding, carcinoma is common with this

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10
Q

Melaena?

A

Bleeding from above ileocaecal valve, tarry, characteristic smell

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11
Q

Tenesmus?

A

Incomplete emptying feel

-mass in rectum

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12
Q

What is jaundice associated with?

A

Itching

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13
Q

What to think with abdo pain?

A
  • Region
  • Radiation
  • Colicky
  • Localised/diffuse
  • Association with eating/defecation/vomiting
  • Improvement or worsening with position
  • SOCRATES
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14
Q

Past medical history?

A
  • Specifically ask about hypertension, high cholesterol, diabetes
  • Previous conditions
  • Ask how they’re managing long term conditions eg IBD
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15
Q

Drug history?

A
  • Don’t forget OTC medication
  • Allergies
  • Steroids relevant for pancreatitis
  • IV drug users
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16
Q

Family History?

A

Coeliac
IBD
GI cancers

17
Q

Social History?

A
  • Travel history
  • Restaurant
  • Contact with other vomiters/diarrhoea
  • Lifestyle
  • Blood contamination/sexual history
18
Q

Physical examination?

A
  • Inspection= distension, scars, bruising
  • General Exam
  • Before palpating- asl about discomfort and start away from that area, telling them what you’re doing
  • Palpate abdomen in all 9 quadrants, first light then deeper, looking at face
19
Q

Assess for organomegaly?

A

Liver- start RIF and ask them to breath in while scooping upwards to catch liver edge
Spleen= Start in RIF and move towards LUQ with scooping motion. Spleen not felt unless pathology present

20
Q

Ballot the kidney?

A

Place hand over back at level of kidney and other hand on abdomen. Flick the hand on the back to feel for enlarged kidney

21
Q

After feeling for big organs you?

A
  • Percuss the liver and spleen
  • Listen for bowel sounds and renal bruits
  • Groin hernias
22
Q

PR exam?

A
  • Make it clear you can stop at any time, practice communication
  • Recommend a chaperone
23
Q

What bin does all the stuff from PR exam go in?

A

ORANGE bin

Year Club 2023 GI (26 decks)

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