GI/Nutrition Flashcards
Fat, forty, female, fertile w/ RUQ pain
Cholelithiasis or cholecystitis
Fever, RUQ pain, radiation to back
Cholecystitis
Chronic cough, bitter taste in mouth or throat, dyspepsia
GERD
N/V, epigastric abdominal pain, radiates to the back, worse supine, caused by alcohol ingestion, or following fatty meals
Acute pancreatitis
Peri-umbilical or flank ecchymosis
acute pancreatitis (cullen and grey turner’s sign)
Urologic emergencies
Testicular torsion and paraphimosis
Abdominal distension, bloating, intermittent, colicky pain, high-pitches rushes and tinkles
SBO
Air fluid levels on upright abd plain film
SBO
Air under diaphragm, rigid board-like abdomen
Perforated viscus, perforated ulcer
> 60yo F, LLQ pain
diverticulitis. IV ABx, fluids, NPO
Transmural granulomatous disease, affecting any part of GI tract - mouth to anus
Crohn’s disease
Elderly, Hx atherosclerosis. Dull periumbilical pain post-prandial
mesenteric ischemia
Neonate with projectile vomiting. Olive sized mass
pyloric stenosis
Alcoholic with massive hemoptysis
esophageal varices (tx with octreotide)
Apple core lesion
Colon cancer
Elderly with positive hemoccult
colon cancer - get colonoscopy
CEA
colon carcinoma
Family history of young age colon cancer, multiple polyps found on colonoscopy
Familial adenomatous polyposis (Gardner’s syndrome)
CA-125
Ovarian carcinoma
Traveler’s diarrhea
E. coli is cause. hydration and cipro treat
Greasy, foul smelling, floating stools. Pear-shaped flagellated protozoan w/ 2 “eyes”. water, travel, camping history
Giardia
Painless rectal bleeding. Bulging perianal mass with straining
internal hemorrhoids
Pediatric with perianal pruritis esp at PM. Positive cellophane tape test
Pruritis anus - pinworms (enterobiasis). Tx is Mebendazole
With your finer in male patient’s inguinal canal the patient coughs. You feel intestine tap the lateral aspect of your finger
Direct inguinal hernia
Weight loss, recurrent greasy stools (steatorrhea) mixed with diarrhea after certain foods
Celiac sprue
With your finger in a male patient’s inguinal canal the patient coughs. You feel intestine tap the distal tip of your finger
indirect inguinal hernia
Inflammatory disease of the mucosa and submucosa only. Continuous pattern, with rectum nearly always involved
Ulcerative colitis
Anatomical separation for upper verses lower GI bleed
Ligament of Treitz
Most common cause of nonerosive gastritis
H. pylori
Ranson’s criteria
Pancreatitis
Pancreatitis
Abdominal pain, alleviating factor is leaning forward
BMI suggestive of obesity
Greater than 30
