GI presentations Flashcards
gastric ulcer
Epigastric pain worse after eating
Pain east by antacids and lying flat
Rupture will present with haematemesis
Associated with gastric carcinoma
duodenal ulcer
Epigastric pain eases after eating
Pain worse when lying flat, may mention waking up during the night
Rupture will present as rectal bleeding/meleana
primary biliary cholangitis
typically white woman 40-60 y/o
Jaundice
presents with itch but no rash
Raised bilirubin and ALP
Positive AMA
Possibly presence of IgM
what kind of cancer is primary biliary cholangitis associated with
hepatocellular carcinoma
primary sclerosis cholangitis
typically male 30-40 y/o
PMHx of UC or Fx of PSC
Jaundice
RUQ pain
May have positive ANCA, ANA, SMA
onion-skin fibrosis
beading of bile ducts on imaging
what kind of cancer is primary sclerosis cholangitis associated with
cholangiocarcinoma
differences between UC and crohn’s
crohns has skip lesions, not present in UC
crohns is transmulral inflammation
crohns has presence of cobble stoning and can affect the whole GI tract, UC only affects colon and rectum
Crohn’s disease
crypt abscesses
cobblestonning mucosa
skip lesions
erythema nodosum
uveitis
UC
non-smoker
same typical symptoms as Crohn’s
acute pancreatitis
grey turner’s sign
Cullens sign
cholecystitis
+murphy’s sign
appendicitis
typically 10-20, rare in young children and >50 y/o
central abdo pain, localised to RIF
pain at McBurney’s point
what signs may be found on examination for appendicitis
Rosving’s sign
Psoas sign
Obturator sign
diverticulitis
pain in LIF
Coeliac disease
typically 40-60 y/o
iron deficiency anaemia
oral ulceration
dermatitis herpatiformis
autoimmune hepatitis
history of autoimmune diseases eg diabetes type
presents with symptoms of hepatitis
evidence of positive anti-smooth muscle antibodies and anti-nuclear antibodies
