gi presentations symptom/exam Flashcards
5 signs of finger clubbing
loss of nail bed angle increased curvature fluctuation drumsticking hypertrophy osteoarthropathy
causes of finger clubbing
ibd cirrhosis coelic malabsorption cardic: ccf respiratory
signs of chronic liver disease
jaundice distension cachexia bruising leukonychia liver flap palmar erythema clubbing spiders >5 gynaecomastia abdo hair splenomegaly caput medusae pruritus shifting dullness hypogonadism mental state
describing and abdominal mass
M+6s
site size shape smoothness surface surroundings mobile with resp
spleen presentation versus renal presentation
spleen
- enlarge diagonal
- notch
- moves with resp
- dull
kidney
- enlarge midline
- indistinct edge
- doesn’t move with resp
- resonant
what is it called when non digested food come back up
regurgitation
mouth presentations for gi
ulcers angular chomatitis-dm hemangiomas perioral pig- pj bleeding dental hallatosis=sbo
throat presentations for GI
dysphagia
achalasia (hallatosis,regurg)
malignancy
haematemesis
what is malignancy of the left supraclavicular lymph node called
Virchow’s node
presentation of biliary colic pain
epigastric
after eating fatty food
intermittent
stones in gallbladder
presentation of cholecystitis pain
constant pain as inflamed peritoneum
RUQ pain
radiate to right shoulder
gallstones in gallbladder+inflammation
presentation of cholangitis
charcot triad -fever -ruq pain -jaundice common bile duct stones
pancreatitis presentation
pain epigastric radiates to back as RP sugars off vomiting steatorrhoea if chronic
renal colic presentation
back pain
haemturia
loin to groin pain
gastritis pain versus gord
gord-worse lying down and eating
gastric ulcer=relief by food
haematemesis different presentations fresh blood pathology versus coffee grounds
fresh red=oesophageal varices
coffee ground=peptic ulcer
classic presentation of peritonitis pain
pain rigid rebound tenderness guarding ileus
somatic parietal peritonitis pain
versus visceral pain
-presentation and cause
somatic
- somatic nerves
- sharp and well localised
- due to inflammation, infection
- constant pain
visceral
- usually midline
- poorly localised
- may be intermittent
- autonomic nervous system
main causes of acute abdominal pain
- surgical
- gynaecological
- medical conditions
- intestinal obstruction
- peritonitis secondary to infection
- haemorrhage
- ischaemia
what are the surgical causes of acute abdominal pain
- inflammation
- obstruction
- ischaemia
- perforation
what are the gynaecological causes of acute abdo pain
- ectopic pregnancy
- ovarian cyst
- pelvic inflammatory disease
- mittelschmerz
obstruction pain presentation
- colicky-spasms
- intermittent until inflammation begins
- poorly localised
perforation pain
- ischaemia
- constant pain
- well localised
- severe
- peritonitis
- sudden
inflammation pain
- develops over a few hours
- may be diffuse until parietal peritoneum involved and localises
- peritonitis symptoms
