GI: Signs & Symptoms Flashcards
Appendicitis
RLQ pain (Mcburney’s point) followed by N&V, rebound tenderness
Peritonitis
Rigid board-like abd, abd pain/distention, rebound tenderness, N&V, fever, tachycardia, third spacing
Gastroenteritis
Diarrhea, N&V
Ulcerative Colitis
Bloody/mucousy stool, tenesmus, lower abd colicky pain relieved with defecation, low-grade fever, possible weight loss
Crohn’s Disease
Diarrhea/steatorrhea, constant lower abd pain, low-grade fever, possible weight loss
Diverticular Disease
LLQ pain, N&V, low-grade fever, tachycardia
Anorectal Abscess
Rectal pain, swelling, redness, tenderness
Anal Fissure
Pain during/after defecation, bright red blood in stool
Anal Fistula
Pruritus, purulent discharge, pain worsened by BM
Parasitic infection
Diarrhea, tenesmus, fever, abd tenderness, vomiting
Food poisoning: Staphylococcal
N&V, diarrhea, no fever
Food poisoning: E.coli
N&V, diarrhea, abd cramping, fever
Food poisoning: Botulism
N&V, diarrhea, paralysis, diplopia, dysphagia, dysarthria
Food poisoning: Salmonellosis
N&V, fever, abd cramping, diarrhea
Irritable Bowel Syndrome
LLQ pain, nausea, constipation/diarrhea, belching, gas, anorexia, bloating
Colorectal Cancer
Rectal bleeding, anemia, change in stool consistency or shape
Small Bowel Obstruction
Upper/mid abd pain/distention, N&V, obstipation
Large Bowel Obstruction
Lower abd cramping/distention, obstipation or ribbon-like stools
Hemorrhoids
Rectal bleeding, pain, prolapse
Malabsorption
Chronic diarrhea, steatorrhea, unintentional weight loss
Cirrhosis (early)
Fatigue, significant change in weight, anorexia, vomiting, abd pain/tenderness
Cirrhosis (advanced)
GI bleeding, jaundice, ascites, spontaneous bruising
Hepatitis
RUQ pain, arthralgia/myalgia, diarrhea/constipation, dark urine, clay-colored stool, jaundice, fever, lethargy/malaise, N&V
Hepatic Abscess
RUQ pain with palpable liver tenderness, anorexia, weight loss, N&V, fever/chills, weakness/malaise, shoulder pain
Liver Trauma
RUQ pain with abd tenderness, abd distention, rigidity, referred pain to rt shoulder
Liver Cancer
RUQ pain followed by jaundice, bleeding, ascites, edema, weight loss, anorexia, weakness
Rejection of Liver Transplant
Tachycardia, fever, RUQ pain, jaundice
Cholecystitis
Vague episodic upper abd pain referred to rt shoulder (triggered by high-fat or high-volume meal), N&V, dyspepsia, eructation, flatulence, abd tenderness, rebound tenderness, fever; may have jaundice, steatorrhea with chronic cholecystitis
Gallbladder Cancer
Anorexia, weight loss, N&V, abd bloating, fever, malaise, liver/spleen enlargement; jaundice, severe abd pain for advanced stage
Pancreatitis (Acute)
LUQ or mid-epigastric pain that radiates to back, lt flank, or left shoulder (relieved by bringing knees up), generalized jaundice, gray-blue appearance of abd, third spacing
Pancreatitis (Chronic)
Intense/continuous LUQ pain, abd tenderness, ascites, steatorrhea, weight loss, jaundice, dark urine, polyuria/polydipsia/polyphagia
Pancreatic Abscess
epigastric pain radiating to back, abd fullness, N&V, jaundice, fever up to 104 F
Pancreatic Pseudocyst
Epigastric pain radiating to back, abd fullness, N&V, jaundice, fever up to 104 F
Pancreatic Cancer
Jaundice, clay-colored stool, dark urine, abd pain that radiates to the back, weight loss, anorexia, N&V, glucose intolerance, splenomegaly, flatulence, GI bleeding, ascites, leg/calf pain, weakness/fatigue
GERD
Dyspepsia, regurgitation, eructation, flatulence, water brash
Hiatal Hernia
Heartburn, regurgitation, chest pain, dysphagia, belching, feeling of fullness/breathlessness after eating, worsening of sx when supine
Esophageal Tumor
Persistent/progressive dysphagia, odynophagia, chest/abd pain, regurgitation, chronic cough, hoarseness, anorexia, N&V, weight loss
Esophageal Diverticula
Dysphagia, regurgitation, nocturnal cough, halitosis
Gastritis (Acute)
Epigastric pain with rapid onset, N&V, vomiting blood, gastric hemorrhage, dyspepsia, anorexia
Gastritis (Chronic)
Epigastric pain relieved by food, anorexia, N&V, intolerance of fatty/spicy, pernicious anemia
Peptic Ulcer Disease
Epigastric tenderness, dyspepsia, N&V
Gastric Ulcer
LUQ pain aggravated by food, hematemesis
Duodenal Ulcer
RUQ pain 90 min to 3 hours after eating & relieved by eating, often awakened by pain, melena
Zollinger-Ellison Syndrome
Epigastric tenderness, dyspepsia, N&V, diarrhea, steatorrhea
Gastric Cancer (Early)
Indigestion, abd discomfort relieved with antacids, feeling of fullness, epigastric/back/retrosternal pain
Gastric Cancer (Advanced)
N&V, obstructive sx, palpable mass, enlarged lymph nodes, weakness/fatigue, weight loss
