Lecture 5: GI

Question 1

loss or lack of appetite

Answer 1

anorexia

Question 2

a general term for distress associated with eating that can have many meanings

Answer 2

indigestion

Question 3

inability to eat a full meal

Answer 3

early satiety

Question 4

a rising retrosternal burning pain or discomfort occurring weekly or more often

Answer 4

heartburn

Question 5

raising esophageal or gastric contents without nausea or retching

Answer 5

regurgitation

Question 6

chronic or recurrent discomfort or pain centered in the upper abdomen

Answer 6

non-ulcer dyspepsia

Question 7

the forceful expulsion of gastric contents out of the mouth

Answer 7

vomiting

Question 8

brown/black vomit with a “coffee ground” appearance that suggests blood altered by gastric acid

Answer 8

hematemesis

Question 9

difficulty swallowing

Answer 9

dysphagia

Question 10

pain with swallowing

Answer 10

odynophagia

Question 11

need two: fewer than 3 bowel movements per week, 25% or more defecations with either straining or sensation of incomplete evacuation, lumpy or hard stools or manual facilitation

Answer 11

constipation

Question 12

obstipation

Answer 12

no passage of either gas or stool

Question 13

increased water content of the stool or stool volume

Answer 13

diarrhea

Question 14

black tarry stool

Answer 14

melena

Question 15

stools that are red or maroon colored

Answer 15

hematochezia

Question 16

3 types of abd pain

Answer 16

visceral pain, parietal pain and referred pain

Question 17

4 parts to the abdominal exam

Answer 17

inspection, auscultation, percussion and palpation

Question 18

Rovsing’s sign

Answer 18

referred rebound tenderness. pain in the RLQ during right sided pressure. suggests appendicitis

Question 19

Psoas sign

Answer 19

appendicitis. pt pushing knee up on hand

Question 20

obturartor sign

Answer 20

flex righ thigh at the hip with knee bent and rotate the leg internally at the hip. appendicitis.

Question 21

murphy’s sign

Answer 21

push on right side under the costal margin, ask pt to exhale, then inhale deeply and push. cholecystitis.