M101 History Taking of the Alimentary System Flashcards

1
Q

What is another term for indigestion?

A

dyspepsia

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2
Q

What is the effect of gastro-oesophageal reflux disease on waterbrash?

A

can make the waterbrash either acidic or increased saliva

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3
Q

What topics of questions can be asked when taking a history of the alimentary system?

A
Presenting Symptoms
Mouth Symptoms?
Loss of appetite / weight loss?
Heartburn?
Dyspepsia, reflux?
Abdominal pain?
Dysphagia?
Nausea / vomiting?
Wind, flatulence, abdominal distension?
Bowel habit, diarrhoea, constipation
Change noticed by friends / family - weight, jaundice, pallor?
Groin lumps / swellings?
Systemic illness
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4
Q

What are the red flag symptoms for GI cancer?

A

general fatigue / anaemia symtoms (unexplained iron deficiency)
Abnormal mass
Loss of appetite / unexplained weight loss
dysphagia
abdominal pain
blood in vomit / stool
family history of bowel cancer

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5
Q

What are personal questions when taking a GI history?

A

Could you be pregnant? Could be an ectopic pregnancy

Family history - deaths

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6
Q

What does right iliac fossa pain suggest?

A

appendicitis

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7
Q

What could cause abdominal distension?

A

ascites

ovarian cancer

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8
Q

What is a feature of haematochezia?

A

a fresh bleed in the lower GI

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9
Q

What are the causes of haematochezia?

A

diverticulitis
haemorrhoids
colon cancer

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10
Q

What are the causes of melaena?

A

duodenal / gastric ulcer

stomach cancer

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11
Q

If the disease is systemic, what might cause a symptom of tiredness?

A

anaemia

GI blood loss + underlying cancer

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12
Q

What systemic conditions could present with Joint pains?

A

IBD, UC, Crohn’s

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13
Q

What medicines could cause abdominal symptoms?

A

laxatives

codeine

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