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GI - 2 > Nausea and Vomiting > Flashcards

Nausea and Vomiting Flashcards

1
Q

Retching

A

Labored rhythmic respiratory activity that precedes emesis

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2
Q

Labored rhythmic respiratory activity that precedes emesis

A

Retching

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3
Q

Regurgitation

A

Gentle expulsion of gastric contents in absence of nausea and abdominal diaphragmatic muscular contraction

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4
Q

Gentle expulsion of gastric contents in absence of nausea and muscular contraction

A

Regurgitation

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5
Q

Rumination

A

Regurgitation, Rechewing and Reswallowing food from the stomach

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6
Q

Regurgitation, Rechewing and Reswallowing food from the stomach

A

Rumination

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7
Q

2 Intraperitoneal DDX for nausea and vomiting

A

Small bowel obstruction

Gastroparesis

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8
Q

3 Extraperitoneal DDX for nausea and vomiting

A

Labyrinthine Disease
Intracerebral Disorders
Psychiatric illness

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9
Q

2 Medication/Metabolic DDX for nausea and vomiting

A

Medications

Pregnancy

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10
Q

What causes Small Bowel Obstructions?

A

Adhesions

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11
Q

What is the physical exam finding with a Small Bowel Obstruction?

A

High pitched tinkling bowel sounds

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12
Q

High pitched tinkling bowel sounds can indicate?

A

Small Bowel Obstruction

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13
Q

An Abdominal X-ray can diagnose a small bowel obstruction. How is it treated?

A

Nasogastric Tube to suction

– Possibly surgery

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14
Q

Gastroparesis

A

Delayed gastric emptying

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15
Q

Delayed gastric emptying

A

Gastroparesis

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16
Q

What 2 endocrine disorders can cause Gastroparesis?

A

Diabetes Mellitus

Hypothyroidism

17
Q

If Diabetes Mellitus is causing Gastroparesis, what can prevent the Gastroparesis?

A

Controlling blood glucose

18
Q

Important findings in the history for Gastroparesis?

A

Intermittent postprandial fullness, early satiety

Nausea and vomiting after eating

19
Q

Physical exam finding with Gastroparesis?

A

Decreased bowel sounds

20
Q

What study is used to diagnose Gastroparesis?

A

Gastric emptying study

21
Q

With a Gastric Emptying Study, what meal should the patient eat?

A

Low-fat solid meal like eggs

22
Q

An Abnormal Gastric Emptying Study results

A

60% retention after 2 hours OR

> 10% retention after 4 hours

23
Q

Labyrinthine Disease

A

Inner ear or CN 8 dysfunction

Meniere Disease

24
Q

Intracerebral Disorders

A

Mass

Subarachnoid hemorrhage

25
Q

Psychiatric illnesses causing nausea and vomiting are diseases of?

A

Exclusion

GI - 2 (61 decks)

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