Primary care presentations of Gallbladder disease Flashcards
What are the organs that are in the retroperitoneal space?
Suprarenal glands Aorta Duodenum Pancreas Ureters Colon (ascending and descending) Kidneys Esophagus Rectum
What is reflux?
Effortless, backward flow of stomach contents into the esophagus and higher
What is regurgitation?
to expel small amounts of previously consumed material from stomach
What are Zenker diverticula?
False diverticula between the cricoid and thyroid cartilage.
What is the difference between a false and true diverticulum?
True involve the entire thickness of the GI tract
What bean is ricin from? MOA?
Castor beans
rRNA N-glycosylase activity that is responsible for the cleavage of a glycosidic bond within the large rRNA of the 60S subunit of eukaryotic ribosomes
What are the two most common viral causes of gastroenteritis?
Norovirus
Rotavirus
Wild swings of BGs in DM pts may cause what?
Gastroparesis
Projectile vomiting in kids = ?
Pyloric stenosis
What is the PE finding for kids with pyloric stenosis?
Olive feeling
Coffee ground emesis is suggestive of what?
GI bleed
Fresh blood in vomit is suggestive of what?
Arterial rupture
What is Boerhaave’s syndrome?
Rupture of the esophageal wall, usually iatrogenic in nature
What are the red flags of n/v? (age, CNS ssx, type of vomit, motility)
older than 55
AMS
Feculent vomiting
Progressive dysphagia
Feculent vomiting is suggestive of what?
BO
What is the definition of acute diarrhea? Chronic?
3- 14 days of loose stool
Chronic is >14 days
What are the pertinent HPI bits to evaluate for diarrhea? (3)
Recent travel
Loose vs diarrhea
Recent sick contacts
What two drug types are associated with C.diff?
PPIs
abx
Oily diarrhea = ?
Steatorrhea (think Giardia or pancreatic insufficiency)