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GI2 > s/s > Flashcards

s/s Flashcards

1
Q

pain and rectal bleeding: bright red on tp

A

hemorrhoids (anal varices)

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2
Q

kids: cough that not go away

A

GERD

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3
Q

Arthritis, aphthous stomatitis, iron deficient anemia, delayed puberty, short stature

A

later onset ped celiac dis

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4
Q

hypertrophy of retinal pigment epi

A

Familial adenomatous polyposis

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5
Q

Dark blue-brown macules (freckle-like things) on the lips, nostrils, buccal mucosa, palmar hand, genitalia and perianal region

A

Peutz-jeghers syndrome

-mucocutaneous hyperpigmentation (melanin)

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6
Q

occult bleeding, changes in bowel habits or cramping and LLQ discomfort

A

L sided colorectal adenocarcinoma

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7
Q

premies/LBW babies; when feeding starts

A

necrotizing enterocolitis

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8
Q

LLQ pain

A

ischemic bowel dis

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9
Q

Personality changes

A

vit b12 deficiency (from AI gastritis)

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10
Q

travelers drh

A

campylobacter enterocolitis

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11
Q

regurgitation of sour tasting contents

A
  • GERD

- Barretts esoph

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12
Q

cholecystitis

A

salmonella enterica (typhoid fever)

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13
Q

encephalopathy/seizures

A 
salmonella enterica (typhoid fever)
-whipple dis from tropheryma whippelii (just neuro probs)
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14
Q

visible hyperperistalsis during feeding and before vomiting

A

congenital pyloric stenosis

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15
Q

wt loss, anorexia, early satiety, anemia, hemorrhage

A

gastric adenocarcinoma

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16
Q

Heartburn

A
  • GERD

- Barretts esoph

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17
Q

feel like food stuck

A

GERD

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18
Q

iron deficiency

A

esoph scc

-d/t hem of ulceration

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19
Q

epigastric burning or aching pain

A

PUD

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20
Q

diarrhea

A
  • carcinoid synd from Ileal tumors
  • malabs
  • celiac dis (chronic in ped)
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21
Q

arthralgia

A
  • yersinia

- whipple dis from tropheryma whippelii

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22
Q

dyspahgia w solids and liquids

A

achalasia

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23
Q

portal HTN s/s except ascites

A

portal v obstruction

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24
Q

diffuse oral vesicles with ulceration, LAD, fever, anorexia and irritability, fever

A

Acute herpetic gingivostomatitis from HSV

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25
Q

steatorrhea

A

malabs

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26
Q

drh + wt loss, anorexia, abdominal distention, borborygmi, m wasting

A

malabs

-ped celiad dis (minus the borborygmi)

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27
Q

kids: fail to eat/thrive

A

GERD

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28
Q

Pain of penetrating ulcers may refer to the back, LUQ or chest (misinterpret origin of pain)

A

PUD

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29
Q

bloody drh interspersed w pds of healing

A

chronic ischemic bowel dis

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30
Q

sensation of never being able to completely empty the rectum

A

sigmoid diverticular dis

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31
Q

Limb weakness, spasticity

A

vit b12 deficiency (from AI gastritis)

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32
Q

kid under 5 w rectal bleeding

A

juvenile polyps

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33
Q

melena

A

MALToma

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34
Q

Rhomberg

A

vit b12 deficiency (from AI gastritis)

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35
Q

Memory loss to psychosis

A

vit b12 deficiency (from AI gastritis)

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36
Q

cough/wheeze/hoarseness

A

GERD

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37
Q

obstruction or constipation, with visible peristalsis that can lead to bilious vomiting or abdominal distention

A

Hirschprung’s dis

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38
Q

Once paraplegeia recovery is poor

A

vit b12 deficiency (from AI gastritis)

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39
Q

Regurgitation and projectile, nonbilious vomiting after feeding with frequent demands for refeeding

A

congenital pyloric stenosis

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40
Q

increased saliva

A

GERD

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41
Q

cramping

A

sigmoid diverticular dis

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42
Q

pain in the RUQ that radiates to the R upper shoulder or the back that occurs after a fatty meal.

A

acute cholelithiasis

-chronic if recurring

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43
Q

Choke/gag/cyanosis when feed

A

esophageal fistula

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44
Q

abd distention

A
  • ped celiac dis

- sigmoid diverticular dis

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45
Q

kids: recurrent pneumonias

A

GERD

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46
Q

Periumbilical pain migrating to the RLQ

A

acute appendicitis

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47
Q

kids: gas

A

GERD

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48
Q

kids: vomit often

A

GERD

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49
Q

xanthelasmas

A

primary biliary cirrhosis

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50
Q

meningitis

A

salmonella enterica (typhoid fever)

51
Q

fatigue

A

HAV

52
Q

chronic fatigue

A

adult celiac dis

53
Q

fever, RUQ pain, jaundice

A

ascending cholangitis

=charcot’s triad

54
Q

N/v, bloating, belching and wt loss often occur

A

PUD

55
Q

difficulty belching

A

achalasia

56
Q

leukocytosis

A

acute appendicitis

57
Q

duodenal ulcers and chronic drh

A

Zollinger-Ellison syndrome

58
Q

loss appetite

A

HAV

59
Q

s/s of metabolic synd, insulin resistance, DM

A

NAFLD

60
Q

sudden onset of cramping

A

ischemic bowel dis

61
Q

chest pain

A
  • achalasia

- boerhaave synd (also tachypnea)

62
Q

dry mouth

A

xerostomia

63
Q

abdominal tenderness (McBurney’s point)

A

acute appendicitis

64
Q

epigastric pain, n/v

A

-gastropathy and gastritis and chronic gastritis
(hematemesis in acute)
-fundic gland polyps
-MALToma

65
Q

hyperpigmentation

A

primary biliary cirrhosis

66
Q

erythema, edema, bleeding, gingival degen

A

gingivitis (reversible!)

67
Q

worse when lying down

A

GERD

68
Q

food impaction + dysphagia

A

Eosinophilic esophagitis

69
Q

food poisoning

A
  • campylobacter enterocolitis

- salmonella

70
Q

bloody drh

A

campylobacter enterocolitis

-shigella

71
Q

sore throat, ear ache, pain on swallow (odonyphagia, wt loss)

A

HPV assoc squamous cell carcinoma

72
Q

kids: cry during feeding

A

GERD

73
Q

bronchospasm

A

carcinoid synd from Ileal tumors

74
Q

rice water drh w fishy odor

A

cholera

75
Q

destroy alveolat bone and peridontal l –> teeth fall out

A

peridontitis (reversible)

76
Q

Loss vibration and position sense

A

vit b12 deficiency (from AI gastritis)

77
Q

osteomyelitis

A 
salmonella enterica (typhoid fever)
-esp sickle cell pts
78
Q

symp of hte parathyroid, panc, pituitary

A

MEN1 assoc Zollinger-Ellison syndrome

79
Q

excessive belching

A

GERD

80
Q

Diet is subconsciously altered to soft food and liquid nutritional deficiency and wt. Loss

A

esoph scc

81
Q

dysphagia, odynophagia or obst

A

esoph scc

82
Q

fatigue and weakness

A

-R sided colonic adenocarcinoma

83
Q

failure to pass meconium in neonatal pd

A
  • Hirschprung’s dis

- cystic fibrosis

84
Q

abd pain improves following defecation

A
  • irritable bowel synd

- ulcerative colitis

85
Q

Abdominal fullness, drh, flatulence following ingestion of lactose products

A

Acquired Lactase Deficiency

86
Q

m cramping

A

cholera

87
Q

Rose spots

A 
salmonella enterica (typhoid fever)
-small erythematous maculopapular lesions on chest and abdomen
88
Q

R-sided cardiac valvular fibrosis

A

carcinoid synd from Ileal tumors

89
Q

dysphagia

A
  • GERD

- Barretts esoph

90
Q

irritability

A

ped celiac dis

91
Q

respiratory distress

A

volvulus of SI

92
Q

-RUQ or epigastrium +than 6hr.

Mild fever, anorexia, tachycardia, sweating, n/v

A

cholesystitis or GB adenocarcinoma

93
Q

bloating

A

adult celiac dis

94
Q

Children: feeding intolerance + GERD-like s/s.

A

Eosinophilic esophagitis

95
Q

Cutaneous flushing/sweating

A

carcinoid synd from Ileal tumors

96
Q

symp improve after a high fiber diet

A

sigmoid diverticular dis

97
Q

passage of blood or bloody diarrhea (hematochezia or bright red blood: tell distal in GI tract or rapidly translated thru)

A

ischemic bowel dis

98
Q

dysphagia, progressive wt Loss, hematemesis, chest pain, vomiting

A

esophageal adenocarcinoma

99
Q

endocarditis/myocarditis

A
  • salmonella enterica (typhoid fever)

- yersinia

100
Q

Acute watery drh or may follow influenza-like prodrome

A

-campylobacter enterocolitis

101
Q

Constant abdominal pain, may refer to upper back or L shoulder.
-+/ anorexia, n/v

A

acute pancreatitis

102
Q

Paresthesia and numbness

A

vit b12 deficiency (from AI gastritis)

103
Q

hematemesis

A
  • mallory weiss tears
  • Gerd
  • esoph varices
  • MALToma
104
Q

colicky abd pain

A

carcinoid synd from Ileal tumors

105
Q

Explosive drh with watery, frothy stools and abdominal distention following milk ingestion

A

Congenital Lactase Deficiency

106
Q

regurgitation and halitosis

A

zenker diverticulum

107
Q

Palpable firm ovoid abd mass

A

congenital pyloric stenosis

108
Q

occult bleeding and abd pain that looks like appendicitis

A

meckel diverticulum

  • from gastric tissue secreting acid in SI –> ulceration
  • yersinia, but no bleeding
109
Q

Vit D malabsorption osteomalacia/osteoporosis

A

primary biliary cirrhosis

110
Q

desire to defecate

A

ischemic bowel dis

111
Q

Intermittent attacks of bloody, mucoid drh and abdominal pain that persists days-months before subsiding

A

ulcerative colitis

112
Q

loss self-confidence/self esteem; pain to extent of effecting daily living

A

dental caries

113
Q

attacks of pain/jaundice/abd/back pan triggered by EtOH, overeating, opiates

A

chronic pancreatitis

114
Q

pneumonia

A 
salmonella enterica (typhoid fever)
-whipple dis from tropheryma whippelii (just pulm dis)
115
Q

LOC

A

cholera

116
Q
  • Worse at night and 1-3 hrs after meals since food buffers the acid
  • Relief with milk, alkali agents or food
A

PUD

117
Q

from severe burns or trauma

A

curling ulcers

118
Q

nonspecific abd symp Followed by asymptomatic phase

A

chrons dis

119
Q

Nonprogressive dysphagia with incompletely chewed food, but fluids thru fine

A

esophageal mucosal webs

120
Q

nonspecific abd symp Followed by asymptomatic phase that leads to bacteremia and fever with flulike s/s

A

salmonella enterica (typhoid fever)

121
Q

constipation

A

sigmoid diverticular dis

122
Q

anuria

A

cholera

-(kidney dis in in yersinia)

123
Q

alternating constipation and diarrhea that can mimic IBS

A

sigmoid diverticular dis

124
Q

hepatitis, cirrhosis, pulm dis

A

α1-antitrypsin deficiency

GI2 (8 decks)

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