s/s Flashcards
1
Q
pain and rectal bleeding: bright red on tp
A
hemorrhoids (anal varices)
2
Q
kids: cough that not go away
A
GERD
3
Q
Arthritis, aphthous stomatitis, iron deficient anemia, delayed puberty, short stature
A
later onset ped celiac dis
4
Q
hypertrophy of retinal pigment epi
A
Familial adenomatous polyposis
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)
6
Q
occult bleeding, changes in bowel habits or cramping and LLQ discomfort
A
L sided colorectal adenocarcinoma
7
Q
premies/LBW babies; when feeding starts
A
necrotizing enterocolitis
8
Q
LLQ pain
A
ischemic bowel dis
9
Q
Personality changes
A
vit b12 deficiency (from AI gastritis)
10
Q
travelers drh
A
campylobacter enterocolitis
11
Q
regurgitation of sour tasting contents
A
- GERD
- Barretts esoph
12
Q
cholecystitis
A
salmonella enterica (typhoid fever)
13
Q
encephalopathy/seizures
A
salmonella enterica (typhoid fever) -whipple dis from tropheryma whippelii (just neuro probs)
14
Q
visible hyperperistalsis during feeding and before vomiting
A
congenital pyloric stenosis
15
Q
wt loss, anorexia, early satiety, anemia, hemorrhage
A
gastric adenocarcinoma
16
Q
Heartburn
A
- GERD
- Barretts esoph
17
Q
feel like food stuck
A
GERD
18
Q
iron deficiency
A
esoph scc
-d/t hem of ulceration
19
Q
epigastric burning or aching pain
A
PUD
20
Q
diarrhea
A
- carcinoid synd from Ileal tumors
- malabs
- celiac dis (chronic in ped)
21
Q
arthralgia
A
- yersinia
- whipple dis from tropheryma whippelii
22
Q
dyspahgia w solids and liquids
A
achalasia
23
Q
portal HTN s/s except ascites
A
portal v obstruction
24
Q
diffuse oral vesicles with ulceration, LAD, fever, anorexia and irritability, fever
A
Acute herpetic gingivostomatitis from HSV
25
steatorrhea
malabs
26
drh + wt loss, anorexia, abdominal distention, borborygmi, m wasting
malabs
| -ped celiad dis (minus the borborygmi)
27
kids: fail to eat/thrive
GERD
28
Pain of penetrating ulcers may refer to the back, LUQ or chest (misinterpret origin of pain)
PUD
29
bloody drh interspersed w pds of healing
chronic ischemic bowel dis
30
sensation of never being able to completely empty the rectum
sigmoid diverticular dis
31
Limb weakness, spasticity
vit b12 deficiency (from AI gastritis)
32
kid under 5 w rectal bleeding
juvenile polyps
33
melena
MALToma
34
Rhomberg
vit b12 deficiency (from AI gastritis)
35
Memory loss to psychosis
vit b12 deficiency (from AI gastritis)
36
cough/wheeze/hoarseness
GERD
37
obstruction or constipation, with visible peristalsis that can lead to bilious vomiting or abdominal distention
Hirschprung's dis
38
Once paraplegeia recovery is poor
vit b12 deficiency (from AI gastritis)
39
Regurgitation and projectile, nonbilious vomiting after feeding with frequent demands for refeeding
congenital pyloric stenosis
40
increased saliva
GERD
41
cramping
sigmoid diverticular dis
42
pain in the RUQ that radiates to the R upper shoulder or the back that occurs after a fatty meal.
acute cholelithiasis
| -chronic if recurring
43
Choke/gag/cyanosis when feed
esophageal fistula
44
abd distention
- ped celiac dis
| - sigmoid diverticular dis
45
kids: recurrent pneumonias
GERD
46
Periumbilical pain migrating to the RLQ
acute appendicitis
47
kids: gas
GERD
48
kids: vomit often
GERD
49
xanthelasmas
primary biliary cirrhosis
50
meningitis
salmonella enterica (typhoid fever)
51
fatigue
HAV
52
chronic fatigue
adult celiac dis
53
fever, RUQ pain, jaundice
ascending cholangitis
| =charcot's triad
54
N/v, bloating, belching and wt loss often occur
PUD
55
difficulty belching
achalasia
56
leukocytosis
acute appendicitis
57
duodenal ulcers and chronic drh
Zollinger-Ellison syndrome
58
loss appetite
HAV
59
s/s of metabolic synd, insulin resistance, DM
NAFLD
60
sudden onset of cramping
ischemic bowel dis
61
chest pain
- achalasia
| - boerhaave synd (also tachypnea)
62
dry mouth
xerostomia
63
abdominal tenderness (McBurney's point)
acute appendicitis
64
epigastric pain, n/v
-gastropathy and gastritis and chronic gastritis
(hematemesis in acute)
-fundic gland polyps
-MALToma
65
hyperpigmentation
primary biliary cirrhosis
66
erythema, edema, bleeding, gingival degen
gingivitis (reversible!)
67
worse when lying down
GERD
68
food impaction + dysphagia
Eosinophilic esophagitis
69
food poisoning
- campylobacter enterocolitis
| - salmonella
70
bloody drh
campylobacter enterocolitis
| -shigella
71
sore throat, ear ache, pain on swallow (odonyphagia, wt loss)
HPV assoc squamous cell carcinoma
72
kids: cry during feeding
GERD
73
bronchospasm
carcinoid synd from Ileal tumors
74
rice water drh w fishy odor
cholera
75
destroy alveolat bone and peridontal l --> teeth fall out
peridontitis (reversible)
76
Loss vibration and position sense
vit b12 deficiency (from AI gastritis)
77
osteomyelitis
```
salmonella enterica (typhoid fever)
-esp sickle cell pts
```
78
symp of hte parathyroid, panc, pituitary
MEN1 assoc Zollinger-Ellison syndrome
79
excessive belching
GERD
80
Diet is subconsciously altered to soft food and liquid nutritional deficiency and wt. Loss
esoph scc
81
dysphagia, odynophagia or obst
esoph scc
82
fatigue and weakness
-R sided colonic adenocarcinoma
83
failure to pass meconium in neonatal pd
- Hirschprung's dis
| - cystic fibrosis
84
abd pain improves following defecation
- irritable bowel synd
| - ulcerative colitis
85
Abdominal fullness, drh, flatulence following ingestion of lactose products
Acquired Lactase Deficiency
86
m cramping
cholera
87
Rose spots
```
salmonella enterica (typhoid fever)
-small erythematous maculopapular lesions on chest and abdomen
```
88
R-sided cardiac valvular fibrosis
carcinoid synd from Ileal tumors
89
dysphagia
- GERD
| - Barretts esoph
90
irritability
ped celiac dis
91
respiratory distress
volvulus of SI
92
-RUQ or epigastrium +than 6hr.
| Mild fever, anorexia, tachycardia, sweating, n/v
cholesystitis or GB adenocarcinoma
93
bloating
adult celiac dis
94
Children: feeding intolerance + GERD-like s/s.
Eosinophilic esophagitis
95
Cutaneous flushing/sweating
carcinoid synd from Ileal tumors
96
symp improve after a high fiber diet
sigmoid diverticular dis
97
passage of blood or bloody diarrhea (hematochezia or bright red blood: tell distal in GI tract or rapidly translated thru)
ischemic bowel dis
98
dysphagia, progressive wt Loss, hematemesis, chest pain, vomiting
esophageal adenocarcinoma
99
endocarditis/myocarditis
- salmonella enterica (typhoid fever)
| - yersinia
100
Acute watery drh or may follow influenza-like prodrome
-campylobacter enterocolitis
101
Constant abdominal pain, may refer to upper back or L shoulder.
-+/ anorexia, n/v
acute pancreatitis
102
Paresthesia and numbness
vit b12 deficiency (from AI gastritis)
103
hematemesis
- mallory weiss tears
- Gerd
- esoph varices
- MALToma
104
colicky abd pain
carcinoid synd from Ileal tumors
105
Explosive drh with watery, frothy stools and abdominal distention following milk ingestion
Congenital Lactase Deficiency
106
regurgitation and halitosis
zenker diverticulum
107
Palpable firm ovoid abd mass
congenital pyloric stenosis
108
occult bleeding and abd pain that looks like appendicitis
meckel diverticulum
- from gastric tissue secreting acid in SI --> ulceration
- yersinia, but no bleeding
109
Vit D malabsorption osteomalacia/osteoporosis
primary biliary cirrhosis
110
desire to defecate
ischemic bowel dis
111
Intermittent attacks of bloody, mucoid drh and abdominal pain that persists days-months before subsiding
ulcerative colitis
112
loss self-confidence/self esteem; pain to extent of effecting daily living
dental caries
113
attacks of pain/jaundice/abd/back pan triggered by EtOH, overeating, opiates
chronic pancreatitis
114
pneumonia
```
salmonella enterica (typhoid fever)
-whipple dis from tropheryma whippelii (just pulm dis)
```
115
LOC
cholera
116
- Worse at night and 1-3 hrs after meals since food buffers the acid
- Relief with milk, alkali agents or food
PUD
117
from severe burns or trauma
curling ulcers
118
nonspecific abd symp Followed by asymptomatic phase
chrons dis
119
Nonprogressive dysphagia with incompletely chewed food, but fluids thru fine
esophageal mucosal webs
120
nonspecific abd symp Followed by asymptomatic phase that leads to bacteremia and fever with flulike s/s
salmonella enterica (typhoid fever)
121
constipation
sigmoid diverticular dis
122
anuria
cholera
| -(kidney dis in in yersinia)
123
alternating constipation and diarrhea that can mimic IBS
sigmoid diverticular dis
124
hepatitis, cirrhosis, pulm dis
α1-antitrypsin deficiency
