Screening for GI Flashcards
What are signs and sx for GI problems?
abdominal pain, dysfagia, odynophia, GI bleeding, sx changes with food, fecal incontinence
What areas of body do GI problems usually refer to?
shoulder back and side, pelvis, ribs
Who should be screened for GI issue?
over 45, chronic NSAID user, Hx of cancer, pain with eating
What are constitutional symptoms that are never MS?
fever, NV, fatigue, night sweats, pallor, diaphoresis
What are less common reasons someone should get screened?
shoulder pain within 48 hours of laparoscopy, RLG pain, joint pain with rash
What are people with dysphagia at greater risk for?
PNA and decreased nutritional needs
How do you DD from cardiac or GERD?
Gerd gets better sitting up
cardiac better with supine or NTG due to less C.O
What does coffee ground emesis mean?
peptic or duodenal ulcer
What is bloody diarrhea mean?
ulcerative colitis
What is melena indicative of?
large amounts of digested blood
What is a bismuth tongue?
black tongue from pepto
If back pain is sharp and not MS what is it likely?
ulcer related
If pain is burning what is it likely indicative of?
heartburn, GERD rule out angina
If you have pain 30-60 mins after eating what could it be?
gastric
If you have pain 2-4 hours after eating what could it be?
duodenal, initially feels good but later does not
When is constipation a med emergency?
unexplained with sudden unacceptable changes in bowel habits or blood in stool
likely with post op
What are symptoms of caudal equine?
LBP with saddle anesthesia, urinary/fecal incontinence, global L4-S1 weakness, gait disturbances
What is indicative of L shoulder pain if not MS related?
Kehr’s sign- air of blood in abdomen likely from spleen or laproscopy
What is indicative of R shoulder if not MS related?
pancreas or gallbladder
What are sx of acid reflux dz?
heartburn, dysphagia, chest pain, constant throat clearing
What co morbidity is common with NSAID overdose?
arthritis
What are adverse effects of NSAIDS?
cartilage repair suppression, liver damage, renal constriction check BP
What are signs and sx of NSAID overdose?
increased vital signs, fatigue, muscle weakness, restless legs, rash, confusion
What are signs and sx of pancreatitis?
mid epigastric pain, worsens with walking and supine better with sitting leaning forward
weight loss
When should people get screened for colon cancer?
50 or with FOBT
What are sx of colon cancer?
back/hip pain, belly pain, constipation, weight loss, fatigue
What is Kehr’s sign?
possible splenic rupture that refers to L shoulder
How do you screen for peritonitis?
will have rebound tenderness and have a high temp
med emergency
Where are abdominal abcesses usually found and why do they occur?
obturator or psoas caused by an infection or surgery
What are sx of an abdominal abcess?
lower GI pain and/or LBP, hip groin
may have antalgic gait
How do you rule in or out an abcess?
perform resistance or WB exercises will increase pain
What is a med emergency?
appendicitis, spleen rupture, AAA, peritonitis, vomit blood, bloody stools
