TSP Visceral and Vascular

Question 1

Lungs

Answer 1

Dry cough
SOB
Worse on breathing
Coughing blood
Chest pain
Fatigue

Question 2

Esophagus/GORD

Answer 2

Dysphagia
Lump in throat
Unintentional weight loss: Common in more advanced stages.
Chest pain or discomfort
Hoarseness or chronic cough: Caused by irritation of the vocal cords or spread of cancer to nearby structures.
Regurgitation of food
Heartburn: Persistent acid reflux or indigestion.

Question 3

Hiatal hernia

Answer 3

Part of the stomach pushes up through the diaphragm into the chest cavity through the hiatus (an opening in the diaphragm).

Feeling full quickly
Dysphagia
Regurgitation
Heartburn
Chest pain
SOB

Aging, obesity, pregnancy, or anything that increases abdominal pressure, such as heavy lifting or straining.

Question 4

Stomach ulcer

Answer 4

Abdominal pain - burning or aching, Typically felt in the upper middle or upper left abdomen and may occur between meals or at night and can last for minutes to hours.
Bloating
Nausea/Vomiting - may include blood or tarr like substance, indicates bleeding in the stomach
Heartburn
Loss of appetite
Dark or Black Stools - indicate bleeding in the stomach

Extensive Hx of pain killers

Question 5

Pancreatitis

Answer 5

• Abdominal pain or discomfort (often radiates to the back)
• Unexplained weight loss
• Loss of appetite
• Jaundice (yellowing of the skin and eyes)
• Dark urine and pale stools
• Nausea and vomiting
• New-onset diabetes or worsening of existing diabetes

Acute:

• Sudden inflammation Commonly due to gallstones, chronic and heavy alcohol consumption, certain medications, or abdominal trauma.
• Severe abdominal pain, nausea, vomiting, fever, rapid pulse, and abdominal tenderness

Chronic:

• Long-term alcohol use, genetic factors, autoimmune conditions
• Persistent abdominal pain, weight loss, diarrhea, fatty stools, and diabetes.

Question 6

Gall bladder

Answer 6

Abdominal pain (often in the upper right or center), nausea, vomiting, and sometimes jaundice.

Question 7

Chrons

Answer 7

• Inflammatory condition that can affect any part of the gastrointestinal tract, from the mouth to the anus. Most commonly affects the end of the small intestine (ileum) and the beginning of the large intestine (colon).
• Abdominal pain, diarrhea (which may be bloody), weight loss, fatigue, and malnutrition.

Question 8

UC

Answer 8

• Inflammation and ulcers in the lining of the colon and rectum. It typically starts in the rectum and can extend continuously to involve part or all of the colon.
• Abdominal pain, bloody diarrhea, urgency to have bowel movements, and weight loss.

Question 9

TAA

Answer 9

• Most asymptomatic
• May cause chest pain, upper back or neck pain - if radiates to the back with hypotension it may be sign of dissection.
• Cough, SOB, Stridor – compression of trachea, left bronchus
• Phrenic nerve compression – hiccups
• Oesophageal compression – dysphagia
• SVC obstruction
• Haemoptysis – expansion, aortobronchial fistula – bleeding in lungs
• Hoarseness - expansion causes compression of recurrent laryngeal nerve.
• Rupture – hypotension, tachycardia, death
• Close to Vagus nerve so can cause symptoms related
• Ascending (hypertension or marfans) – descending (atherosclerosis or syphilis)