Approach To Abdominal Complaint II

Question 1

What are common GI complaints?

Answer 1

Heartburn, stomach flu (vomiting diarrhea), constipation

Question 2

What is enteritis?

Answer 2

Inflammation of the SI

Question 3

What is cystitis?

Answer 3

Inflammation of the urinary bladder

Question 4

What are the steps of a PE?

Answer 4

Inspection, auscultation, percussion, palpation (special/diagnostic tests)

Question 5

What are ROS alarm sx?

Answer 5

Dysphagia, odynophagia, hematochezia, melena

Question 6

What is odynophagia?

Answer 6

Painful swallowing

Question 7

What is borborygmi?

Answer 7

Significant increase in peristalsis which may cause audible or palpable bowel activity (hunger sounds amplified)

Question 8

What is tenesmus?

Answer 8

Sense of incomplete emptying

Question 9

What are common causes of gastroenteritis?

Answer 9

Viral (norovirus - cruise ships; rotavirus - infants, young children)
Bacterial (salmonella, shigella, campylobacter - travels diarrhea)
and parasitic (Giardia, cryptsospordium - impure water)

Question 10

Describe tax for diarrhea (behavioral model)

Answer 10

Gut rest (frequent small amounts of liquid)
Hydration with clear fluids
Eliminating offending agent
Address SD

Question 11

What are associated sx for constipation?

Answer 11

Abdominal bloating, low back pain, tenesmus, pain on defecation
Rectal bleeding, severe abdominal pain, inability to pass flatus or vomiting*

Question 12

What are common causes for constipation?

Answer 12

Delaying defecation, diet, exercise, medications, endocrine dysfunction

Question 13

What is some Tx for constipation?

Answer 13

Address dietary needs 
Increase free water 
Go to bathroom when you feel the need to have a BM 
Exercise  
Address SD

Question 14

What are specialty tests for peritonitis?

Answer 14

Heel strike, rebound

Question 15

Review slides

Answer 15

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