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GIT > APPROACH TO GIT > Flashcards

APPROACH TO GIT Flashcards

(72 cards)

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1
Q

PAIN LOCATION:
Substernal, may radiate to the back, jaw left shoulder and arm

A
  • esophagitis
  • Esophageal motility
  • esophageal neoplasm
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2
Q

PAIN LOCATION:
Epigastric

A
  • Peptic ulcer Disease
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3
Q

PAIN LOCATION:
Periumbilical

A
  • Colon
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4
Q

PAIN LOCATION:
Right Upper Quadrant Pain

A
  • Liver
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5
Q

PAIN LOCATION:
Epigastric and RUQ

A
  • Gallbladder bile duct, cholecystitis
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6
Q

PAIN LOCATION:
Epigastrium with radiation to the back

A
  • Pancreatitis
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7
Q

PAIN LOCATION:
Midline then move to the mcburney point in the right lower abdomen

A

appendicitis

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8
Q

PAIN LOCATION:
Costovertebral angle, flank

A

Renal

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9
Q

PAIN LOCATION:
Radiation of ulcer to the back

A

Posterior penetrating duodenal ulcer

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10
Q

PAIN QUALITY:
Burning or warm

A

esophagitis

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11
Q

PAIN QUALITY:
Colicky or crampy, may be associated with abdominal distention and audile bowel sounds

A

Small intestinal obstruction or inflammation

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12
Q

PAIN QUALITY:
Colicky, but usually constant dull ache

A

Appendicitis

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13
Q

PAIN QUALITY:
Squeezing pain

A

Acute cholecystitis

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14
Q

PAIN QUALITY:
Penetrating or boring pain

A

Pancreatitis

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15
Q

PAIN QUALITY:
Sharp or cutting pain

A

nephrolithiasis

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16
Q

PAIN INTENSITY:
Extremely severe abdominal pain

A
  • Perforated PUD
  • Acute pancreatitis
  • Passage of renal stone
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17
Q

PAIN INTENSITY:
Severe acute pain

A

Small intestinal obstruction
- cholecystitis
- appendicitis

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18
Q

PAIN INTENSITY:
Moderate acute pain

A
  • PUD
  • Gastroenteritis
  • Esophagitis
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19
Q

PAIN CHRONOLOGY:
intermitted, occurs in the morning or before meals

A
  • PUD
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20
Q

PAIN CHRONOLOGY:
Develops during sleep, may be preceded by months

A
  • Acute cholecystitis
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21
Q

PAIN CHRONOLOGY:
Nocturnal pain rarely occurs

A
  • IBS
  • Functional abdominal pain
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22
Q

PAIN CHRONOLOGY:
Progressive pain 10-15 minutes wihtout remission

A
  • Acute appendicitis
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23
Q

PAIN CHRONOLOGY:
Pain reaching peak intensity within minutes

A
  • Perforated PUD
  • Rupture AAA
  • Passage of renal stones
  • Ruptured ectopic preganancy
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24
Q

PAIN CHRONOLOGY:
Peak pain intensity reached in 10-60 minutes

A
  • Acute pancreatitis
  • Intestinal obstruction
  • Cholecystitis
  • Mesenteric occlusion
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25
PAIN CHRONOLOGY: Chronic, most intense after meal
- Irritable bowel syndrome
26
ALLEVIATING: Antacids, acid supressing
- Esophagitis - PUD
27
ALLEVIATING: Ingesting food
- Duodenal ulcer
28
ALLEVIATING: Leaning forward
- Pancreatic pain
29
ALLEVIATING: Hyperextension on spine, massaging the abdomen, passing of feces or flatus
- IBS
30
AGGRAVATING: Ingesting food
- Gastric ulcer
31
AGGRAVATING: meal ingestion
- Pancreatic disease - Intestinal obstruction - Mesenteric ischemia
32
AGGRAVATING: Within minutes after eating
- Duodenal obstruction
33
AGGRAVATING: 1-2 hours after meal
- Ileum
34
AGGRAVATING: Intensified after meal
- mesenteric ischemia
35
AGGRAVATING: Consumption of dairy products
- Lactase deficiency
36
AGGRAVATING: Reclining or straining
- Heartburn
37
AGGRAVATING: Worse in supine position
- pancreatic pain
38
AGGRAVATING: Eating or stress
- IBS
39
ASSOCIATED SYMPTOMS: Abdominal pain precedes nausea
- Ultimately require surgery
40
ASSOCIATED SYMPTOMS: Nausea occur before abdominal pain
- May not require surgery
41
ASSOCIATED SYMPTOMS: Diarrhea (appendicitis exception to the rule_
- non surgical
42
ASSOCIATED SYMPTOMS: acute left-sided abdominal pain and bloody stools in elderly
- ischemic colitis
43
ASSOCIATED SYMPTOMS: chronic abdominal pain with rectal bleeding
- colonic neoplasm - inflammatory bowel disease
44
ASSOCIATED SYMPTOMS: abdominal pain with recent constipation
- colonic obstruction
45
ASSOCIATED SYMPTOMS: long standing constipation
- IBS
46
ASSOCIATED SYMPTOMS: anorexia, weight loss
- malignancy
47
ASSOCIATED SYMPTOMS: high fever (39.5'C) early in the course
- Cholangitis - UTI - infectious enteritis
48
ASSOCIATED SYMPTOMS: Jaundice
- Disease of the liver, biliary tree - and pancreas
49
RISK FACTOR: heavy alcohol intake for prolonged period
- acute pancreatitis
50
RISK FACTOR: Analgesics
- Ulcer disease
51
RISK FACTOR: Cocaine
- mesenteric ischemia
52
RISK FACTOR: gallstone
-distal intestinal obstruction (gallstone ileus)
53
RISK FACTOR: Cardiovascular disease
- mesenteric ischemia
54
RISK FACTOR: prior abdominal surgery
- likelihood to intestinal obstruction
55
RISK FACTOR: cirrhosis and ascites
- spontaneous bacterial peritonitis
56
HISTORY: Symptoms of short duration
- acute infection - toxin exposure - abrupt inflammation or ischemia
57
HISTORY: Long-standing symptoms
- chronic inflammatory - neoplastic conditions - functional bowel disorders
58
HISTORY: Symptoms from mechanical obstruction
- ischemia - IBD - functional bowel disorders (worsened by meals)
59
HISTORY: relieved by eating or antacids. Pain is intermittent lasting weeks to months
- Ulcer symptoms
60
HISTORY: sudden onset and lasts up to several hours
- biliary colic
61
HISTORY: Severe pain and persists for days to week
- acute inflammation - acute pancreatitis
62
HISTORY: Meal elicit diarrhea
- IBD - IBS
63
HISTORY: Defecation relieves discomfort
- IBD and IBS
64
HISTORY: Exacerbated by stress
- Functional bowel disorders
65
HISTORY: Sudden awakening from sound sleep
- organic than functional diseasse
66
HISTORY: Obstructive symptoms with prior abdominal surgery
- Adhesions
67
HISTORY: Loose stools after gastrectomy or gallbladder excision
- dumping syndrome or postcholecystectomy diarrhea
68
HISTORY: Symptom onset after travel
- enteric infection
69
HISTORY: Medication may produce pain
- Altered bowel habits - GI bleeding
70
HISTORY: Lower GI bleeding in an older person
- Neoplasms, - Diverticula - Vascular lesions
71
HISTORY: LGIB in younger individuals
- anorectal abnormalities or IBD
72
HISTORY: Sexual history
- STD or immunodeficiency

GIT (6 decks)

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