clinical histories gastro + cardiovasc

Question 1

hematemesis

Answer 1

bright red blood in vomit
upper GI bleed

Question 2

hematochezia

Answer 2

lower GI bleed
is the blood mixed in with the shit or is it wiping off on the tissue?

Question 3

melena

Answer 3

upper GI bleed

Question 4

coffee ground vomit

Answer 4

lower GI bleed

Question 5

epigastric pain that radiates to the back

Answer 5

peptic ulcer
pancreatitis

Question 6

pain that radiates from umbilical area to right illiac

Answer 6

appendicitis

Question 7

pain in right hypochondriac area

Answer 7

hepatitis
biliary colic

Question 8

constipation

Answer 8

IBS, IBD

Question 9

diarrhea

Answer 9

IBD (chrons)
gastroenteritis

Question 10

sharp abdominal pain

Answer 10

appendicitis
pancreatitis
biliary colic

Question 11

dull abdo pain

Answer 11

PUD
gastritis
GERD
IBS

Question 12

heartburn/regurgitation

Answer 12

GERD

Question 13

relieved by meals

Answer 13

PUD

Question 14

worsened by a meal

Answer 14

GERD

Question 15

dysphagia

Answer 15

difficulty swallowing

Question 16

nausea/vomiting

Answer 16

gastritis
pancreatitis
appendicitis (nausea)

Question 17

loss of appetite

Answer 17

appendicitis

Question 18

lethargy/fatigue & dysopnea

Answer 18

anemia

Question 19

constituent symptoms like fever, night sweats, unexpected weight loss

Answer 19

gastric cancer
bowel cancer

Question 20

left illiac pain

Answer 20

diverticulitis, IBS, IBD

Question 21

antacids relieve it

Answer 21

GERD

Question 22

chronic pain

Answer 22

IBS
IBD
chronic pancreatitis
PUD
Celiac disease

Question 23

acute pain

Answer 23

appendicitis
acute pancreatitis
perforated ulcer
gastroenteritis
gastritis
diverticulitis

Question 24

pain in passing bowel

Answer 24

fissure/cut

Question 25

recent travels/contact with sick people?

Answer 25

determine if it is an infectious disease or not

Question 26

Cardiovascular

Question 27

squeezing/tight chest pain/heavy

Answer 27

angina

Question 28

stabbing chest pain

Answer 28

MI

Question 29

chest pain brought upon exertion

Answer 29

stable angina

Question 30

chest pain relieved upon lying down

Answer 30

stable angina

Question 31

chest pain not relieved upon lying down, persistent without exertion

Answer 31

unstable angina

Question 32

fever, night sweat, unexpected weight loss

Answer 32

malignancy - cancer

Question 33

burning chest pain

Answer 33

GORD

Question 34

heartburn/regurg

Answer 34

GORD

Question 35

chest pain relieved by antacids

Answer 35

GORD

Question 36

chest pain aggravated by food and alcohol

Answer 36

GORD

Question 37

chest pain upon sleep

Answer 37

unstable angina MI

Question 38

dysopnea

Answer 38

stable angina MI

Question 39

orthopnea

Answer 39

shortness of breath lying down - need to adjust pillow - unstable angina relieved by sitting up

Question 40

paroxysmal nocturnal dysopnea

Answer 40

SOB at that wakes up a person from sleep and forces them to sit or stand to breathe easier paroxysmal (sudden onset)

Question 41

ankle swelling

Answer 41

left sided heart failure --> oedema

Question 42

shorter duration of symptoms

Answer 42

stable angina

Question 43

longer duration of symptoms

Answer 43

unstable angina

Question 44

lightheadedness/fainting

Answer 44

stable angina MI

Question 45

fatigue

Answer 45

MI

Question 46

nausea/vomiting

Answer 46

stable angina MI

Question 47

sweating

Answer 47

stable angina MI