Common Presentations in Primary Care Flashcards
(35 cards)
What are the classes of functional GI disorders?
- motility
- peristalsis
- digestion
- filtration and removal of toxins
- metabolism of stuff
- fluid balance
- absorption of nutrients
causes of nausea and vomiting?
- iatrogenic (medications-acne meds, hormones, opitates)
- toxic (ethanol, arsenic, pesticides, ricin)
- infectious (food borne, virus, bacterial toxins-Staph coccus)
- GI disorder (functional-gastroparesis-slow motility, IBS,non-ulcer dyspepsia, obstruction..)
- CNS or psychiatric issues (inc intracranial pressure)
What is a bad sign with vomit?
Blood in the vomit - or for realy any GI issue
Red flags for GI issues?
- older than 55yrs
- unintended weight loss
- progressive dysphagia
- persistnet vomting
- GI bleeding
- altered mental status
- famly Hx of GI cancer
- feculent vomiting
Gallbladder cancers common with which population?
Chileans
Gastric cancer where?
Asia
If you see encoporesis in a kid also think?
enuriesis - and vice versa
Most common cause for diarrhea anywhere?
rotavirus
Diarrhea - check for/work-up?
- check for blood
- leukocytes
- stool pH
- ova and parasites
- stool culture
- enzyme immunoassays for viral pathogens
common parasite in US suburbia?
giardia
red flags for diarrhea
- bloody poop (red=lower GI vs tarry=upper GI)
- extremes of age
- recent travel
- unintentional WL
- high F
- volume of stool
Alternation with diarrhea usually is?
IBS - functional disorder
Woman presents with bloating think…
ovarian cancer
Cholestitis radiates to?
right shoulder
Splenic rupture/ abscess ratiates to?
left shoulder
Aortic pain radiates to?
back
Nephrolithiasis radiates to?
groin
Pancreatic ascites will usually present with?
brusing on flanks and/or back
No bowel sounds with?
ileus or obstruction but obstruction could also be hyperactive motility
Rovsings sign?
push on one side and get pain on the other
Murphys sign?
Cholesistitis - by/on liver
Mcburneys sign?
appendicitis
Looyds test?
pyelonephritis
Carnetts sign?
??
