Flashcards in EXAM #3: GI DISEASE IN PRIMARY CARE Deck (23):
1
What class of antibiotics is most commonly implicated in the development of nausea and vomiting?
Macrolides
2
What are the functional disorders of the GI system?
1) Gastroparesis
2) IBS
3) non-ulcer dyspepsia
*All caused by abnormal functioning of GI system
3
What causes bowel obstruction?
1) Adhesions
2) Achalasia
3) Inusssusception
4) Pyloric stenosis
5) Volvulus
4
List the organic GI disorders.
1) Appendicitis
2) Cholecystitis
3) Hepatitis
4) IBD
5
What are the red flags relating to nausea/vomiting?
- Older than 55
- Weight loss
- Progressive dysphagia
- Persistent vomiting
- GI bleed
- AMS
- Hx. of GI cancer
- Feculant vomiting
6
When is diarrhea chronic?
14 days
7
What are the red flags related to diarrhea?
- Melena
- Hematochezia
- Extremes of age
- Recent travel
- Unintended weight loss
- High fever
- Large volumes of stool
8
What are the red flags associated with a chief complaint of constipation?
- Unable to pass gas
- Weight loss
- Hx of cancer
9
Why is constant bloating a red flag?
Can be seen with ovarian cancer and ascites
10
What are the red flags of bloating?
- Extremes of age
- Anemia
- Abdominal distension
- Exam suggesting fluid of mass
- Weight loss
- Co-nausea, vomiting, diarrhea
- GI bleeding
11
What are the red flags of dyspepsia?
- Abnormal PE
- Weight loss
- Extremes of age
- GI bleeding
- Family hx of abdominal cancer
- Lab abnormalities
- New onset w/out trigger
12
What is a positive Rovsing's sign associated with?
Appendicitis
(Palpation of the LLQ= pain in the RLQ)
13
What is a Carnett's sign?
- Patient is essentially asked to do an abdominal crunch
- Pain is worse= positive sign
*Indicates rectus sheath problem, NOT an intra-abdominal etiology*
14
What are the primary etiologies of epigastric pain?
GERD
Gastritis
Duodenal ulcer
Gastric malignancy
Pancreatitis
15
What are the primary etiologies of RUQ pain?
Cholecystitis
Hepatitis
16
What is the primary etiology of LUQ pain?
Splenic rupture
17
What is intense pain radiating from the LUQ to the left shoulder called?
Positive Kehr's Sign
18
What are the primary etiologies of RLQ pain?
Appendicitis
Crohn's Disease
+
Ureterolithiasis
Ectopic pregnancy
Ruptured ovarian cyst
19
What are the primary etiologies of LLQ pain?
Diverticulitis
UC
IBS
+
Ureterolithiasis
Ectopic pregnancy
Ruptured ovarian cyst
20
What are the primary etiologies of periumbilical pain?
Intestinal obstruction
Early appendicitis
Aortic dissection
21
What are the primary etiologies of suprapubic pain?
Cystitis
PID
22
What are the primary etiologies of rectal pain?
Hemorrhoids
Fissures
Pruritis ani
23