gi

Question 1

Dysphagia - exploring symptoms

Answer 1

• Onset
• Progression (sudden or gradual)
• Pain?
• Worse with solids or liquids - did it progress from solids to liquids
• Recent chest infection?

Question 2

Dysphagia - system review

Answer 2

• General: unintentional weight loss, loss of appetite
• GI: food sticking, halitosis, regurgitation, change in bowel habit, chest pain (SOCRATES), blood in stool or haematemesis
• Neuro: weakness
• Autoimmune: cold hands, dry eyes/mouth, tight skin

Question 3

Loose stools - exploring symptoms

Answer 3

Onset, how it has changed, tenesmus, blood, mucus, lifestyle/diet changes

Question 4

Loose stools - system review

Answer 4

• General: weight loss, loss of appetite
• GI: PR, abdo pain, rashes, joint pain, eye symptoms
• Cardio (anaemia): lethargy, palpatations, SOB
• Infection: fever, contact with a person with diarrhoea, ? food poisoning, travel abroad

Question 5

Loose stools: FHx

Answer 5

Colon cancer, polps, IBD

Question 6

Diarrhoea - exploring symptoms

Answer 6

OCRATES

Question 7

Diarrhoea - system review

Answer 7

• General: weight loss, eating and drinking, N+V
• GI: dysphagia, indigestion/reflux, abdo pain, blood in stool
• Infection: fever, contact with a person with diarrhoea, ? food poisoning, travel abroad
• Extra-intestinal features: mouth ulcers, painful red eye, joint or back pain

Question 8

Diarrhoea - PMHx

Answer 8

Recent antibiotics/hospital

Question 9

Jaundice - exploring symptoms

Answer 9

• DOTS
• SOCRATES if abdo pain

Question 10

Jaundice - system review

Answer 10

• General: fever, chills, rigor, weight loss, loss of appetite
• GI: change in bowel habit, pale stools, dark urine, change in bowel habit
• Derm: skin itching

Question 11

Jaundice - PMHx

Answer 11

• Hepatitis screen: IVDU, foreign travel, blood transfusion, sore throat, tattoos, autoimmune disorders
• Gallstones
• Autoimmune diseases
• IBD

Question 12

Abdo pain - exploring symptoms

Answer 12

SOCRATES

Question 13

Abdo pain - system review

Answer 13

GI: dysphagia, appetite, N+V, altered bowel habit, jaundice, fever, weight loss

Question 14

Abdo pain - PMHx

Answer 14

Previous ulcers, gastritis, reflux

Question 15

Abdo pain - SHx

Answer 15

• Drugs: NSAIDs, steroids, anticoagulants
• Job stress