Screening for GI

Question 1

What are signs and sx for GI problems?

Answer 1

abdominal pain, dysfagia, odynophia, GI bleeding, sx changes with food, fecal incontinence

Question 2

What areas of body do GI problems usually refer to?

Answer 2

shoulder back and side, pelvis, ribs

Question 3

Who should be screened for GI issue?

Answer 3

over 45, chronic NSAID user, Hx of cancer, pain with eating

Question 4

What are constitutional symptoms that are never MS?

Answer 4

fever, NV, fatigue, night sweats, pallor, diaphoresis

Question 5

What are less common reasons someone should get screened?

Answer 5

shoulder pain within 48 hours of laparoscopy, RLG pain, joint pain with rash

Question 6

What are people with dysphagia at greater risk for?

Answer 6

PNA and decreased nutritional needs

Question 7

How do you DD from cardiac or GERD?

Answer 7

Gerd gets better sitting up

cardiac better with supine or NTG due to less C.O

Question 8

What does coffee ground emesis mean?

Answer 8

peptic or duodenal ulcer

Question 9

What is bloody diarrhea mean?

Answer 9

ulcerative colitis

Question 10

What is melena indicative of?

Answer 10

large amounts of digested blood

Question 11

What is a bismuth tongue?

Answer 11

black tongue from pepto

Question 12

If back pain is sharp and not MS what is it likely?

Answer 12

ulcer related

Question 13

If pain is burning what is it likely indicative of?

Answer 13

heartburn, GERD rule out angina

Question 14

If you have pain 30-60 mins after eating what could it be?

Answer 14

gastric

Question 15

If you have pain 2-4 hours after eating what could it be?

Answer 15

duodenal, initially feels good but later does not

Question 16

When is constipation a med emergency?

Answer 16

unexplained with sudden unacceptable changes in bowel habits or blood in stool

likely with post op

Question 17

What are symptoms of caudal equine?

Answer 17

LBP with saddle anesthesia, urinary/fecal incontinence, global L4-S1 weakness, gait disturbances

Question 18

What is indicative of L shoulder pain if not MS related?

Answer 18

Kehr’s sign- air of blood in abdomen likely from spleen or laproscopy

Question 19

What is indicative of R shoulder if not MS related?

Answer 19

pancreas or gallbladder

Question 20

What are sx of acid reflux dz?

Answer 20

heartburn, dysphagia, chest pain, constant throat clearing

Question 21

What co morbidity is common with NSAID overdose?

Answer 21

arthritis

Question 22

What are adverse effects of NSAIDS?

Answer 22

cartilage repair suppression, liver damage, renal constriction check BP

Question 23

What are signs and sx of NSAID overdose?

Answer 23

increased vital signs, fatigue, muscle weakness, restless legs, rash, confusion

Question 24

What are signs and sx of pancreatitis?

Answer 24

mid epigastric pain, worsens with walking and supine better with sitting leaning forward

weight loss

Question 25

When should people get screened for colon cancer?

Answer 25

50 or with FOBT

Question 26

What are sx of colon cancer?

Answer 26

back/hip pain, belly pain, constipation, weight loss, fatigue

Question 27

What is Kehr's sign?

Answer 27

possible splenic rupture that refers to L shoulder

Question 28

How do you screen for peritonitis?

Answer 28

will have rebound tenderness and have a high temp med emergency

Question 29

Where are abdominal abcesses usually found and why do they occur?

Answer 29

obturator or psoas caused by an infection or surgery

Question 30

What are sx of an abdominal abcess?

Answer 30

lower GI pain and/or LBP, hip groin may have antalgic gait

Question 31

How do you rule in or out an abcess?

Answer 31

perform resistance or WB exercises will increase pain

Question 32

What is a med emergency?

Answer 32

appendicitis, spleen rupture, AAA, peritonitis, vomit blood, bloody stools