Screening for GI Disease Flashcards
(23 cards)
what organs are included in the GI system (7)
esophagus
stomach
pancreas
gallbladder
small intestine
large intestine (appendix)
rectum
what are general common GI sx reported (5)
swallowing difficulties
bowel dysfunction
sx change w food ingestion
appendicitis
arthralgia/neuropathy
what are 2 swallowing difficulties
dysphagia
odynophagia
what are 5 bowel dysfunction sx
color of stool, GI bleeidng
emesis, melena, red blood
constipation
diarrhea
fecal incontinence
what are some sx that can change w food ingestion (3)
abdominal pain
belly pain that radiates to the back
non localized shoulder pain
what is a quality of visceral pain sites
generally not well localized
- will be within general area
who are 2 pt populations that should be screened
> 45yo
NSAID users (chronic NSAID use >1mo)
what pain should be screened (6)
back pain + abdominal pain simultaneously
back pain that changes w bowel movement
shoulder pain w/i 48hrs of laparoscopy
RLQ pain (usually appendicitis)
joint pain w rash (usually w IBS)
shoulder, back, pelvic, sacral pain w:
- hx of cancer
- pain changes w eating/bowel movements
- constitutional sx
what are some constitutional sx that indicate a needed screen (9)
n/v
diarrhea
malaise
fatigue
fever
night sweats
pallor
diaphoresis
dizziness
what are some screening Qs
GI specific sx:
- n/v
- unexplained wt loss/gain
- difficulty swallowing
- heartburn/indigestion
- changes in bowel/bladder function
- constipation/diarrhea
GI specific dx or fam hx
- ulcer
- crohn’s
- anorexia
- abdominal surgery
what are some follow up Qs if there is a sx change w eating (8)
before or after / nausea
swallowing / pain / type of food
diet changes or tolerance changes
worse if change position
food intolerance
unusual color or consistency of stool
abdominal trauma/surgery
meds (NSAIDs)
what are you thinking ab when asking ab if sx worsen w a change in position
indigestion - sitting up helps
cardiac - laying down helps
what are you thinking ab if someone w sx change w eating has had an abdominal trauma/surgery
internal bleeding
- organ bleeding like spleen
dysphagia sx
food catching or sticking when swallowed
what is achalasia
tightness of ms fibers of the esophagus
- can cause dysphagia
- can occur w age
what are they two types of dysphagia you can see
mechanical obstruction
ms incoordination
what are associated possible causes of dysphagia (4)
peptic ulcer dz (PUD)
GERD - significant irritation/inflammation
tumor
unrelated GI dz (impact ms coordination)
- stroke, alzheimers, parkinsons, ALS, MS, myasthenia gravis
what types of food is more difficult for someone w dysphagia
bigger boluses of foods
rougher textures
flag for dysphagia
yellow
referral (soon) - aspiration, choking risk
- possible nutritional issues
what is odynophagia
pain w swallowing
what are possible causes of odynophagia
esophagitis
- GERD
- virus/fungus (ie herpex, fungi from antibiotic usage)
how can you differential dx odynophagia
coronary ischemia
- supine or nitroglycerine relieves coronary ischemia
esophagitis - being upright relieves
flag for odynophagia
yellow
- medical referral (emergent) - cardiac
- medical referral (followup) - GERD
