GI History Flashcards

1
Q

Cardinal GI symptoms

A
Weight loss
Anorexia
Nausea and vomiting
Haematemesis
Dysphagia
Reflux/dyspepsia
Abdo pain
Jaundice
Altered bowel habit
Rectal bleeding
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2
Q

Change in bowel habit questions

A

Increased freq/looser consistency
How often do you open bowels/how much each time
Any blood or mucus
Tenesmus
Constipation (when was last bowel movement/last pass wind)

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3
Q

Dysphagia Qs

A

Solids or liquids?
If liquids first-> neurological
If solids first-> obstructive
Sudden/progressive/intermittent/progressive

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4
Q

What must be asked about in abdo pain in women under 50?

A

Last menstrual period

pregnant? ectopic?

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5
Q

Abdo pain further tests

A
Urinalysis & pregnancy test
Bloods (FBC, U&Es, CRP, LFTs, glucose, amylase, group and save, cultures if fever)
Vaginal swabs (PID)
ABG (esp if pancreatitis suspected)
Ultrasound/Xray
Barium meal
Endoscopy
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6
Q

R iliac fossa pain

A
Appendicits
Diverticulitis
IBD
Intestinal obstruction
Perforation
Obstructed/incarcerated hernia
Rupture/tortion of ovarian cyst
Pelvic inflam disease
Ectopic pregnancy
UTI
Renal calculi
Testicular torsion
Musculoskeletal
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7
Q

Specific causes of diarrhoea

A
Medication (laxatives/antibiotics)
Recent travel
Contact (animals/ill family)
Diet (meats/eggs/seafood/dairy/wheat)
PMH (IBD, abdo surgery, HIV, malignancy)
Occupation & FH
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8
Q

Chronic diarrhoea, steatorrhoea w/undigested food in stool causes

A
Malabsorption
Coeliac
Chronic pancreatitis
diabetes
Pancreatic cancer
Lymphoma
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9
Q

Chronic infective diarrhoea?

A

HIV enteropathy, schistosomiasis, ileocaecal TB

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10
Q

Bloody diarrhoea causes

A
E Coli 0157
Shigella, Slamonella, Campylobacter
C. diff
Schistosomiasis
Drugs (NSAIDs)
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11
Q

Extra intestinal signs of IBD?

A
Eyes (iritis/uveitis/episcleritis)
Arthritis/osteoporosis
Derm (erythema nodosum, pyoderma granulosum, aphtous mouth ulcers)
Autoimmune haemolytic anaemia
Clubbing
Growth failure
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