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Flashcards in Introduction Deck (68)
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1

Diseases Gatroenterologist Treat

GERD
GI CA
Pancreatic CA
Hepatitis
Chirrhosis
IBS
Colitis
Crohn's disease
Inflammatory Bowel Disease (IBD)

2

Symptoms of Digestive Problems

Constipation
Nausea
Vomiting
Diarrhea
Heartburn
Indigestion
Rectal bleeding
Weight loss
Abdominal pain

3

Common Acute Pain Syndromes

Appendicitis
Acute diverticulitis
Cholecystitis
Pancreatitis
Perforation of an ulcer
Intestinal obstruction
Ruptured AAA
Pelvic disorders

4

Chronic Abdominal Pain Syndromes

IBS
Chronic pancreatitis
Diverticulosis
GERD
IBD
Duodenal ulcer
Gastric ulcer

5

Epigastric Pain

PUD
GERD
MI
AAA
Pancreatic pain
Gallbladder & common bile duct obstruction

6

Right Upper Quadrant Pain

Acute Cholecystitis
Biliary Colic
Acute Hepatitis
Hepatic Abscess
Hepatomegaly due to CHF
Perforated duodenal ulcer
Herpes zoster
Myocardial ischemia
Right lower lobe pneumonia

7

Left Upper Quadrant Pain

Acute pancreatitis
Gastric Ulcer
Gastritis
Splenic enlargement, rupture or infarction
Myocardial ischemia
Left lower lobe pneumonia

8

Right Lower Quadrant Pain

Appendicitis
Regional Enteritis
Small bowel obstruction
Leaking Aneurysm
Ruptured ectopic pregnancy
PID
Twisted ovarian cyst
Ureteral calculi
Hernia
Testicular torsion

9

Left Lower Quadrant Pain

Diverticulitis
Leaking aneurysm
Ruptured ectopic pregnancy
PID
Twisted ovarian cyst
Ureteral calculi
Hernia
Testicular torsion

10

Peri-umbilical Pain

Disease of transverse colon
Gastroenteritis
Small bowel pain
Appendicitis
Early bowel obstruction

11

Diffuse Pain

Generalized peritonitis
Acute pancreatitis
Sickle cell crisis
Mesenteric thrombosis
Gastroenteritis
Crohns/Ulcerative colitis
Dissecting or rupturing aneurysm
Intestinal Obstruction
Psychogenic illness

12

Visceral Abdominal Pain

Originates in abdominal organs covered by peritoneum

13

Colic Abdominal Pain

Crampy pain

14

Parietal Abdominal Pain

From irritation of parietal peritoneum

15

Referred Abdominal Pain

Produced by pathology in one location felt at another location

16

Laboratory & Diagnostic Tests of Abdominal Pain

UA
CBC
Amylase, lipase, LFT's, H. pylori
Plain X-rays
Contrast
studies- barium
Ultrasound
CT scanning
Endoscopy
Sigmoidoscopy or colonoscopy

17

Characteristics of Pain

Way it begins (sudden onset, insidious)
Location of pain
Pattern of pain
Duration of pain
Worsens the pain
Relieves the pain
Signs/Symptoms

18

Where is Appendicitis Pain Found?

Peri-umbilical
RLQ

19

Where is Diverticulitis Pain Found?

LLQ

20

Gallbladder Pain is felt where?

RUQ

21

What kind of pain does obstruction of the intestine cause?

Waves of crampy abdominal pain

22

What kind of pain does obstruction of the bile ducts cause?

Upper abdominal pain that lasts minutes to hours

23

What kind of pain does acute pancreatitis cause?

Severe, unrelenting, steady pain in the upper abdomen & upper back

24

What kind of pain does acute appendicitis cause?

Start near the umbilicus and moves to the RLQ
Character of pain may change over time

25

How long does the pain of IBS last?

Waxes and wanes over months or years and may last decades

26

How long does biliary colic last?

No more than several hours

27

How long does the pain of pancreatitis last?

One or more days

28

Pain of acid-related disease

Show periodicity
Period of weeks or months which pain is worse

29

Inflammation Pain Aggravated By:

Sneezing
Coughing
Jarring motion

30

What does the presence of a fever suggest?

Infection