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Dr. Seva CFs GIT

Dr. Seva's Visceral Path. Clinical Features GIT

QuestionAnswer
If a patient presents w/ pains similar to MI (chest, left arm) and MI is ruled out, where might the problem be? Esophagus
An infant presents w/ aspiration pneumonia. Trachea-esophageal fistula
A pt. has halitosis. Esophageal (Zenker's) diverticulum
If a pt. has dysphagia and iron deficiency anemia what could be wrong? Esophageal web/ring aka Plummer-Vinson (Paterson-Kelly) Syndrome
A pt. presents w/ "rat tailed" or "beak" appearance in barium meal study. Achalasia
Pt. presents w/ heartburn, dysphagia and gastroesophageal reflex. Hiatal Hernia (2 types: sliding and paraesophageal)
A pt has dysphagia and odynophagia what GI problem is present and what else could they suffer from? Candidal esophagitis; immunocompromised: DM or HIV/AIDs
Pt has portal hypertensioin and hematemesis. Esophageal Varices
Pt has dysphagia and chachexia. Tumors of esophagus
Pt is the first born white male and has non-bilious projectile vomiting. Congenital pyloric stenosis
Pt has vague abdominal discomfort or massive, life-threatening hemorrhage or clinical manifestations of gastric perforation. Acute Hemorrhagic (erosive) Gastritis
Pt has pernicious anemia and hypochlorhydria or achlorhydria. Autoimmune atrophic gastritis (chronic) could -> gastric adenocarcinoma
Pt has postprandial pain w/ pedal edema, ascities and cachexia. Menetrier Dz: hyperplastic hypersecretory gastropathy
Pt has dyspepsia, epigastric pain, type O blood and a smoker. Peptic Ulcer Dz
Pt has weight loss, anorexia, anemia, asthemia, hematemesis, and Virchow's node. Gastric Adenocarcinoma
Pt has adynamic ileus (absence of peristalsis) that may lead to peritonitis and sepsis. Intestinal ischemia and infarction
Pt is Jewish, and c/o severe abdominal pain, diarrhea and fever. Crohn's Dz: Regional Ileitis
Pt has colicky abdominal pain, vomiting, currant jelly stools and tender palpable sausage-shaped abdominal mass Intussuception
Pt has vomiting and rapid, marked abdominal distension that precedes sudden onset of severe abdominal pain. Volvulus
Pt has anorexia, nausea, vomiting, periumbilical pain transmitted to McBurney's point, rebound tenderness and leukocytosis. Appendicitis
Pt has moderate left abdominal pain and vomiting; also a saw teeth appearance on barium meal series. Diverticulosis
Pt has altered bowel habits, abdominal palpable mass, abdominal pain, weight loss, anemia and hemetochezia. Colorectal adenocarcinoma
Pt has hypoalbuminemia, clotting abnormalities, jaundice, portal hypertension and endocrine abnormalities. Cirrhosis of liver
Pt has yellow discoloration of conjunctiva and mucosal membranes, hyperbilirubinemia and pruritus. Icterus (jaundice)
Pt has increased bilirubin in serum but not urine w/ a normal urine color. Hemolytic Jaundice
Pt has increased bilirubin in serum and bilirubin present in urine; dark urine. Hepatic Jaundice
Pt has increased bilirubin in serum, dark urine and pale stool. Obstructive Jaundice
Pt is a neonate and has lethargy, convulsions, hearing loss and could lead to mental retardation. Kernicterus
Pt has pruritis. Any cond'n that causes Hyperbilirubinemia
Pt has mild intermittent jaundice w/ dark urine and black liver. Dubin-Johnson syndrome
Pt has cirrhosis, cardiomegaly, skin pigmentation, arthropathy and diabetes mellitus (3/5) Hereditary hemochromatosis
Pt has jaundice, tremors, dysarthria, Kayser-Fleischer ring in the eyes, spontaneous bone Fx and osteoporosis. Hepatolenticular Dz: Wilson's Dz
Pt has high fever w/ right quadrant pain, rapid weight loss and hepatomegaly. Hepatic pyogenic abscess
Pt has jaundice, painful hepatomegaly and cachexia Hepatocellular carcinoma
Pt has jaundice, weight loss and itching. Cholangiocarcinoma
Pt has hepatomegaly, jaundice, ascities. Hemangiosarcoma (secondary liver Ca)
Pt is forty, fat, female, fertile and fair. Cholelithiasis
Pt has edematous enlarged gall pladder, pain at Murphy's point radiating to right shoulder, fever w/ chills and leukocytosis. Acute cholecystitis
Pt has thick, firm and contracted gall bladder and non-specific vague abdominal symptoms. Chronic cholecystitis
Pt has recurrent pulmonary infections and pancreatic insufficiency. Cystic fibrosis
Pt has sudden onset of severe boring abdominal pain radiating to the back, nausea and vomiting; Cullen's sign, Turner's sign and greatly elevated serum amylase. Acute pancreatitis
Pt has steatorrhea and endocrine insufficiency. Chronic pancreatitis
Pt has weight loss, midepigastric and back pain and jaundice w/ a clay colored stool. Carcinoma of the pancreas
Created by: kabrown