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Dr. Seva CFs GIT
Dr. Seva's Visceral Path. Clinical Features GIT
| Question | Answer |
|---|---|
| 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
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