52 terms

GI/ Nutrition - Word Assoc - Pance

Fat, forty, female, fertile w/ RUQ pain
Cholelithiasis or Cholecystitis
Fever, RUQ pain, radiation to back
Elevated Alkaline phosphatase, urinary bilirubin
F, RUQ pain, Jaundice, gallstones & dilated common duct on US
Ascending cholangitis (Charcot's triad)
Hx IBD, progressive RUQ pain, wt loss, F, jaundice & pruritis. Elevated bilrubin & alkaline phosphate. ERCP with bile duct stenosis, dilatation
Primary sclerosing cholangitis (diffuse intra- and extrahepatic duct sclerosing and dilatation)
Elevated AST, ALT, indirect bilirubin
Isolated elevated indirect bilirubin
Gilbert's syndrome
Elevated indirect bilirubin w/ defective glucuronyl transferase
Crigler-Najjar Dz
Photosensitivity, abd pain w/ neurologic dysfunction, erythema or skin fragility
H.pylori gastritis
2antibiotics & PPI
Chronic cough, bitter taste in mouth or throat, dyspepsia
Multiple or constant GI ulcer pain despite medications
Zollinger-Ellison Syndrome
N/V, epigastric abdominal pain, worse supine, caused by alcohol ingestion, or following fatty meals
Acute pancreatitis
Peri-umbilical or flank ecchymosis
Acute pancreatitis (Cullen & Grey Turner's Sign)
Abdominal distension, bloating, intermittent, colicky pain, high-pitched rushes & tinkles
Air fluid levels on upright abd plain film
Air under diaphragm, rigid board-like abdomen
Perforated viscus, perforated ulcer
>60yo F, LLQ pain
Diverticulitis. IV Abx, fluids, NPO.
Elderly, Hx atherosclerosis. Dull crampy periumbilical pain post-prandial
Mesenteric ischemia
Neonate w/ projectile vomiting. Olive sized mass.
Pyloric stenosis
Choking, cyanosis, respiratory distress, increased secretions in 1st hours of life
Tracheoesophageal fistula
Painless rectal bleeding in pediatrics
Meckel's diverticulum
Alcoholic with massive hemoptysis
Esophageal varicies (Tx w/ octreotide)
Female with recurrent abdominal pain, alternating diarrhea, constipation. Pain relieved with defecation
IBS. TCA's (nortriptyline) good if diarrhea predominant symptom
Bloody Diarrhea
Ulcerative colitis
Supraclavicular LAD (L > R)
Virchow's node - metastatic abdominal cancer
Hard periumbilical nodule
Sister mary Joseph nodule = indicates metastatic gastric and pancreatic cancers
PUD, Pernicious anemia (Type A Gastritis), H. pylori
Gastric Ca
Apple core lesion
Colon Cancer
Elderly with positive hemmocult
Colon Cancer - get colonoscopy
Colon Carcinoma
Family history of young age colon cancer, multiple polyps found on colonoscopy
Familial adenomatous polyposis (Gardner's syndrome)
Hepatocellular carcinoma, testicular seminoma (germ cell tumor)
CA 19-9
Pancreatic Ca
Ovarian Carcinoma
Chemotherapy induced N&V
Treat with Ondansetron (Zofran) (5-HT3 blockers)
Traveler's Diarrhea
E. coli is cause. Hydration & Cipro to treat
Greasy, foul smelling, floating stools. Pear-shaped flagellated protozoan w/ 2 "eyes". Water, travel, camping history
Afebrile, watery or loose stool. No blood or mucus
Viral Gastroenteritis
Abdominal pain, diarrhea after picnic/party. Eaten ham, cream, custards, mayonnaise
Staphylococcus aureus infectious diarrhea
Acute bacterial diarrhea w/ prodrome of HA, F, then crampy abd pain & diarrhea
Campylobacter jejuni - most common cause of acute bacterial diarrhea
Painless rectal bleeding. Bulging perianal mass w/ straining
Internal hemorrhoids
Pediatric with perianal pruritis esp. at PM. Positive cellophane tape test
Pruritis ani - Pinworms (enterobiasis). Tx is Mebendazole
Weight loss, recurrent greasy stools (steatorrhea) mixed with diarrhea after certain foods
Celiac Sprue
Anti-endomysial antibodies
Celiac Sprue
Thiamine; Alcoholics, Neuro Sx
Niacin (4D's dermatitis, diarrhea, dementia, death), bright red tongue
Vit C (easy bleeding, bruising, hair & tooth loss, joint pain & swelling)
Vit D (Osteomalacia)
Night blindness
Vit A deficiency
Magenta tongue
Riboflavin deficiency (B2)
s/p gastric bypass surgery or gastric surgery. N, abd cramping, dizziness after eating. No masses, bleeding
Dumping syndrome