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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)
N/V, epigastric abdominal pain, worse supine, caused by alcohol ingestion, or following fatty meals
Choking, cyanosis, respiratory distress, increased secretions in 1st hours of life
Female with recurrent abdominal pain, alternating diarrhea, constipation. Pain relieved with defecation
IBS. TCA's (nortriptyline) good if diarrhea predominant symptom
Hard periumbilical nodule
Sister mary Joseph nodule = indicates metastatic gastric and pancreatic cancers
Family history of young age colon cancer, multiple polyps found on colonoscopy
Familial adenomatous polyposis (Gardner's syndrome)
Greasy, foul smelling, floating stools. Pear-shaped flagellated protozoan w/ 2 "eyes". Water, travel, camping history
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
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
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