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14 Cards in this Set

  • Front
  • Back
What is melena?
black tarry stool
What are the causes of melena?
bleeding in the upper GI tract and the lower GI tract
What are the common causes of upper GI bleeding?
- haemoptysis
- peptic ulcer disease
- oesophageal varices
- gastric cancer
What are the commun causes of lower GI bleeding?
- polyps in colon
- colorectal cancer
- IBD
- haemorroids
- anal fissure
What is haemoptysis?
Haemoptysis is coughing up of blood from the respiratory tract.
6 key case history questions about their GI tract
- swallowing
- weight loss
- bowel habits (change, frequency)
- pain
- nausea/vomiting
- bleeding (where, visible)
dysphagia
difficulty swallowing
main neurological causes of dysphagia
- stroke (brain stem)
- demyelinating disease
- polyneuropathy (eg.diabetes )
- achalasia of the oesophagus (failure to relax the smooth musculature of the GI Tract)
- polio
- MND
main muscular causes of dysphagia
- MS
- Myasthenia Gravis
- oesophageal spasm
main causes of weight loss due to GI disease
- malabsorbtion
- pancreatic insufficiency
- peptic ulcer
main causes of weight loss outside GI disease
- malignancy
- hyperthyroidism
- diabetes mellitus (uncontrolled)
- dysphagia
- chronic infection or inflammation
- anorexia n. or bulimia
- depression
- serious illness
- alcohol or aphetamines
- fasting or famine
name 3 main types of acute constipation
- obstruction
- ileum
- medication/drugs
name main types of chronic constipation
- colonic tumor
- metabolic disorders
- cns disorders
- pns disorders
- systemic
- functional
red flags associated with chronic constipation
- distended, tympanitic abdomen
- vomiting
- blood in stool
- weight loss
- severe constipation of recent onset/worsening in elderly patients