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22 Cards in this Set

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Dysphagia
Causes:
Narrowing of esophagus
Decreased salivary secretion
Nerve damage
Scleroderma
Stroke
Manifestations:
Odynophagia: pain associated with swallowing
Hernia
Causes:
Sliding: protrusion of stomach above diaphragm

Paraesophageal: separate portion of stomach enters thorax
Manifestation:
Pain
Gastroesophageal Reflux Disease (GERD)
Causes:
Weak or incompetent lower sphincter
Delayed gastric emptying
Mucosal injury
Manifestations:
Heartburn
Chronic cough
Hoarseness
Esophageal Cancer
Causes:
Squamous: alcohol and tobacco use

Adenocarcinoma: Barrett esophagus
Manifestations:
Dysphagia
Odynophagia
Weight loss
Fatigue
Acute Gastritis
Causes:
Irritants (alcohol, NSAIDs, bacterial toxins)
Manifestations:
Heartburn
Gastric distress
Peptic Ulcer
Causes:
Bacteria (H. pylori)
NSAIDs
Aspirin
Manifestations:
Epigastric pain
Gastric Carcinoma
Causes:
Genetic
Bacteria (H. pylori)
Nitrosamines
Autoimmune gastritis
Manifestations:
Asymptomatic until late

Epigastric pain
Vomiting
Anorexia
Cachexia
Irritable Bowel Syndrome
Causes:
CNS deregulation of peristalsis

Psychological or physiological stress
Manifestations:
Abdominal pain
Flatulence
Bloating
Nausea
Anxiety/Depression
Constipation/Diarrhea
Ulcerative Colitis
Causes:
Genetic
Autoimmune (microbial trigger)
Manifestations:
Fecal urgency
Diarrhea
Weight loss
Anemia
Arthritis
Skin lesions
Thrombosis
Crohn Disease
Causes:
Genetic
Autoimmune (microbial trigger)
Manifestations:
Fecal urgency
Diarrhea
Weight loss
Anemia
Arthritis
Skin lesions
Thrombosis
Fistulas
Skip Lesions
Infectious Enterocolitis
Causes:
Viruses & bacteria
Manifestations:
Fever
Vomiting
Diarrhea
Cramping
Dehydration
TTP
Renal Failure
Diverticulitis
Causes:
Low exercise
Low fiber consumption
Neglecting defecation urge
Manifestations:
Lower left quadrant pain
Nausea
Vomiting
Fever
Appendicitis
Causes:
Obstruction (hard stool)
Twisting
Manifestations:
Epigastric/Preumbilical pain
Rebound tenderness
Acute Diarrhea
Causes:
Noninflammatory: large volume associated with small intestine infection
(viruses, toxin producing bacteria)

Inflammatory: small volume associated with colon infections
(C. diff & E. coli)
Manifestations:
Watery and non-bloody stools
Periumbilical cramps
Nausea
Vomiting
Bloating
Fever
Bloody Diarrhea (inflammatory)
Chronic Diarrhea
Causes:
Osmotic: water is pulled into bowel due to hyperosmotic contents
(lactase deficiency)

Secretory: secretory bowel processes are increased (irritable bowel syndromes)
Manifestations:
Cramping
Watery stools
Constipation
Causes:
Decreased intestinal motility
Drugs
Inadequate fiber and fluid intake
Weakened abdominal muscles
Pregnancy
Manifestations:
Abdominal pain
Bloating
Fecal Impaction
Causes:
Drugs (antacids, bulk laxatives)
Age (elderly)
Low residue diet
Prolonged bed rest
Manifestations:
Severe constipation
Watery diarrhea
Fecal soiling
Fecal incontinence
Peritonitis
Causes:
Bacteria
Chemical irritation
Manifestations:
Nausea
Vomiting
Abdominal tenderness (stiff)
Fever
Shock
Steatorrhea
Causes:
Inadequate pancreatic lipase, bile salts, or lymphatic channels
Manifestations:
Yellow-gray stools
Weight loss
Fat soluble vitamin deficiency
Celiac Disease
Causes:
Genetic

Higher incidence in diabetics and females
Manifestations:
Diarrhea
Constipation
Bloating
Flatus
Chronic dermatitis
Adenomatous Polyps
Cause:
Aging
Asymptomatic
Colorectal Cancer
Causes:
Adenomatous polyps
Chronic GI inflammation
Genetic
Diets high in fat and sugar
Low fiber intake
Manifestations:
Blood in stool
Bowel habit change
Pain (late manifestation)