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5 Cards in this Set
- Front
- Back
- 3rd side (hint)
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45 yo F presents with coffee-ground emesis for the last three days. Her stool is dark and tarry. She has a history of intermittent epigastric pain that is relieved by food and antacids.
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Bleeding peptic ulcer
Gastritis Gastric cancer Esophageal varices |
Rectal exam
CBC, electrolytes AST/ALT/bilirubin/alkaline phosphatase Endoscopy (including H.pylori testing if ulcer is confirmed) |
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40 yo F presents with epigastric pain and coffee-ground emesis. She has a history of rheumatoid arthritis that has been treated with aspirin. She is an alcoholic.
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Gastritis
Bleeding peptic ulcer Gastric cancer Esophageal varices Mallory-Weiss tear |
Rectal exam
CBC, electrolytes AST/ALT/bilirubin/alkaline phosphatase Barium swallow Endoscopy |
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67 yo M presents with blood in his stool, weight loss, and constipation. He has a family history of colon cancer.
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Colorectal cancer
Anal Fissure Hemorrhoids Diverticulosis Ischemic bowel disease Angiodysplasia Upper GI bleeding Inflammatory bowel disease |
Rectal exam
CBC, PT/PTT AST/ALT/bilirubin/alkaline phosphatase CEA Colonoscopy CT-abdomen/pelvis Barium enema |
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33 yo F presents with rectal bleeding and diarrhea for the past week. She has had lower abdominal pain and tenesmus for several months.
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Ulcerative Colitis
Crohn's disease Proctitis Anal fissure Hemorrhoids Diverticulosis Dysentery |
Rectal exam
CBC, PT/PTT AXR Colonscopy CT-abdomen/pelvis Barium enema |
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58 yo M presents with bright red blood per rectum and chronic constipation. He consumes a low-fiber diet.
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Diverticulosis
Anal fissure Hemorrhoids Angiodysplasia Colorectal cancer |
Rectal exam
CBC, PT/PTT Electrolytes Colonoscopy CT-abdomen/pelvis |
