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23 Cards in this Set

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1) Halitosis

2) Pseudoptyalism
bad breath

drooling due to reluctance to swallow
3) Regurgitation*

4) Retching
-passive expulsion of ingesta

- an ineffective attempt at vomiting
5) Vomiting*

6) Hematemesis
- forceful expulsion of gastric and/or duodenal contents

- vomiting blood
7) Diarrhea*

8) Melena
- an increase in fluidity, frequency, of volume of feces

- presence of digested blood in the feces
9) Hematochezia

10) Tenesmus
-presence of fresh blood in the feces

-straining to defecate
11) Constipation

12) Fecal incontinence
-infrequent and difficult evacuation of feces

-inability to retain feces
13) Abdominal Pain

14) Acute Abdomen*
- acute, usually severe, onset of abdominal pain
15) Abdominal distention
16) Anorexia
17) Weight loss
-extended abdomen

-not eating

-drop in body mass
What organ is associated with gagging?
pharynx
What organ is associated with Dysphagia?
oropharynx, pharynx, crycopharyngeal sphincter (UES)
What organ is associated with Regurgitation?
esophagus or lower esophageal sphincter (LES)
What organ is associated with vomiting?
pharynx, stomach, intestine, accessory GI (pancreas, liver), non-GI
What organ is associated with diarrhea?
small intestine, large intestine, accessory GI, non-GI
What organ is associated with Tenesmus?
large bowel, anal, pelvic canal
What are the characteristics of dysphagia?
Pseudoptyalism
Exaggerated swallowing movements
Multiple attempts at swallowing
Often extend head & neck while swallowing
Will drop food during prehension
Will expel food after eating – usually immediately
May have accompanying respiratory signs secondary to aspiration
What is vomiting?
A neural reflex initiated in the vomiting center
Results in forceful contractions of abdominal musculature and expulsion of ingesta out a flaccid upper intestinal tract
Can be induced by primary GI disease or non-GI disease
What are the characteristic of vomiting?
Usually associated with prodromal signs (nausea)
Restlessness, depression, hypersalivation, licking, swallowing, retching, shivering
Material usually appears digested and fluid but may be undigested
Usually delayed after eating
May contain bile (secondary to duodenogastric reflux)
pH may be acidic but can be anything
Secondary aspiration rarely occurs with vomiting
What is expectoration?
Forceful discharge from airways; not a primary sign of upper GI disease but may be confused with gagging, vomiting, etc
What are the 4 signs of GI hemorrhage?
Oral hemorrhage

Hematemesis

Melena

Hematochezia
What are the signs of oral hemorrhage?
Disease of oral cavity
Coagulopathy
What are the dz associated with hematemesis?
Any of the above
Nasal disease
Respiratory disease (hemoptysis)
Upper GI disease (esophagus, stomach, upper SI)
What are the dz associated with Melena?
Any of the above
Entire small intestine
What are the dz associated with Hematochezia?
Distal SI
Large bowel
Rectal / Anal
Coagulopathy