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19 Cards in this Set
- Front
- Back
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CC : Constipation/Diarrhea
key hx |
-frequency/volume
-describe stools -associated sx -thyroid sx -diet -meds (abx?) -sick contacts -travel/camping -HIV -abd surgeries -etoh/drugs |
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CC constipation/diarrhea
key physical exam |
vitals
abdominal exam, rectal exam thyroid/endocrine |
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CC constp/diarrhea
67 yo M alternating diarrhea/constip dec stool caliber + blood x8 mo unintentional weight loss low fiber diet +fam hx of colon ca ddx work up |
DDx: Colon CA, large adenomatous polyp, diverticulosis, UC, AVM
Work up; rectal exam + fobt, CBC w/ diff, colonoscopy, CT abd/pelvis |
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CC constip/diarrhea
28 yo M constipation for 3 weeks. mom diet, poor diet. ddx work up |
DDx: low fiber diet, hypothyroid, IBS, substance use (opioids)
Work up: TSH, rectal exam, electrolytes, urine tox |
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CC constip/diarrhea
30 yo F alternating constip/diarrhea ap relieved with def no n/v, weight loss, blood ddx work up |
DDx: IBS, crohns, celiac, lactose intolerance
work up: rectal exam, colonoscopy, cBC, stool studies |
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CC constip/diarrhea
33 yo M watery diarrhea, vomiting, diffuse ap feels hot coworkers ill ddx work up |
DDx: gastroenteritis (viral vs bacterial vs parasitic), food poisoining (toxin mediated)
Work up: rectal exam, stool (wbc, culture, ova, parasite), cbc/diff |
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CC constip/diarrhea
40 yo F watery diarrhea, abd cramps on abx for uti last week ddx work up |
DDx: c diff colitis, ulcerative colitis, crohns disease, gastroenteritis, food poisoning
work up: rectal exam FOBT, C diff toxin stool, stool wbc/culture/ova/parasite, CBC w/ diff, electrolyte |
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CC diarrhea/constip
25 yo M watery diarrhea and cramps recently in mexico ddx work up |
DDx: travlers diarrhea, gastroenteritis, food poisoning, iardiasis, hep A
work up: cbc, electrolytes, liver enzymes, rectal exam, stool work up |
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CC constip/diarrhea
30 yo F w/ watery diarrhea, cramping, bloating sx worse with milk, better with fasting ddx work up |
DDx: lactose intolerance, crohns disease, IBS, gastroenteritis, hyperthy
Work up: CBC, electrolytes, hydrogen breath test, rectal exam, TSH, |
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CC diarrhea/constip
33 yo M w/ watery diarrhea, diffuse pain, weight loss 3 weeks not responded to abx ddx work up |
DDx: crohns disease, uc, celiac disease, gastroenteritis, c diff colitis, hyperthyroidism
work up: rectal exam for blood, stool work up, cbc w/ diff, electrolytes, colonoscopy, endoscopy w/ biopsy, TSH |
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CC Upper GI bleeding
key hx |
- context (vomiting, alcohol, nose bleed)
- associated sx (pain, dyspepsia, nausea) -meds 9NSAIDS, warfarin) - hx PUD, liver disease, AAA repair, easy bleeding |
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CC upper GI bleeding
PE |
vitals- orthostatics
abdominal exam rectal exam w/ fobt signs of liver disease ENT CV/Lung |
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CC gi bleed
45 yo F coffee ground emesis x3 days stool melana hx of intermit gastrisc pain better with food/antacids ddx work up |
dDx: bleeding peptic ulcer, gastritis, gastric CA, bleeding varicies, mallory weis tear
Work up: endoscopy, CBC w/ diff, endoscopy, electrolytes, BUn/Cr, PT/INR, liver enzymes |
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CC upper GI bleed
40 yo F w/ epigastric pain and coffe ground emesis hx of rheum arthritis w/ NSAIDS/ASA etoh abuse ddx work up |
DDx: gastritis, bleeding PUD, esophageal varicies, gastric ca, mallory weis tear
Work up same as above |
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Blood in stool
key hx |
-bright red vs melena
-fleck, intermixed -associated sx -similar -prior colonoscopy -meds vascular disease |
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Blood in stool PE
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vitals (orthostatic)
rectal abdominal exam CV |
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CC blood in stool
67 yo M w/ blood in stool + weight loss constip fam hx colon ca Ddx work up |
DDx: colon ca, bleeding polyp, diverticulosis, UC, AVM, hemorrhoids, brisk upper gi bleed
Work up: rectal exam w/ fobt, colonoscopy, cbc w/ diff, CT abd |
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CC blood in stool
33 yo F rectal bleeding and diarrhea x 1 week low ap and tenesmus for several months ddx work up |
ddx- UC, colon ca, hemorrhoids, anal fissure, diverticulosis
work up: cbc w/ diff, colonoscopy, ct abd/pelvis, rectal exam w/ fobt |
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CC blood in stool
58 yo M painless BRBPR chronic constipation consumes low fiber ddx work up |
DDx- diverticulosis, internal hemorrhoids, angiodysplasia, Colon CA, adenomatous polyp,
work up- rectal exam w/ fobt, colonoscopy, cbc w/ diff, electrolytes PT/PTT, cT abd/pelvis |
