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9 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Common causes of upper GI bleed? (3)
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1. Bleeding peptic ulcer
2. Gastritis 3. Mallory-Weiss tear |
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Key questions to ask someone with upper GI bleed?
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1. Amount?
2. HOw long? 3. Context- after vomiting, after alcohol, after nose bleed 4. Associated symptoms: dyspepsias, ab pain 5. Meds (warfarin, NSAIDs) 6. History of PUD |
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Bleeding peptic ulcer signs?
WORKUP? |
1. Stools DARK?
2. History of epigastric pain 3. Upper GI bleed WOrkup? |
1. REctal
2. CBC 3. LFTs 4. Endoscopy |
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Gastritis signs?
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1. Epigastric pain
2. Coffee ground emesis 3. NSAID use? WORKUP? |
1. Rectal
2. CBC 3. CHem8 4. LFTs 5. Barium swallow |
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Blood in stool - differential? (4 + 2)
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1. Colorectal cancer
2. Inflammatory bowel disease 3. Diverticulosis 4. PUD ALso: 1. Hemorrhoids 2. Anal fissure |
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Key history questions to ask for patients with blood in stool?
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1. Melena vs. bright blood?
2. Amount, duration, associated sx 3. Trauma 4.Prior history of similar sx 5. Prior colonoscopy? 6. Meds (esp warfarin) 7. Athersclerotic dx? Workup? |
1. VS
2. Abdominal exam 3. Rectal 4. Heart |
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Colorectal cancer signs?
Workup? |
1. Blood in stool
2. Weight loss? 3. Constipation (and diarrhea)? 4. Caliber of stool decreased? 5. FH of colon cancer WORKUP? |
1. Rectal
2. CBC 3. PT/PTT 4. AST/ALT/bili/alk phos 5. CEA 6. Colonoscopy |
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Ulcerative colitis?
Workup? |
1. REctal bleeding?
2. Diarrhea? 3. Ab pain? 4. Tenesmus? |
1. Rectal
2. CBC 3. PT/PTT 4. AXR 5. Colonoscopy |
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Diverticulosis signs?
Workup? |
1. Low fiber diet?
2. Chronic constipation? |
1. Rectal
2. CBC 3. Pt/PTT 4. CHEM8 5. Colonoscopy |
