painless jaundice

biliary obstruction - conjugated hyperbilirubinemia, elevated ALP, nl LFTs

enlarged GB (NONtender)

palpable epigastric mass

Severe Abd pain - worse after meals

weight loss, food aversion

abd bruit

hematemesis, melena

chronic abd pain, relief w/ food

low Hb, low MCV

flow murmur (systolic, RUSB)

Developing country/South America

malabsorption Sx

Hematemesis/UGI bleed

abd pain

HO heavy aspirin/NSAID w/ alcohol

F/C, abd pain LUQ pain

CT - fluid collection in spleen

Achalasia

Dysphagia - soilds and liquids

regurgitation

Barium - dilated w/ distal smooth tapering

Manometry

-UE - nl

-ME - reduced

-LES - absent

… dysphagia regurgitation

15-25yo

diarrhea, tenesmus, BRBPR, cramps weight loss, fever (severe) = diarrhea and bloody stools

GI - abd pain, relief w/ BM, mucous, bloating, incomplete emptying

nonGI - depression, sexual dysfxn, urinary changes

severe pain w/ defecation

BRBPR

posterior mucosal tear of anus

abd pain, relief w/ food

N/V

UGI bleed - hematemesis, melena

cirrhosis w/ ascites

AMS/encephalopathy - asterixis

fever

mono-like - fever, night sweats, arthralgia, LAD mucocutaneous ulcerations, skin rash

prolonged diarrhea, weight loss

HA, dry cough

UC - abd pain, bloody diarrhea, tenesmus

Sepsis - fever, WBCs, HoTN/tachy

diffuse tenderness and distension

XR - dilated transverse colon

CP + dysphagia

episodic ?CP R--> intrascapular -?pain w/ swallowing!!! Pain preceeded by cold/hot food

painrelieved by NTG

Manometry

-simultaneous high amp contractions

-nl relaxation of LES

epigastric pain, diarrhea

HO chronic duodenal ulcers

EGD

-prominent gastric folds

-ulcer beyond duodenum

-multiple ulcers stool fat/malabsorption

abd pain, diarrhea, weight loss

shallow ulcers in mouth

granuloma is pathognomonic

fatigue, pallor

Tea/toast diet

macrocytic anemia

vague post-prandial epigastric pain

weakness

dysphagia, regurgitation

foul-smelling breath

?U/L neck mass

LLQ pain + F/C

HO constipation

complicated = no response to Abx

abd pain, diarrhea, flushing, wheezing

HoTN/tachy, palpitations

Chronic diarrhea > 4 wks

weight loss, anemia, ESR, thrombocytosis

HO liver Dz/cirrhosis

Pre-renal

-HoTN?

-elevated Cr

-Urine Na < 10 (conserving/working)

-UA - no blood, prot

weakness, dizzyness, back pain, anemia

CT

-gray "mass" next to vertebra

-displaced kidney

Chronic diarrhea, weight loss

malabsorption

fecal fat

D-xylose absorption before/after Abx

anti-gliadin, anti-endomysial

Chronic Abd/Epi pain (esp post food) - no relief diarrhea/malabsorption

HO ETOH

Dysphagia - solids --> liquids

~pseudoachalasia

acute-onset weight loss

Epi - elderly, smoking

acute onset lower abd pain --> bloody diarrhea

F/C, N/V, leukocytosis LDH

chronic severe diarrhea

malaise, nausea, anorexia, cramps

acid-fast oocysts

epigastric pain, bloating, nausea

no biliary/pancreatic dz

heartburn

regurgitation?

Sour taste/water brash

GERD +…

dysphagia, odynophagia

weight loss

overt/occult bleeds

watery diarrhea

nocturnal diarrhea, cramps

Bx = melanosis coli

-dark brown discoloration of colon

-pale patches (lymph follicles shining)

bloating, flatulence, cramps

explosive watery diarrhea

s/p dairy

"sticking sensation in throat"

dysphagia WITH heartburn

manometry

-absent waves in distal 2/3

-decreased LES tone

Malabsorption, weight loss

Extra GI

-migratory polyarthropathy

-chronic cough

-CHF, MR/AR

-late dementia

Bx- PAS+ in lamina propria of SI

watery diarrhea

hypokalemia - muscle cramps

-

dehydration

abd pain, cramping, weight loss

flushing

back pain, anemia, renal dysfxn, ESR

hypercalcemia

-constipation

-anorexia

-urination

-confusion/lethargy

Anorexia, N/V

concurrent use w/ Verapamil

alopecia

abnl taste

skin leiosn - bullous, pustulous near orifice/extremities

impaired wound healing

abd pain, N/V, low fever

elevated amylayse/lipase

Chronic Diarrhea/malabsorption

HO tropics > 1 mo (Puerto Rico)

Bx

-blunted villi

-chronic inflammatory infiltrate

chronic intense burning rash -pruritic, papulovesicular

IgA endomysial, IgA/IgG gliadin

dysphagia - solids, not liquids

HO GERD/barretts

recent relief of heartburn

Barium - concentric narrowing of distal eso

In Hospital/on Abx

new-onset fever, WBC, diarrhea

-loose, foul-smelling

-mild abd tenderness

Malabsorption w/ many vit deficiency

abd distension w/ succession splash