Term
| Fat, forty, female, fertile w/ RUQ pain |
|
Definition
| Cholelithiasis or Cholecystitis |
|
|
Term
| Fever, RUQ pain, radiation to back |
|
Definition
|
|
Term
| Elevated Alkaline phosphatase, urinary bilirubin |
|
Definition
|
|
Term
| F, RUQ pain, Jaundice, gallstones & dilated common duct on US |
|
Definition
| Ascending cholangitis (Charcot’s triad) |
|
|
Term
| Hx IBD, progressive RUQ pain, wt loss, F, jaundice & pruritis. Elevated bilrubin & alkaline phosphate. ERCP with bile duct stenosis, dilatation |
|
Definition
| Primary sclerosing cholangitis (diffuse intra- and extrahepatic duct sclerosing and dilatation) |
|
|
Term
| Elevated AST, ALT, indirect bilirubin |
|
Definition
|
|
Term
| Isolated elevated indirect bilirubin |
|
Definition
|
|
Term
| Elevated indirect bilirubin w/ defective glucuronyl transferase |
|
Definition
|
|
Term
| Photosensitivity, abd pain w/ neurologic dysfunction, erythema or skin fragility |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Chronic cough, bitter taste in mouth or throat, dyspepsia |
|
Definition
|
|
Term
| Multiple or constant GI ulcer pain despite medications |
|
Definition
| Zollinger-Ellison Syndrome |
|
|
Term
| N/V, epigastric abdominal pain, worse supine, caused by alcohol ingestion, or following fatty meals |
|
Definition
|
|
Term
| Peri-umbilical or flank ecchymosis |
|
Definition
| Acute pancreatitis (Cullen & Grey Turner’s Sign) |
|
|
Term
| Abdominal distension, bloating, intermittent, colicky pain, high-pitched rushes & tinkles |
|
Definition
|
|
Term
| Air fluid levels on upright abd plain film |
|
Definition
|
|
Term
| Air under diaphragm, rigid board-like abdomen |
|
Definition
| Perforated viscus, perforated ulcer |
|
|
Term
|
Definition
| Diverticulitis. IV Abx, fluids, NPO. |
|
|
Term
| Elderly, Hx atherosclerosis. Dull crampy periumbilical pain post-prandial |
|
Definition
|
|
Term
| Neonate w/ projectile vomiting. Olive sized mass. |
|
Definition
|
|
Term
| Choking, cyanosis, respiratory distress, increased secretions in 1st hours of life |
|
Definition
| Tracheoesophageal fistula |
|
|
Term
| Painless rectal bleeding in pediatrics |
|
Definition
|
|
Term
| Alcoholic with massive hemoptysis |
|
Definition
| Esophageal varicies (Tx w/ octreotide) |
|
|
Term
| Female with recurrent abdominal pain, alternating diarrhea, constipation. Pain relieved with defecation. |
|
Definition
| IBS. TCA’s (nortriptyline) good if diarrhea predominant symptom |
|
|
Term
|
Definition
|
|
Term
| Supraclavicular LAD (L > R) |
|
Definition
| Virchow’s node – metastatic abdominal cancer |
|
|
Term
| Hard periumbilical nodule |
|
Definition
| Sister mary Joseph nodule = indicates metastatic gastric and pancreatic cancers |
|
|
Term
| PUD, Pernicious anemia (Type A Gastritis), H. pylori |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Elderly with positive hemmocult. |
|
Definition
| Colon Cancer – get colonoscopy |
|
|
Term
|
Definition
|
|
Term
| Family history of young age colon cancer, multiple polyps found on colonoscopy |
|
Definition
| Familial adenomatous polyposis (Gardner’s syndrome) |
|
|
Term
|
Definition
| Hepatocellular carcinoma, testicular seminoma (germ cell tumor) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Treat with Ondansetron (Zofran) (5-HT3 blockers) |
|
|
Term
|
Definition
| E. coli is cause. Hydration & Cipro to treat |
|
|
Term
| Greasy, foul smelling, floating stools. Pear-shaped flagellated protozoan w/ 2 “eyes”. Water, travel, camping history |
|
Definition
|
|
Term
| Afebrile, watery or loose stool. No blood or mucus |
|
Definition
|
|
Term
| Abdominal pain, diarrhea after picnic/party. Eaten ham, cream, custards, mayonnaise |
|
Definition
| Staphylococcus aureus infectious diarrhea |
|
|
Term
| Acute bacterial diarrhea w/ prodrome of HA, F, then crampy abd pain & diarrhea |
|
Definition
| Campylobacter jejuni – most common cause of acute bacterial diarrhea |
|
|
Term
| Painless rectal bleeding. Bulging perianal mass w/ straining |
|
Definition
|
|
Term
| Pediatric with perianal pruritis esp. at PM. Positive cellophane tape test |
|
Definition
| Pruritis ani – Pinworms (enterobiasis). Tx is Mebendazole |
|
|
Term
| Weight loss, recurrent greasy stools (steatorrhea) mixed with diarrhea after certain foods |
|
Definition
|
|
Term
| Anti-endomysial antibodies |
|
Definition
|
|
Term
|
Definition
| Thiamine; Alcoholics, Neuro Sx |
|
|
Term
|
Definition
| Niacin (4D’s dermatitis, diarrhea, dementia, death), bright red tongue |
|
|
Term
|
Definition
| Vit C (easy bleeding, bruising, hair & tooth loss, joint pain & swelling) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Riboflavin deficiency (B2) |
|
|
Term
| s/p gastric bypass surgery or gastric surgery. N, abd cramping, dizziness after eating. No masses, bleeding |
|
Definition
|
|
