Abdominal & GI

BS GI

100

Black or very dark granular material from the mouth, esophagus, or stomach that has been digested by stomach acids and then vomited 

Hematemesis, "Coffee ground" emesis

200

Tan-colored, formed stools that may be softer than typical indicate this _______ and are known as ____________

Liver disease, Acholic stools

300

Foamy, foul-smelling, mushy, yellow to gray stools, oily and float within water is known as _____ and indicates ___________

Steatorrhea, indicate liver or pancreas disease causing excessive fat in the stool

400

Black, tarry, sticky, and very odorous stool and blood blended together into one substance, blood cannot be distinguished from stool is known as _______ and indicates _________

Melena, bleeding from the upper GI tract

500

Stool & blood that are incorporated together into the same substance, yet are easily distinguished from each other is ____________ and indicates bleeding from ______________________

Hematochezia, bleeding from the lower GI tract

Ouch

100

This type of pain originates from hollow organs and is poorly localized

Visceral Pain

200

This type of pain originates from the peritoneum and is more easily to localize and increases with movement

Parietal pain/rebound pain

300

This type of pain originates from the peripheral nerve tracts and is localized and usually felt deep

Somatic Pain

400

This type of pain originates from the peripheral nerve tracks and causes the perception of pain in distant locations 

Referred Pain

500

This pain occurs when the peritoneum is irritated either from hemorrhage or infection and it suggests serious and possibly life threatening pathology

Rebound Tenderness

Signs/Symptoms

100

Epigastric pain, LUQ pain, dull, steady, severe ache, radiates to the back, n/v, fever, can lead to internal hemorrhage

Pancreatitis

200

Early: periumbilical pain, N/V, low grade fever, loss of appetite 

Ripe: Pain in the lower right quadrant (McBurney Point)

Rupture: Initial decreased pain, generalized severe abdominal pain, rebound tenderness

Appendicitis

300

Abrupt onset of discomfort in the throat, dysphagia, vomiting of bright red blood, hypotension, signs or shock

Esophagogastric varices

400

Fever, malaise, body aches, chills, n/v, pain in the lower left quadrant, low fiber intact

Diverticulitis

500

Chronic abdominal pain, rectal bleeding, weight loss, diarrhea, arthritis, skin problems, fever,  immune system attack on the GI tract

Crohn Disease

Condition

100

FAIR

FAT

FEMALE

FERTILE

FORTY TO FIFTY

Chardac's dating pool

Cholecystitis (Gallstones)

200

An abnormal connection between the esophagus & the trachea

Tracheoesophageal Fistula

300

Protrusion of a portion of the stomach through the diaphragm

Hiatal Hernia

400

The junction between the esophagus and stomach tears causing severe bleeding and potential death

Mallory-Weiss Syndrome

500

Occurs during vomiting, esophagus tears longitudinally and the tear travels the entire wall of the esophagus

Boerhaave Syndrome

Medications for GI

100

What is the dose of Zofran

4 mg 

200

What is the class of Zofran

5HT3 receptor antagonist, antiemetic

300

What medications are administered for septic shock?

IV fluids and/or norepinephrine (vasopressor) to maintain BP

400

This medication can be given for patients with an esophageal obstruction

Glucagon, it can cause dilation of the esophagus and will allow the obstruction to pass into the stomach

500

List 3 out of 4 medications you can give for abdominal pain

Demerol, Morphine, Toradol, Fentanyl