Questions on presenting problems in gastrointestinal disease

Dyspepsia

  • What is dyspepsia? H10
  • What are the alarm features of dyspepsia?

Vomiting

  • What are the neurological causes of vomiting? H12
  • Give the description of vomiting of gastric outlet obstruction, e.g. pyloric stenosis. H13
  • Give the description of vomiting in raised intracranial pressure, e.g. brain tumor.

Hematemesis and melena

  • What is hematemesis? H15
  • What is melena?
  • How can you differentiate between hematemesis and hemoptysis?
  • What are the common causes of hematemesis?
  • What are the clinical features of upper GI bleeding?
  • How much blood is lost to cause postural hypotension?
  • How much blood is lost to produce shock?
  • What are the investigations done in acute upper GI bleeding?
  • What is the management of acute upper GI bleeding?
  • Which etiologies bear the worst prognosis?
  • Mention the criteria of stool in melena?
  • How much blood is required to cause melena?
  • Why is stool black?
  • What are the usual sites for hematemesis and melena?
  • What are the causes of lower GI bleeding?

Diarrhoea

  • Define diarrhea? H30
  • What are the causes of acute diarrhea?
  • What are the electrolyte imbalances occurring in acute watery diarrhea?
  • What are the causes of bloody diarrhea?
  • Patient presented with acute watery diarrhea, how will you manage the patient?
  • What are the causes of chronic diarrhea?
  • What is the most common cause of chronic diarrhea?
  • What is steatorrhea?
  • What are the mechanisms responsible for malabsorption?

Constipation

  • Define constipation. H39
  • What is the most common cause of constipation?
  • What are the neurological causes of constipation?
  • What are the metabolic/endocrine causes of constipation?
  • What are the types of laxative?

Pathological weight loss

  • Tell five common causes of pathological weight loss. h44
  • What do you mean by significant weight loss?
  • What are the causes of weight loss with increased appetite?

Acute abdomen

  • What are the causes of acute abdominal pain (acute abdomen)? H47
  • What are the medical causes of acute abdominal pain (acute abdomen)?
  • What are the causes of abdominal distension?

Rimikri

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