The Abdomen without notes 2018rev(1).pptx

Fullness early satiety 12 other gastrointestinal

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Fullness Early satiety 12
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OTHER GASTROINTESTINAL SYMPTOMS Dysphagia Liquids/solids-indicates severity Timing Intermittent/Persistent Progressing Associated symptoms or medical conditions Odynophagia How long has this been going on Weight loss Aspiration pneumonia Liquids/solids 13
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BOWEL FUNCTION “How are your bowel movements?” “How frequent are they?” “Do you have any difficulties?” “Have you noticed any change?” 14
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DIARRHEA Acute diarrhea Last up to 2 weeks Persistent diarrhea More than 14 days in duration Chronic Diarrhea Lasting 4 weeks or more 15
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DIARRHEA HEALTH HISTORY QUESTIONS Diarrhea Volume? Frequency? Consistency? When does the diarrhea occur-during the day or night? Are stools greasy or oily, frothy, foul-smelling, floating, color, blood? Medications? Recent Travel? Diet patterns? Baseline bowel habits? Immuno-compromise? Duration? 16
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CONSTIPATION Acute Constipation Starts suddenly and last for a few days, < 2weeks in duration Chronic Constipation Presence of symptoms for at least 3 months 17
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CONSTIPATION HEALTH HISTORY QUESTIONS Constipati on Frequency Consistenc y-hard, balls, Painful stooling Straining Incomplete evacuation Color Alleviating/exacerbati ng factors Medication s or stress Blood in stool 18
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JAUNDICE producti on of bilirubin ↓ decrease uptake of bilirubin by the hepatocytes ↓ decreased ability of the liver to conjugate bilirubin decreased excretion of bilirubin into the bile, 19 Jaundice Mechanism of Action
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JAUNDICE HEALTH HISTORY QUESTIONS Jaundice Color of urine Color of stool Pruritu s Pain Patter n Recurrent Risks factor s 20
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RISK FACTORS FOR LIVER DISEASE Hepatitis ABC Alcoholic hepatitis/ cirrhosis Toxic Liver Damage Gallbladd er disease/s urgery Hereditar y disorders 21
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COMMON/CONCERNING SYMPTOMS URINARY & RENAL Urinary & Renal Disorders Dysuria, urgency, or frequency Hesitancy, decreased stream in males Polyuria or nocturia Urinary incontinence Hematuria Kidney or flank pain Ureteral colic 22
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THE URINARY TRACT HEALTH HISTORY QUESTIONS Do you have any difficulty passing your urine? How often do you go? Do you have to get up at night? How often? How much urine do you pass at a time? Is there any pain or burning? 23
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THE URINARY TRACT HEALTH HISTORY QUESTIONS (CONT.) Do you ever have trouble getting to the toilet in time ? Do you ever leak any urine? Or wet yourself involuntarily? Does the patient sense when the bladder is full and when voiding occurs? 24
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GENDER SPECIFIC URINARY TRACT HEALTH HISTORY QUESTIONS Women Ask women if sudden coughing, sneezing, or laughing makes them lose urine. Occasional leakage is not necessarily significant.
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