Science Quiz / GI Diagnosis

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Score 0/31 Timer 20:00
HintMost likely diagnosis
72 yo man, Sudden onset severe mid-abdominal pain, hx coronary disease, exam: benign, stool: heme-positive
Man, ER w/multiple episodes of vomiting blood. Has black stool and diarrhea
Duodenal ulcer
Esophageal varices
Man, ER w/multiple episodes of red blood in his stool
32 yo man, one day of diarrhea
Scombroid histamine fish poisoning
(-) blood in stool, weight loss.'
Carcinoid Syndrome
Lactose Intolerance
40 yo male, ER w/several days of bloody diarrhea (4xday). T102, P105, BP 112/78
Vibrio vulnificus
HintMost likely diagnosis
Escherichia coli 0157:H7
Epigastric discomfort that radiates up into the chest, substernal in location. Cough, hoarseness, bad taste in mouth like, 'sucking on pennies'
Several weeks of epigastric discomfort and pain
Non-ulcer dyspepsia
Ulcer disease
22 yo woman, recurrent episodes of diarrhea, fatigue, abdominal pain, occasional blood. Joint pain, erythema nodosum, uveitis. Hematocrit 32, MCV 90, ESR elevated, alkaline phospha
Crohn's Disease (CD)
Woman, moderate hepatomegaly and elevated AST, ALT, Bilirubin. New spider vnevi on skin
Nonalcoholic steatohepatitis (NASH)
38 yo man, weight loss, flatulence, diarrhea, malodorous stool, weakness. Bruises easily and Calcium LOW. Hematocrit 29. Sudan black stain positive
Chronic Pancreatitis
Man w/dysphagia & weight loss
Elderly man in ED w/tachycardia, diaphoresis, palpitations, light headed that begins 15-30 minutes after eating. Pt. had surgery in past for nonresolving ulcers. Another 1-2 hours
Pt. w/longstanding Diabetes w/N, V, Anorexia w/early satiety, abdominal 'bloating'. Sometimes diarrhea, sometimes constipation

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