HISTORY IN GI DISEASE.
1. ACUTE ABD. PAIN
2. CHR. ABD. PAIN
3. Nausea and vomiting
4. DIARRHOEA
5 CONSTIPATION
6. DYSPNEA
7. SYMPTOMS of Ex.d/0
8. Jaundice.
1. ACUTE ABD. PAIN
Cause.
A. Location
B. Infection
C. Character
Rule out
a. appendicitis
b. diverticulo
C.Renal colic
d. Biliary colic
e. Aortic aneurysm
f, obstruction
g. IBD- Suffer
h. Mild Anemia.
NAUSEA and VOMITING.
Mechanical Obstruction
Gastric outletobstruction
functional
Small bowel obstruction
Motility
Gastro-paresis
Drugs -1)Aspirin & NSAIDS.
2) Anti-Gout → Allopurinol
3) ATT
4) CNS- Antiparkinson → L-Dopa.
Porphyria
Seizure+ Abd. pain →Porphyria
Addisone ds.
DKA
Hyponatraemia
Hypocalcemia.
Nausea is a sign of Moderate hyponatraemia.
How is vomiting differs from Regurgitation.
→O
DIARRHOEA
frequency3 or More
Ascites
(WILSON'S DISEASE)
The Ondine's curse (also known as central hypoventilation syndrome) is a rare and serious medical condition where a person loses the ability to breathe involuntarily, especially during sleep. The name comes from the myth of Ondine, a water nymph who cursed her unfaithful lover, causing him to die if he ever fell asleep.
Causes
Ondine's curse can be:
1. Congenital (present at birth): Typically caused by mutations in the PHOX2B gene, which affects the autonomic nervous system.
2. Acquired: It can result from brainstem damage, often due to trauma, stroke, or certain infections.
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