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.