Edition (2025-2026 )
Epigastric pain can be from issues in which areas/organs: - Liver, biliary
tree, pancreas, stomach, and duodenum
Periumbilical pain can be caused by issues in which areas/organs: -
distal end of the small intestine, cecum, appendix, and ascending colon
Colonic pain is caused by issues in which area - Lower abdomin
Suprapubic pain is caused by issues in which organs/area? - distal
intestine, urinary tract, pelvic organs,
Common Diagnositc studies for abdominal pain/issues - UA & culture,
CBC w/diff, CMP,BMP, ESR,CRP, Thyroid Panel
Stool= O&P, culture, WBC, pH, reducing substances, fat collection
Pregnancy tests, Urine for gonorrhea, chlamydia and Pap smear/Vaginal
cultures
Common diagnostic studies for GI issues - XR, US, CT, MRI, nuclear
medicine
Specialized tests that can be ordered - Duodenal Aspirate, Esophageal
pH probe, Capsule endoscopy, breath hydrogen test, and sweat
chloride test
,Indications for Duodenal Aspirate - diarrhea from things like giardia,
unintentional weight loss, dyspepsia(reflux/GERD), and abdominal pain
A hydrogen breath test can help diagnose: - IBS, Intestinal Methanogen
overgrowth, rapid small bowel transit time, and possibly esophageal
and gastric cancer in early stages.
Sweat chloride test is used to diagnose: - Cystic Fibrosis. This is usually
done when a patient is having digestive problems, & FTT along with
history of respiratory issues.
Most common reasons for the use of Probiotics - IBS, Infectious
diarrhea, antibiotic associated diarrhea, and colic
What is Colic? - Crying for no apparent reason that lasts > 3 hrs/day and
occurs > 3 days/wk in otherwise healthy infant <3months
Potential causes of vomiting in Newborn or young infants - infectious
process, congenital GI anomaly, CNS abnormality, or newborn errors of
metabolism
Potential causes of vomiting in Infants or young children -
Gastroenteritis, GERD, milk/soy protien allergies, pyloric stenosis or
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, obstructive lesion, inborn errors of metabolism, intussusception, child
abuse, &intracranial mass
Potential causes of vomiting in older children and adolescents -
Gastroenteritis, systemic illness, CNS (cyclic vomiting syndrome,
abdominal migraine, meningitis, brain tumor), intussusception,
rumination, superior mesenteric artery syndrome, pregnancy
_________ is one of the most common symptoms in childhood. -
vomiting
Non-bilious vomiting is generally caused by: - infection, inflammation,
and metabolic, neurologic, or psychological problems.
An ------- -------- generally causes causes bilious vomiting. - obstructive
lesion
Bloody vomit comes from: - active bleeding in the upper GI tract
(gastritis, peptic ulcer disease)
Rumination Syndrome - a condition in which people repeatedly and
unintentionally spit up (regurgitate) undigested or partially digested
food from the stomach, rechew it, and then either reswallow it or spit it
out. Usually seen in infants under 1 year of age.
What is superior mesenteric artery syndrome? - a digestive condition
that occurs when the duodenum (the first part of the small intestine) is
compressed between two arteries (the aorta and the superior
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