GASTROINTESTINAL DISEASES AND RED FLAGS PART ONE OF THREE
I CEU CREDIT
Table of Contents
1. Pain types
2. GI Bleeding
3. Stomach and duodenal ulcers
4. Orthostatic BP measurements-how to stay out of a court room! And to recognize acute hemorrhage and the complications from it.
5. Cirrhosis, Portal HTN & pathophysiology
7. Caput medusae
8. Esophageal Varices & Treatment
11. GI bleeding summary
12. AV malformations
15. Thrombosed hemorrhoid
As we move away from cardiovascular diseases and red flags we encounter an entirely different animal the gastrointestinal red flag. Here perhaps more than any other area except cardiac is it a good idea to have your review of systems the ROS handy to make sure that you ask the right questions which I go over in some detail in this lecture series.
Conveniently for us abdominal pain comes in two main flavors visceral and somatic which greatly aid our search for its origin. Abdominal pain can be a sign of a big red flag or it may be nothing. GI bleeding on the other hand needs to be looked into further because it may indicate a serious problem. As far as this goes the acupuncturist is responsible for one thing for sure and that is to rule out hemodynamic instability before you send her out the door. I’ll go over this with you. It’s actually fun and simple to do. Once you have those numbers you can much more easily determine the next move.
Stomach and duodenal ulcers are quite common and you will encounter patients with these conditions. This is where a nice Chinese pattern overlaps nearly completely.
How to stay out of court make sure you document your blood pressures-I’ll go over this with you.
Cirrhosis is huge due mainly to drinking and we will cover its presentation including any red flags to be aware of. Six through eight are part of the presentation of severe liver disease. GI bleeding summary-the most important points to remember. AV malformations are an important part of GI bleeding in the elderly Diverticular disease as common as dandelions in the spring. When a patient develops and infection it is very similar to an appendicitis only on the left side. Thrombosed hemorrhoid hurts like hell but it won’t kill you. However, since you may indeed encounter one or two it’s best to know that it’s NOT a red flag and what you can offer your patient.