Friends: Previously we used to read A for Apple and now
A... Anorexia, anemia, asthenia... R/O Ca stomach
B...Bloating in young may be IBS R/O...organic cause in elderly
C....Courvisors law..in a jaundiced patient if the gall bladder is palpable it is usually due to extrahepatic malignancy exceptions double .....impaction of stones in CBD &cystic duct, oriental colangiohepatitis
D.....Diarrhea may be IBS in young but evaluate before you label a person IBS R/O microscopic
colitis, celiac disease,
E...ECG Changes ....never forget pancreatitis could be a cause.
F.....Fatigue ...R /o gut malignancy, chronic hepatitis, Autoimmunity or Tuberculosis
G...Glossitis R/O iron, folate B 12 deficiency
H...Hematochezia ....R/O UGI source
I.....Irish nodule (left axillary lymph node)...R/O ca stomach
J....Jaundice.... Always evaluate .viral hepatitis, drugs etc R/O ......Biliary obstruction &
autoimmune hepatitis, etc
K....Koilonychia...r/o Evaluate cause of iron deficiency, colon malignancy in men
L ...Large joint arthritis .R/O Inflammatory bowel disease, hepatitis
M...Melena ...always evaluate don’t miss right sided colon growth
N....Nausea...drug induced r/o pregnancy in the childbearing female.
O...Oral pigmentation .... Peutz.Jeghers to be ruled out
P...Psoas sign.... positive in appendicitis
Q...Quality of life is disturbed more than any complication in IBS
R....Regurgitation likely reflux, psychogenic, r/o organic cause.
S...Sister Joseph nodule ...r/o internal malignancy
T...Trousseaus sign..migratory thrombophilibitis ...r/o ca pancreas
U....Uveitis R/O Inflammatory bowel disease
V...Virchow node palpable R/O internal malignancy
W...Water brash...Gastro esophagial reflux
X....Xanthomas ..R/O Lipid abnormalities
Y....Yellow nail patella syndrome
Z.....Zollinger Ellison syndrome...
