Gastrointestinal System Disorders Q 192 - Gyan Darpan : Learning Portal
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Wednesday 13 April 2022

Gastrointestinal System Disorders Q 192

A client with gastric cancer may exhibit which of the following symptoms?
    A. Abdominal cramping
    B. Constant hunger
    C. Feeling of fullness
    D. Weight gain

Correct Answer: C. Feeling of fullness

The client with gastric cancer may report a feeling of fullness in the stomach, but not enough to cause him to seek medical attention. The most common physical examination finding is a palpable abdominal mass indicating advanced disease. The patient may also present with signs of metastatic lymphatic spread distribution, including Virchow’s node (left supraclavicular adenopathy), Sister Mary Joseph node (periumbilical nodule), and Irish node (left axillary node).

Option A: Abdominal cramping isn’t associated with gastric cancer. Results from several studies have demonstrated an approximately sixfold increase in H. pylori infection in patients with gastric cancer, particularly adenocarcinoma of the distal stomach, including both intestinal and diffuse types. As mentioned above, H. pylori trigger inflammation, resulting in stomach atrophy and subsequent metaplasia culminating in carcinoma.
Option B: Anorexia (not increased hunger) is a common symptom of gastric cancer. In the United States, most patients have symptoms of an advanced stage at the time of presentation. The most common presenting symptoms for gastric cancers are non-specific weight loss, persistent abdominal pain, dysphagia, hematemesis, anorexia, nausea, early satiety, and dyspepsia.
Option D: Patients presenting with locally advanced or metastatic disease usually present with significant abdominal pain, potential ascites, weight loss, fatigue, and have visceral metastasis on scans, and can have a gastric-outlet obstruction.

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