Term
| What is the pathology and typical presentation of hirshsprung's disease |
|
Definition
Aganglionosis of the internal anal sphincter
Pres: Meconium Ileus
Severe Constipation
Megacolon |
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Term
| What is the pathology and presentation of Chagas disease? |
|
Definition
Infection by trypanosoma cruzi from Triatoma bug attack of myenteric plexus
Pres: (2-20 yrs after infection w/ 1 of the following)
Cardiomyopathy
Mega Esophogus
Mega Colon |
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Term
| What is the rome's criterea for Irritable bowel Syndrome |
|
Definition
Chronic: >3 months
Abdomenal Pain
Irregular defecation: (3 or more of...)
Altered Frequency
Altered Form
Altered Passage
Mucus
Bloating
Abdomenal Distention
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Term
| What are the alarm signs for that IBS is a indicator of a severe condition |
|
Definition
>45
Fever
Weight Loss
Blood Loss(check CBC, Stool- FOBT)
Daily Pain
Pain waking up from sleep
Persistant Diarrhea
Severe Constipation |
|
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Term
| What is the most common management of IBS |
|
Definition
Psychological
Diet
Exercise
Fiber
Meds:
Anti-diarrheals
Bulking Laxatives
Anticholinergics
Tricyclics/SSRI's |
|
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Term
| What term should never be used to describe IBS |
|
Definition
|
|
Term
What sex is IBS more common in?
What are the major etiologies of IBS? |
|
Definition
Sex: Females
Post-Infectious
Functional:
Dysmotility: Increased, Early, Prolonged
Electrical Dysrhythmia
Sensory:
Hyperalgesia
Psychological |
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Term
| What area of the brain show diminished activity in IBS patients |
|
Definition
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Term
| What is the major cause of acute constipation |
|
Definition
|
|
Term
| What are the major causes of Acute Diarrhea |
|
Definition
Infection
Medications
Infarcted Bowel |
|
|
Term
| What are some signs of Lactose intolerance |
|
Definition
Bulky floating stool
Weight Fluctuations
Fe Deficiency
Osteoporosis |
|
|
Term
| What are the major causes of Chronic Diarrhea |
|
Definition
IBS
IBD
Lactose Intolerance
Celiac Sprue |
|
|
Term
| What is the typical presentation of Ogilvie's syndrome? |
|
Definition
| Patient with abdominal malignancy and an abrupt onset of Colonic Megacolon |
|
|
Term
What is the definition of Constipation?
Major causes of Normal Transit constipation?
Major caused of Delayed transit constipation? |
|
Definition
Constipation: <2 bowel movements per week
Normal Transit:
IBS variant
Spastic pelvic floor
Delayed Transit
Incomplete Hirshsprungs
Colonic Inertia
Diffuse GI Dyssfunction |
|
|
Term
How are Anal Sphincter incontinences separated?
What are the causes of each?
What muscle is typically disturbed by obstetric trauma leading to sphicter incontinence? |
|
Definition
Internal:
Trauma
Neural damage
External:
Psychiatric
Mental Status
Muscle: Puborectalis may be injured in obstetrics |
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