20. Diarrhoea

Question 1

Answer 1

Question 2

Answer 2

For a young adult with acute diarrhoea the most likely diagnoses are:

Question 3

Would your differential diagnoses of acute diarrhoea look different if your patient was 64 years old?

Answer 3

Question 4

Answer 4

Question 5

Answer 5

Question 6

How will you manage a patient with acute diarrhoea?

Answer 6

Question 7

• Characterise the stool?
• Bowel habits?

Answer 7

Question 8

History taking for acute diarrhoea:
- Associated symptoms?
- Risk factors for causes of diarrhoea?
- Family history?

Answer 8

Question 9

Answer 9

Question 10

What clinical signs will you look for on examination of a patient with diarrhoea?

Answer 10

Question 11

• 8 Blood tests?

Answer 11

Question 12

• 3 Faeces tests?

Answer 12

Question 13

Answer 13

Question 14

Which second line investigations may be considered to confirm or exclude a diagnosis of Crohn’s disease? (3)

Answer 14

Question 15

Answer 15

Question 16

Answer 16

Question 17

Answer 17

Question 18

7 Management points?

Answer 18

Question 19

Answer 19

Question 20

Answer 20

Question 21

Answer 21

Question 22

List 9

Answer 22

Question 23

Why should patients with UC be offered regular coloscopies?

Answer 23

Question 24

Answer 24

Question 25

Answer 25

Question 26

What is the most important aspect in the management of any of the infectious diarrhoeas mentioned in the previous question?

Answer 26

Question 27

What is the difference between :
1. a fluid challenge?
2. maintenance fluids?
3. replacement fluids?

Answer 27

Question 28

Answer 28

Question 29

Answer 29

Question 30

Answer 30