Abdominal Pain/IBD Flashcards
(22 cards)
visceral vs parietal pain
visceral-poorly localized
parietal-pinpoint, well-localized
diverticula presentation
- crampy abdominal pain
- typically LLQ
- constipation
diverticular symptoms
- painless
- brisk rectal bleeding
how to dx diverticulitis
CT
how to treat diverticulitis in immunocompromised pts?
surgery
medical treatment for diverticulitis
- IV fluids
- bowel rest
- flagyl/cipro
how to treat an abscess
drainage and antibiotics
main symptom of appendicitis
anorexia
acute mesenteric ischemia presents as….
pain out of proportion to exam
how to test for mesenteric ischemia?
angiography
chronic mesenteric ischemia
Postprandial abdominal pain – “intestinal angina”
History of atherosclerosis
Weight loss due to “food fear”
what test can you order if a blood celiac test is negative?
human leukocyte antigen HLA-DQ2 or HLA-DQ8
the recommended single serologic test for celiac disease screening in the primary care setting
tTG antibody test
if this is positive then confirm w/small bowel biopsy
IBS
Recurrent abdominal pain or discomfort at least 3 days/month in the last 3 months associated with 2 or more of the following:
Improvement with defecation
Onset associated with a change in frequency of stool
Onset associated with a change in form (appearance) of stool
this is purely a clinical diagnosis
IBS
how to treat IBS
high fiber diet
metamucil
what makes up IBD?
Crohns and UC
Chronic intestinal inflammation noted on endoscopy
UC
- involves only the colon
- continuous distribution
Crohns
- transmural
- can affect any part of GI tract
- cobblestone
- granulomas
- fistula
- nutritional disturbances
how does UC present?
- diarrhea and BRBPR
- tenesmus
tx of IBD
-5 ASA agents (for mild disease)
when should people with IBD get colonoscopies?
every year after 8 years of having the disease
