Benign Conditions of the Large Bowel Flashcards Preview

JL Gastrointestinal > Benign Conditions of the Large Bowel > Flashcards

Flashcards in Benign Conditions of the Large Bowel Deck (22):
1

What is mucosal herniation through muscle coat involved in?

Diverticular disease

2

Where does diverticular disease normally occur and what dietary problem might have lead to it?

Sigmoid colon
Low fibre intake

3

Give three clinical features of diverticulitis?

LIF pain/tenderness
Septic
Altered Bowel Habit

4

Name two techniques for diagnosing diverticulitis?

Barium enema
Sigmoidoscopy

5

What are three treatment options for diverticular disease?

IV fluids
Bowel rest
IV antibiotics

6

What are pericolic abscess, perforation, haemorrhage, fistula and stricture all complications of?

Diverticular disease

7

What are the two surgical operations for diverticular disease?

1. Hartmann's procedure
2. Primary resection/anastomosis

8

What can infective colitis, UC,Crohns colitis and ischaemic colitis all cause?

Acute and chronic colitis

9

What are these symptoms of: diarrhoea +/- blood, abdominal cramps, dehydration, sepsis, weight loss and anaemia?

Acute and chronic colitis

10

What are four methods of diagnosing acute and chronic colitis?

1. AXR
2. Sigmoidoscopy and biopsy
3. Stool cultures
4. Barium enema

11

What artery is involved in ischaemic colitis?

Inferior mesenteric artery

12

What two types of patients does ischaemic colitis occur in?

Elderly and arteriopaths

13

What is an obscure cause of rectal bleeding, usually right side of colon and causes submucosal lakes of blood?

Colonic angiodysplasia

14

What are the two methods for diagnosing colonic angiodysplasia?

Angiography and colonoscopy

15

What are the three treatment methods for colonic angiodysplsia?

1. Embolisation
2. Endoscopic ablation
3. Surgical resection

16

What can faecal impaction, pseudoobstruction, sigmoid or caecal volvolus and colorectal cancer all cause?

Large bowel obstruction

17

What condition involves the bowel twisting on its mesentry and it might become gangernous?

Sigmoid volvulus

18

What are the two methods for diagnosing sigmoid volvulus?

AXR abd rectal contrast

19

What are two ways to treat sigmoid volvulus?

Flatus tube or surgical resection

20

What is the term for no real mechanical obstruction?

Pseudo-obstruction

21

What two factors can lead to faecal impaction?

1. Bed ridden, elderly
2. Strong analgesics

22

How can faecal impaction be treated?

Enemas, laxatives and manual evacuation