chronic diarrhoea

Question 1

task

Answer 1

653

Question 2

d/d

Answer 2

-coeliac disease
-ibs
-ibd
-giardiasis
-thyrotoxicosis
-cancer colon

Question 3

hx

Answer 3

DIARRHOEA
-how many times?how much?consistency?contain blood, mucous, food?ordour?
-ans: it is offensive, sticks to pan, pale colour
-related to food?
-appetite?
complication
-abdominal pain?weight loss?
-tired?
-family hx
-revent travel history?antibiotic hx?

Question 4

PEFE

Answer 4

GE
-any piccled, bm1
-skin rashes
-nutrition deficiency, skin, nails, conjunctiva
ABDOMINAL EXAM
-thorough
RECTAL EXAM
-stool, masses

Question 5

explanation

Answer 5

-there a wide range of possibilities, which mostly excluded by previous ix
-at this point celiac disease high possibility or other mal absorption disease due to lack of physical findings, less likely sinister cause
-i understand how frustrating it must be for you, but don’t worry we will try to do our best
FURTHER IX
-like to check FBC,
-stool microscopy, culture
-immunological testes, iga and antigliadin ab
-small bowel bx
-repeat colonoscopy