Colorectal Disorders

Question 1

-Abd pain w/ 1) relief with pooping; 2) onset with change in frequency of stool; or 3) change in appearance of stool -Abnormal stool, frequency or form. Passage of mucus -Symptoms >3mos -Antispasmatic, antidiarrheals, fiber, CBT

Answer 1

IBS

Question 2

-Infx/Inflam of diverticula -Abd pain/fever -N/V -LLQ tenderness/mass

Answer 2

Diverticulitis

Question 3

-Transmural process -Chronic with periods of remission and exacerbation -Liquid stool, malaise, RLQ pain, low-grade fever -Symptomatic tx. STeroids, immunodulator drugs

Answer 3

Crohn

Question 3

-Sudden dilation of colon and sepsis -Abd distention with tenderness -Fever

Answer 3

Toxic Megacolon

Question 4

-Small bulging pouches in GI tract (diverticula) -Most asymptomatic -Nonspecific symptoms -Barium enema & CT -High fiber diet

Answer 4

Diverticulosis

Question 5

-1000s of polyps -Will for sure develop CA -Requies colectomy

Answer 5

Polyposis

Question 7

-2nd leading cause of CA death -Adenocarcinomas -Often asymptomatic until too late

Answer 7

Colorectal CA

Question 8

-Inflammatory condition resulting in erosions with bleeding.–>occurs in colon only (rectum almost always involved) -Idiopathic/autoimmune -Bloody diarrhea, cramping and tenesmus -Can see oral ulcers, erythema nodosum -Steroids

Answer 8

Ulcerative Colitis