Flashcards in Gastro Deck (10):
What is an example of secretory diarrhoea?
Cholera - toxin mediated
What is an example of diarrhoea caused by mucosal invasion?
E.g. Bloody diarrhoea
Enteropathogens like shigella, salmonella
What is an example of increased motility diarrhoea?
IBS or dumping
What are the red flags for clinical dehydration?
Appears unwell/ deteriorating
Tachy c and p
Reduced skin turgor
Shock- pale, cold, prolonged capillary refill, hypotension
When should you for a stool microbiology in diarrhoea in children?
Blood/mucus in stool
? If :
Uncertain re diagnosis
Management for diarrhoea dehydration?
Oral rehydration solution
Volume - spec red weight plus estimated dehydration
How do calculate fluid requirements in children?
First 10kg = 100ml/kg/day
Second 10kg = 50ml/kg/day
Each subsequent kg = 20ml/kg/day
How do you diagnose coeliac disease?
Small bowel biopsy
Response to gluten free diet/ gluten challenge
Screening - blood tests useful
What are the first line blood tests when suspecting coeliac disease?
IgA and IGA tissue transglutaminase