IBS & Pooping Flashcards Preview

Clin Med 3 GI > IBS & Pooping > Flashcards

Flashcards in IBS & Pooping Deck (21)
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0
Q

Rome III criteria for IBS

A

At least 3 days/mo in the last 3 mo., with symptoms onset at least 6 months prior to diagnosis, with 2+ of the following:
improvement with defecation
onset assoc. w/ change in frequency of stool
onset assoc. w/ change in form of stool

1
Q

3 characteristics of IBS

A

altered GI motility (hypermotility)
visceral hyperalgesia
psychopathology

2
Q

ABCs of IBS

A

Abd discomfort
Bloating
Change in habits/consistency

3
Q

when is colonoscopy indicated for IBS?

A

pt > 50 y/o

positive family history

4
Q

how much fiber do you supplement for IBS

A

20-30 g/day

5
Q

definition of constipation (3)

A

2 or fewer stools/week
hard stools
feelings of incomplete evacuation

6
Q

2 types of constipation

A

slow transit constipation

pelvic floor dysfunction

7
Q

definition of diarrhea

A

increased liquidity or decreased consistency of stools

8
Q

diffuse, watery diarrhea w/ abd cramping, N/V, fever

A

noninflammatory

9
Q

fever, bloody diarrhea, LLQ pain, tenesmus

A

inflammatory diarrhea

10
Q

usual causes of noninflammatory diarrhea? (3)

A

norovirus
adenovirus
giardia

11
Q

usual causes of inflammatory diarrhea (5)

A
Shigella
Salmonella
Campy
E. coli
C. diff
12
Q

when do you order a rectal swab culture

A

proctitis & rectal discharge

13
Q

HUS triad

A

acute renal failure
microangiopathic hemolytic anemia
thrombocytopenia

14
Q

rotavirus duration

A

< 1 wk

15
Q

campy incubation & length

A

24-72h

Sx last about a week

16
Q

which vomiting disease mimics appendicitis?

A

Campy

17
Q

profuse bloody diarrhea with fever (2)

A

campy

Shigella

18
Q

profuse bloody diarrhea w/o fever

A

E. coli

19
Q

what tx will shorten the course of campy

A

erythromycin

20
Q

what tx will shorten the course of shigella

A

Bactrim