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Flashcards in Lower GI Deck (26):
1

What does the large intestine mainly absorb?

Water and electrolytes

2

Define acute appendicitis

Sudden onset of inflammation of the appendix

3

What kind of pain is parietal pain?

Localised

4

What kind of pain is visceral pain?

Referred

5

What is the treatment(s) of acute appendicitis?

Surgery (mainly)
Antibiotics

6

Define peritonitis

Where the lining of the abdominal cavity and organs becomes inflamed

7

What happens when inflamed appendix come into contact with the abdominal wall?

Localised peritonitis

8

Define anti-biotic associated colitis/ pseudomembraneous colitis

Acute inflammation of the Colon characterised by the formation of adherent inflammatory pseudomembranes overlying the sites of mucosal injury

9

What is ABAC classically caused by?

Toxins produced by CDIFF that has over grown

10

Name the symptoms of ABAC

Abdo pain
Change in bowel habits
Fever

11

What is important to do if you find out a patient has ABAC

Speak to microbiology and stop current antibiotics and start CIDFF related ones and isolate the patient

12

What are the 2 main types of IBD?

Crohns disease
Ulcerative colitis

13

Define IBD

Chronic inflammatory conditions of unknown causes affecting the GI tract

14

Which affects the whole GI tract?
A: Crohns disease
B: Ulcerative colitis

A

15

Which affects only the colon and rectum and goes no further than the colon?
A: Crohns disease
B: Ulcerative colitis

B

16

What are thought the be the causes of IBD?

Genetics
Environment
Constitutional susceptibility

17

Can crohns disease have fistula formation?

Yes

18

Can ulcerative colitis have fistula formation?

No

19

Define transmural inflammation

Inflammation across an entire organ or blood vessel

20

Name the complications people with crohns disease can be exposed to

Anaemia
Malabsorption
Fistulas
Extra-intestinal: skin/eyes/joints
Increased risk of bowel carcinoma
Bowel obstruction and perforation

21

In what lower GI disease are there NO skip lesions?

Ulcerative colitis

22

Name the complications people with ulcerative colitis can be exposed to

Anaemia
Electrolyte loss from diarrhoea
Extra-intestinal disease
Increased risk of carcinoma
Dysplasia

23

Name the causes of colorectal carcinoma

Genetics
Chronic inflammation
Dietary factors

24

National bowel cancer screening is for what age group?

60-75

25

What is the blood test required for bowel cancer screening?

Faecal occult blood test

26

What are the signs and symptoms of colorectal carcinoma?

Altered bowel habit
Blood PR
Iron deficient anemia
Weight loss