TBL 3

Question 1

Hyperactive bowel motility other sx

Facilitated diffusion occurs

Answer 1

ab cramping

down the conc gradient

Question 2

Colon cancer commonly causes

Adhesions lead to

Inguinal hernia look for

Volvulus

Answer 2

Colonic obstruction- thin stools

Obstruction- pain/NV

palpable mass

severe LLQ pain/cons/NV

Question 3

SBO causes

Colonic obs causes

Answer 3

Adhesion, Neoplasm (carcinoid/adeno/lymph)/hernia/stricture/volvulus/intussception

Colon ca, diverticulitis, stricture, fecal impact

Question 4

Bisacodyl

Insoluble fiber

Lactulose

PEG

Senna

Category and effect

Answer 4

Stim lax, semifluid stool in 6-8hrs (adjunct for impact)

Bulk, semisolid in 1-3 days (not for impact)

Surfactant, semisolid in 1-3 days

Osmotic

Stimulant (same as bisacodyl)

Question 5

Carcinoid tumors include

Answer 5

serotonin, histamine, VIP

Question 6

Manage Chron’s disease

Mild

Mod

Severe

Answer 6

Mild- CS/aza

Mod- CS/aza/anti TNF/anti integrin

Severe- Aza/anti TNF/anti integrin

Question 7

Manage Ulcerative colitis

Mild

Moderate

Severe

Answer 7

Mild- 5ASA, CS

Mod- CS/aza/anti tnf

Severe- CS +antibiotics/aza/anti TNF/anti integrin