Diarrhoea Flashcards
1
Q
What is traveller’s diarrhoea most commonly caused by?
How is it treated?
A
E. coli
Let it pass
2
Q
What’s the first treatment for diarrhoea?
A
fluids
3
Q
What kind of diarrhoea does amoeba cause?
A
Bloody
4
Q
What kind of diarrhoea giardia and crypto cause?
A
Non-bloody
5
Q
What is crohn’s disease?
A
chronic relapsing IBD, most common in the terminal ileum, can occur elsewhere - colon
6
Q
What are the risk factors for crohn’s
A
smoking
genetic
7
Q
what exacerbates Crohn’s?
A
NSAIDs
infection
8
Q
what are the symptoms of crohn’s?
A
diarrhoea abdominal pain weightloss malaise anorexia fever right iliac fossa mass/pain B/12/iron deficiency clubbing exacerbations and remissions anal fistulae children - poor growth, delayed puberty, bone demineralisation, malnutrition
9
Q
Investigations for crohns
A
barium swallow
ct
colonoscopy
10
Q
management for crohns
A
steroid - induce remission add aziothioprine (immunosuppressant) if not controlled infliximab for severe metronidazole for infection - diarrhoea possibly bowel resection
11
Q
what is ulcerative colitis?
A
IBD only in the colon
12
Q
what are the symptoms of UC?
A
diarrhoea (blood) abdominal discomfort bloating weight loss malaise fever iron deficiency increased WBCs, platelets and ESR hypoalbuminurea clubbing
13
Q
investigations for UC
A
PR - blood
CT
Barium enema
14
Q
management UC
A
mild - 5ASA
moderate to severe - steroid
15
Q
Coeliac: clinical features
A
IgA deficiency diarrhoea bloating abdominal discomfort anaemia (iron def, but can be B12 def) chronic fatigue arthritis
