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Flashcards in Dirrhoea TBL Deck (11)
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1
Q

what is a change in bowel habit?

A

any alteration in the patients regular bowel function for longer than 6 weeks

2
Q

is cirrhosis a differential diagnosis of change in bowel habit?

A

no

3
Q

what are some differential diagnoses of a change in bowel habit?

A
infective gastroenteritis
coeliac disease
Bowel cancer
UC
IBS
4
Q

what is acute diarrhoea?

A

an abnormally frequent discharge of semisolid or fluid faecal matter from the bowel lasting less than 14 days
>14 days = persistant

5
Q

what are some types of diarrhoea?

A

secretory (cholera)
Dysentery
Osmotic (can be caused by osmotic agents eg. sorbitol)
Inflammatory

6
Q

is haemorrhagic a type of diarrhoea?

A

no

7
Q

what is the definition of constipation?

A

infrequent movements (typically 3 times or less per week) and difficulty during defecation (straining more than 25% of bowel movements or a subjective sensation of hard stools)

8
Q
22 yrs old
3 weeks of bloody diarrhoea
LIF pain
Temperature
Travelled to Thailand 10 months ago
A

infective gastroenteritis

Investigate with stool culture (only AXR if suspected colitis)

9
Q
6 months episodic diarrhoea
abdominal pain
bloating
stress
caesarean section
symptoms 4 days after episode of watery diarrhoea on holiday
A

IBS
coeliac can present after an episode of infectious diarrhoea but not most likely as usually presents in children and young adults

10
Q

how would you investigate?

A

FBC & U&Es = reassurance as IBS doesn’t show up on bloods so diagnosis of exclusion
Colonoscopy or CT if suspicion of more serious problem
Coeliac testing if suspicion

11
Q
34 years old
3 months loose stools
abdominal discomfort
Ex smoker
travelled to spain 2 months ago
No contacts/drugs
Pale 
Itchy rash 
Normal abdominal exam
A
Dermatitis hepetiformis (rash down front of forearms) + diarrhoea = coeliac
Crohns also possible not rash indicates coeliac

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