Abdo history Flashcards
1
Q
What questions would you have to ask for systems review
A
N and v Abdo pain Bloating Change in bowel habits Rectal bleeding Dysphagia
2
Q
Relevant PMH/FHx
A
Antibiotic exposure
Smoking
Polyps
IBD
IBS
Diet - processed foods, lactose, gluten, fibre
Genetics: HLA-27, APC mutation, Lynch syndrome
3
Q
What questions might you ask about change in bowel habits?
A
Frequency Volume Colour Mucus Blood Consistency Floating, difficult to flush away? Smell? Pain on defecation? Tenesmus?
4
Q
What is Tenemus?
A
A feeling of fully evacuating faeces
5
Q
What might you want to ask about PR bleeding?
A
When did it start? Previous episodes? Last episode? Time between latest episodes? Volume of blood per motion? One-off or all the time? Continuous or intermittent Colour Drip into pain, toilet paper or does it coat the stools?
