Abdominal Exam 2

Question 1

What are the associated sx for constipation?

Answer 1

Abdominal bloating

Low back pain

Tenesmus (inappropriate parastalsis of the lower bowel)

Pain on defecation

Rectal bleeding

Abdominal pain

Inability to pass flatus

Vomiting

Question 2

What are the three “biggies” (main bacteria) for bacterial gastroenteritis?

Answer 2

Salmonella (12-36 hours prior to exposure)

C. Difficile

E. Coli (Starts around 5 days, lasts 2 weeks.)

Question 3

Why might you do a digital vaginal exam on a female patient complaining of constipation?

Answer 3

To see if the rectum is prolapsed into the posterior wall of the vagina.

Question 4

What are the Rome criteria for constipation?

Answer 4

At least 2 of the following within 3 months:

<3 BM / week

Straining

Lumpy or hard stools

Sensation of incomplete defecation

Manual maneuvering required to defecate.

Question 5

What are the descriptions of stool on the Bristol stool chart?

Answer 5

Question 6

Major cause of parasitic gastroenteritis?

Answer 6

Giardia.

Question 7

What are common presentations for GERD?

What about uncommon?

Answer 7

Heartburn like sensation in epigastric region, regurgitation, dysphagia (common in about 30% of patients),

Uncommon include:

coughing

hoarseness

otitis

chest pain

dental manifestations.