Bowel

Question 1

Small bowel obstruction causes

Answer 1

adhesions (surgery)

Question 2

Small bowel obstruction symptoms

Answer 2

diffuse abdo pain
nausea and vomiting
constipation
distention
tinkling bowel sounds

Question 3

Small bowel obstructions investigations

Answer 3

Abdo Xray
Showing distended small bowel loops with fluid levels

Question 4

Ulcerative Colitis flares treatment: proctitis, proctosigmoiditis, extensive and severe

Answer 4

proctitis
topical AS
4w: oral AS

proctosigmoiditis
topical AS
4w: oral AS + topical steroid

extensive
topical AS + oral AS
4W: rectal steroid + oral steroid

Severe: admitted and IV corticosteroids

Question 5

mild, moderate and severe flare criteria

Answer 5

> 4 stools: mild
4-6 stools: moderate
6 stools: severe

Question 6

severe relapse or >2 excaberations of UC in a year

Answer 6

azathioprine

Question 7

medication to induce remission in Crohns

Answer 7

1. glucocorticoids
2. +mercaptopurine or azathioprine

Question 8

IBS management

Answer 8

pain: antispasmodic (mebeverine)

constipation: laxatives -> avoid lactulose

diarrhoea: loperamide

2nd: tricyclic antidepressants

Question 9

which PPI reduces the efficacy of clopidogrel

Answer 9

omeprazole -> give lansoprazole instead