Clinical- Colon + Ischemia

Question 1

This is a necrotizing inflammatory disease of the colon with formation of a membrane like collection of exudate overlying a degenerating mucosa.

Answer 1

pseudomembranous colitis

Question 2

What are the Sx to pseudomembranous colitis?

Answer 2

fever, abd pain, diarrhea

Question 3

After taking what kind of drug do u see pseudomembranous colitis?

Answer 3

antibiotics

Question 4

What is the bug to cause pseudomembranous colitis?

Answer 4

C. diff

Question 5

How do u Dx pseudomembranous colitis? (2 things)

Answer 5

toxin assay + culture

Question 6

What will show up on radiography for pseudomembranous colitis?

Answer 6

pseudomemebnrane easengoisrgnmsrgisrhgsrhgsnrmghskorhnmsrhsrnhmsr

Question 7

This condition occurs during or after irradiation, where the mucosa fails to regenerate and there is friability hyperemia and edema.

Answer 7

Acute radiation colitis

Question 8

What things might form in chronic radiation colits?

Answer 8

fistulas, abscesses, strictures and bleeding

Question 9

What is the cause of acute mesenteric ischemia?

Answer 9

embolic obstruction of the SMA

Question 10

What is the clinical presentation of acute mesenteric ischemia?

Answer 10

severe abd pain, n/v

Question 11

Normally in acute mesenteric ischemia there are no Sx initally, except for what 1 Sx?

Answer 11

severe abd pain

Question 12

Waht shows up on radiographic findings in acute mesenteric ischemia?

Answer 12

ileus, small bowel obstuction, and later gas in the portal vein

Question 13

Postprandial pain, feat of eating, and secondary weight loss are a triad for what condition?

Answer 13

chronic mesenteric ischemia

Question 14

Why do we always listen to the arteries before palpation in H&P? Why is this important in chronic mesenteric ischemia?

Answer 14

There is always an abdominal bruit.

Question 15

So what Sx is there in acute mesenteric ischemia what isnt in chronic mesenteric ischemia?

Answer 15

severe abd pain, n/v

Question 16

Which organism is involved the most with ameobic colitis?

Answer 16

entamoeba histolytica

Question 17

What is the site most commonly associated with GI TB?

Answer 17

ileocecal area

Question 18

This condition is when there is abd pain that is relieved with defecation or associated with a change in the frequency or consistency of the stool.

Answer 18

Irritable Bowel Syndrome (IBS)

seriously. my ex gf. there were not enough mops in the world to save my apartment. wherever she is now, I just hope she has enough plastic tarps to contain the horror.

Question 19

If an IBS pt has upper abd discomfort and bloating, what screenings must u do?

Answer 19

US of abd and EGD

Question 20

If an IBS pt has lower abd discomfort and change in bowel habits, what screenings must u do?

Answer 20

Stool studies, proctoscopic exam or colonoscopy.

she had to do the colonoscopy. you know that jug of shitty water u have to drink the night before? yeah. my apartment.

Question 21

Where is a common place for pseudo-obstruictions to occur?

Answer 21

colon

Question 22

There is an increased risk of Hirsprungs disease when a pt has what other syndrome?

Answer 22

Down syndrome

Question 23

What is the procedure of choice for patients with active rectal bleeding?

Answer 23

angiography

Question 24

When should u do a colonoscopy for rectal bleeding?

Answer 24

In slow bleeds or for pt’s with recurrent bleeding who are otherwise normal.