Colorectal disorders Flashcards
1
Q
Ulcerative collitis- Sx
A
- Rectal bleeding, bloody diarrhea
- Bright red blood
- Tenesmus
- Abd cramping
- Fever & sweats
- Friability, erosion, pseudopolyps
2
Q
Ulcerative collitis- Eti
A
- Inflammation of colon only
- Idiopathic
- Periods of symptomatic flare ups
- Nonsmokers
- Appendectomy before 20 increased risk
3
Q
Chrons disease- Eti
A
- Any portion of GI tract- mouth to anus
- Anus may be spared
- Smokers
- 40% ilium + colon
- Terminal ilium most commonly involved
4
Q
Chrons disease- Sx
A
- Diarrhea
- ABd pain & RLQ tenderness or mass
- Wt. loss
- Fever & night sweats
- Iron deficiency anemia
- Obstructive symptoms- N/V postprandial pain
- Fistulations
- Arthralgials, pyoderma, erythema nodosum, gallstones
5
Q
Chrons disease- Dx
A
- Biopsy/ pathology report
- CT scan- evaluation of small bowel
- Stool studies
Endoscopy: Normal mucosa next to abnormal: - Stellate ulcer
- Skip lesion
- Cobblestoning
- Deep linear ulcers
6
Q
Irritable Bowel Syndrome- Eti
A
- Late teens- 20s
- W>M
- Common functional bowel disorder
- Idiopatic
7
Q
Irritable Bowel Syndrome- Sx
A
- Sx > 3 months
- Subjective distension
- Abd pain, intermittent, crampy, relieved by deification
- Alternating constipation & diarrhea
- Normal phys exam
8
Q
Irritable Bowel Syndrome- Dx
A
- Dx of exclusion- rule out cancer, celiac, parasite, etc
9
Q
Irritable Bowel Syndrome- Tx
A
- Antispasmodics or antidiarrheals
- Fiber
- Antidepressants
10
Q
Ulcerative colitis- Dx
A
- Sigmoidoscopy
- Abd radiograph for toxic megacolon
11
Q
Ulcerative colitis- Tx
A
- Biologics
- Corticosteroids
- Antibiotics
12
Q
Toxic megacolon- Eti
A
Complication of UC in <2% of patients
13
Q
Toxic megacolon- Sx
A
Colonic dilations > 6cm with signs of toxicity
14
Q
Toxic megacolon- Dx
A
Abd radiograph
15
Q
Toxic megacolon- Tx
A
Broad spectrum abx
