Constipation - OSCE tutoring Flashcards
1
Q
Four main causes of constipation
A
Hard faeces
Patient not pushing due to pain
Bowel obstruction
Abnormal peristalsis
2
Q
Main causes of abnormal peristalsis
A
Drugs
IBS
Hypothyroidism
Hypercalcemia
3
Q
Main causes of bowel obstruction
A
Volvulus - sigmoid or caecal
Colorectal adenocarcinoma
Strictures due to Crohns/Diverticular disease
4
Q
Main causes of pt not pushing enough
A
Haemmorhoids
Anal fissure
5
Q
Main causes of hard faeces
A
Lack of fibre
Lack of water
6
Q
Important drugs to ask for
A
Recent Abx
Iron supplements
Pain killers
7
Q
Key thing to ask about blood
A
Clarify where blood is coming from