diarrhea pathophys Flashcards

1
Q

diarrhea technical def

A
more than 3 BMs/day
or
more than 200g
or
increased liquidity
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2
Q

acute vs chronic

A

less than 2 weeks acute

longer than 4 weeks

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3
Q

where are Short chain fatty acids absorbed?

A

colon

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4
Q

taking a hx of diarrhea

A
Duration
Severity
Stool characteristics
Fasting, eating, urgency
surgery
meds
diet
hx of radiation
travel
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5
Q

exam of diarrhea

A
assess severity
skin
thyroid exam
right side heart murmur
arthritis
lymphadenopathy
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6
Q

labs for diarrhea

A

stool osmolality
occult blood
fat content

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7
Q

Urgency, pain and cramping, mucus, blood, small amount of stool

A

Recto-sigmoid issue

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8
Q

large amount of stool, not much urgency, little mucus

A

small bowel and colonic

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9
Q

causes of acute diarrhea

A
drugs: Abx (C. Diff)
bacterial infection
viral
protozoa
parasitic
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10
Q

Acute Watery diarrhea aka

A

Enterotoxigenic E coli

aka: traveler’s diarrhea

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11
Q

Bloody diarrhea

A

Enteropathogenic E Coli

Enterohemorrhagic E Coli

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12
Q

Osmotic Diarrhea stops with…..

A

fasting, osmolar gap high

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13
Q

stool osmotic gap equation

A

290-2(Na+K)

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14
Q

normal stool osmotic gap is 50-100.

<50 implies

A

secretory diarrhea from

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15
Q

> 100 implies

A

osmotic diarrhea

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16
Q

exudative diarrhea

A

IBD
Infectious
Radiation enteritis
Ischemic colitis