Diarrhoea Flashcards
If a patient says they have diarrhoea, which two diarrhoea-like presentations should you be wary of?
faecal incontinence- anal sphincter dysfunction
faecal impaction- overflow diarrhoea
Name three causes of steatorrhoea
pancreatic disease
coeliac disease
infection
Patient with N/V. Differentials?
infection, upper GI obstruction, diabetes, small bowel crohn’s disease
Patient with abdominal pain. Differentials?
infection, coeliac disease, IBD, malignancy, diverticulitis
What is tenesmus and when is it observed?
incomplete voiding of bowel. IBS, left sided colitis, malignancy
Which skin change is associated with coeliac disease?
dermatitis herpetiformis
Which systemic diseases are associated with diarrhoea?
hyperthryoidism, adrenal disease, diabetes, systemic sclerosis
Which drugs are associated with diarrhoea?
abx- erythromycin NSAIDs Mg containing products hypoglycaemic agents- metformin gliptins anti-neoplastic agents
Why is it important to ask a patient if they have undergone antibiotic therapy recently?
risk of c.diff infection e.g. cephalosporin, clindamycin, fluoroquinolones
Which STI can be associated with diarrhoea?
HIV
What does a high capillary refill time indicate?
> 3sec severe fluid loss
What does leukonychia indicate?
hypoalbunimaemia
What does koilonichia indicate?
IDA
coeliac disease
malignancy
What is Rovsing’s sign?
pain in R lower abdomen upon palpation of left side of abdomen
Tinkling bowel sounds is a sign of?
obstruction
