Diarrhoea Flashcards
1
Q
Infective Causes
A
Bacterial gastroenteritis
Viral Gastroenteritis
C-Difficile (PMC)
2
Q
Malignancy
A
Bowel Ca
3
Q
Inflammatory
A
Chron’s
Ulcerative colitis
4
Q
Malabsorption
A
Coeliac
Chronic Pancreatitis
Short Bowel syndrome
5
Q
Drug Abuse
A
Laxatives
Excessive alcohol
6
Q
Iatrogenic
A
SE of new medication
- antibiotics (erythromycin)
- metformin
- colcichine
- gaviscon
- PPIs
7
Q
Endocrine Causes
A
Hyperthyroid
Autonomic neuropathy, secondary to diabetes
8
Q
Other
A
Diet
IBS
Overflow Diarrhoea
9
Q
Rare Causes
A
Carcinoid
Radiation colitis
VIPoma (insulin secreting)
Whipple’s disease
10
Q
Bloods
A
TFTs FBC (+folate, b12, iron if anaemic) HbA1c LFTs + GGT (alcohol) TTG
11
Q
Stool Ix
A
If suspective infective cause: MC&S
Faecal Calprotectin if IBD
12
Q
RED FLAGS
A
PR bleeding
melaena
weight loss
chronic diarrhoea
13
Q
Red Flag Ix
A
FBC and haematinics
Colonoscopy with biopsy
Gastroscopy if melaena
14
Q
Social Hx
A
- Alcohol
- Travel
- Food exposure
- Diet (high red meat?)
- Smoking (chron’s)
15
Q
Drug Hx
A
New medication
Laxatives
Opiates in elderly ?overflow
