Diarrhoea Flashcards
Give broad causes of
Infection Inflammation Increased bowel motility Malabsorption Obstruction overflow (leading to only water passing through) Medications
Give examples of drugs causing
Metformin
Digoxin
Most common causes in young people?
Infective diarrhoea IBS Coeliac disease Crohn's UC Medications Hyperthyroidism
Questions to ask about infectious causes
Recent foreign travel Do you know anyone who have diarrhoea? Have you eaten out/had a takeaway recently? Urgency Vomiting
Bloody diarrhoea could be caused by which infections and what is this called?
Shigella
Ecoli
Dysentery
Outbreaks of N and V in care home?
Norovirus
Post barbeque diarrhoea caused by?
Campylobacter jejuni
Which opportunistic organism can cause patients
Clostridium difficile
Differenitate between UC and crhons
UC - starts in rectum, spreads proximally
Crohns- anywhere along the GI tract
Extra articular manifestations of IBD
Joint pains
Red, gritty eyes
Rashes on the skin - erythema nodosum
Mucus in stool
Blood in stools is found in Crohn’s or UC?
UC
Pain in right lower quadrant is found in Crohn’s or UC?
Crohn’s - terminal ileum
Malabsorption questions
Are the stools foul-smelling and floating?
Are the stools unusually pale?
Vascular risk factors that could cause the ischaemia?
Atherosclerotic conditions
AF - clot lodged in superior mesenteric arteries
Neoplasia questions to ask
Tenesmus - they don’t feel like they’re done, but they can’t pass anything else
Change in bowel habit
Blood mixed with stools?
Weight loss
FH
Headaches
Troisier’s sign - Virchow’s node lymphadenopathy
