Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

First Aid: Step 2 CS > Differential & Work-up: Constipation/Diarrhea > Flashcards

Differential & Work-up: Constipation/Diarrhea Flashcards

1
Q

67 yo M presents with alternating diarrhea and constipation, decreased stool caliber, and blood in the stool for the past 8 months. He also reports unintentional weight loss. He is on a low-fiber diet and has a family history of colon cancer. His last colonoscopy was 12 years ago.

A
  1. Colorectal cancer
  2. Irritable bowel syndrome
  3. Diverticulosis
  4. GI parasitic infection (ascariasis, giardiasis)
  5. Inflammatory bowel disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

WORK UP FOR:

  1. Colorectal cancer
  2. Irritable bowel syndrome
  3. Diverticulosis
  4. GI parasitic infection (ascariasis, giardiasis)
  5. Inflammatory bowel disease
A
  1. Rectal exam, stool for occult blood
  2. CBC with diff
  3. CMP
  4. Colonoscopy
  5. Barium enema
  6. CT -abdomen/ pelvis
  7. Stool for ova and parasitology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

28 yo M presents with constipation for the past 3 weeks. Since his mother died 2 months ago, he and his father have eaten only junk food.

A
  1. Constipation due to low-fiber diet
  2. Depression
  3. Substance abuse (eg. heroin)
  4. Irritable bowel syndrome
  5. Hypothyroidism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

WORK UP FOR:

  1. Constipation due to low-fiber diet
  2. Depression
  3. Substance abuse (eg. heroin)
  4. Irritable bowel syndrome
  5. Hypothyroidism
A
  1. Rectal exam
  2. TSH, freeT4
  3. BMP
  4. Urine toxicology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

30 yo F presents with alternating constipation and diarrhea accompanied by abdominal pain that is relieved by defecation. She has no nausea, vomiting, weight loss, or blood in her stool.

A
  1. Irritable bowel syndrome
  2. Inflammatory bowel disease
  3. Celiac disease
  4. Chronic pancreatitis
  5. GI parasitic infection (ascariasis, giardiasis)
  6. Lactose intolerance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

WORK UP FOR:

  1. Irritable bowel syndrome
  2. Inflammatory bowel disease
  3. Celiac disease
  4. Chronic pancreatitis
  5. GI parasitic infection (ascariasis, giardiasis)
  6. Lactose intolerance
A
  1. Rectal exam, stool for occult blood
  2. CBC with Diff
  3. CMP
  4. Colonoscopy
  5. tTG antibody test
  6. Stool for ova and parasitology
  7. CT -abdomen/pelvis
  8. Hydrogen breath test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

33 yo M presents with watery diarrhea, vomiting, and diffuse abdominal pain that began yesterday. He also reports feeling hot. Several of his coworkers are also ill.

A
  1. Infectious diarrhea (gastroenteritis): bacterial, viral, parasitic, protozoal
  2. Food poisoning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

WORK UP FOR:

  1. Infectious diarrhea (gastroenteritis): bacterial, viral, parasitic, protozoal
  2. Food poisoning
A
  1. Rectal exam, stool for occult blood
  2. Stool leukocytes and culture
  3. CBC
  4. BMP
  5. CT-abdomen/pelvis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

40 yo F presents with watery diarrhea and abdominal cramps. Last week she was on antibiotics for a UTI.

A
  1. Pseudomembranous (Clostridium difficile) colitis
  2. Gastroenteritis
  3. Cryptosporidiosis
  4. Food poisoning
  5. Inflammatory bowel disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

WORK UP FOR:

  1. Pseudomembranous (Clostridium difficile) colitis
  2. Gastroenteritis
  3. Cryptosporidiosis
  4. Food poisoning
  5. Inflammatory bowel disease
A
  1. Stool for C difficile toxin
  2. Rectal exam, stool for occult blood
  3. Stool leukocytes and culture
  4. CBC
  5. CMP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

25 yo M presents with watery diarrhea and abdominal cramps. He was recently in Mexico.

A
  1. Traveler’s Diarrhea
  2. Giardiasis
  3. Amebiasis
  4. Food poisoning
  5. Hepatitis A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

WORK UP FOR:

  1. Traveler’s Diarrhea
  2. Giardiasis
  3. Amebiasis
  4. Food poisoning
  5. Hepatitis A
A
  1. Rectal exam
  2. Stool leukocytes, culture,
  3. Giardia antigen, Entamoeba histolytica antigen
  4. CBC
  5. CMP
  6. Viral hepatitis serologies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

30 yo F presents with watery diarrhea, abdominal cramping, and bloating. Her symptoms are aggravated by milk ingestion and are relieved by fasting.

A
  1. Lactose intolerance
  2. Gastroenteritis
  3. Inflammatory bowel disease
  4. Irritable bowel syndrome
  5. Hyperthyroidism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

WORK UP FOR:

  1. Lactose intolerance
  2. Gastroenteritis
  3. Inflammatory bowel disease
  4. Irritable bowel syndrome
  5. Hyperthyroidism
A
  1. Rectal exam
  2. Stool leukocytes and culture
  3. Hydrogen breath test
  4. TSH
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

33 yo M presents with watery diarrhea, diffuse abdominal pain, and weight loss within the past 3 weeks. He has a history of aphthous ulcers. He has not responded to antibiotics.

A
  1. Crohn disease
  2. Gastroenteritis
  3. Ulcerative colitis
  4. Celiac disease
  5. Pseudomembranous colitis
  6. Hyperthyroidism
  7. Small bowel lymphoma
  8. Carcinoid syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

WORK UP FOR:

  1. Crohn disease
  2. Gastroenteritis
  3. Ulcerative colitis
  4. Celiac disease
  5. Pseudomembranous colitis
  6. Hyperthyroidism
  7. Small bowel lymphoma
  8. Carcinoid syndrome
A
  1. Rectal exam, stool for occult blood
  2. Stool leukocytes and culture
  3. CBC
  4. Electrolytes
  5. Colonoscopy with biopsy
  6. CT-abdomen
  7. TSH
  8. AXR

First Aid: Step 2 CS (23 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions