Disturbance in Absorption and Elimination 1

Question 1

a rare disorder with a primary defect of impaired peristalsis

Answer 1

CIP ( Chronic Intestinal Pseudo-Obstruction)

Question 2

Give 3 symptoms of CIP (3/6)

Answer 2

1. N/V
2. Abdominal distention
3. Pain & Constipation
   4.Diarrhea
4. Food aversion
5. Weight loss / Malnutrition

Question 3

Diagnosis is based on ______,______,_______ to rule out obstruction

Answer 3

1.Sx
2.Clinical findings
3. Tests

Question 4

To check if there is a evidence of physical blockage we can do _______ and _____

Answer 4

PE, Xray

Question 5

This test helps to confirm diagnosis, assess the extent of the disease and determine proper treatment

Answer 5

Manometry

Question 6

Give 2 Possible treatment for CIP (2/4)

Answer 6

1.NGT/TPN
2.Antibiotics
3.Bevahioral/Relaxation Therapy
4. Non- Opioids meds

Question 7

The common complain of a childrens with CIP

Answer 7

Fear of pain/ Chronic abdominal Pain

Question 8

Pelvic floor dyssynergia is also known as

Answer 8

Outlet obstruction type constipation

Question 9

What results usually occurs due to PFD

Answer 9

Constipation

Question 10

In PFD (Pelvic Floor Dyssynergia) the pelvic floor doesnt _____

Answer 10

Relax

Question 11

Give 3 symptoms of PFD (3/7)

Answer 11

1. Maneuvering/Splinting vagina
2. Excessive straining during defecation
3. Feeling of incomplete evacuation
4. Passage of hardstools
5. <3 BM
6. Laxative dependence and constipation
7. Backache, Heartburn and anorectal surgery

Question 12

Give 2 DX procedures for PFD (2/5)

Answer 12

1. Digital rectal exam
2. Anorectal Manometry
3. Ballon expulsion Test
4. Defecography/ MRI Defecography
5. Colonic Transit Study

Question 13

Give 3 treatment for PFD (3/7)

Answer 13

1. Nutritional therapy
2. Laxatives: Constipation drugs
3. Biofeedback therapy
4. Pelvic floor exercise
5. Pain management
6. Relaxation
7. Surgery