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Y1 - Gatrointestinal > Functional Gut Disorders > Flashcards

Functional Gut Disorders Flashcards

1
Q

What does the term functional mean?

A

Symptoms occur in the absence of any structural abnormality

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2
Q

What are the common functional oesophageal disorders?

A

Heartburn
Chest pain of presumed oesophageal origin
Dysphagia
Globus

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3
Q

What are the common functional gastro-duodenal disorders?

A

Functional dyspepsia
Functional vomiting
Gastroparesis

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4
Q

What are the common functional bowel disorders?

A

IBS

Functional diarrhoea

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5
Q

What is globus?

A

The persistent or intermittent sensation of a lump or foreign body in the throat without dysphagia or odynophagia

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6
Q

What is the management for globus?

A

Explanation and reassurance

Trial of anti-reflux therapy

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7
Q

What is functional dyspepsia?

A

A spectrum of symptoms with no structural abnormality to explain them

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8
Q

What are the symptoms of functional dyspepsia?

A 
Upper abdominal pain or discomfort
Fullness
Early satiety
Bloating
Nausea
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9
Q

What are the two subgroups of functional dyspepsia?

A

Epigastric pain syndrome

Post-prandial distress syndrome

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10
Q

What is epigastric pain syndrome?

A

Subcategory of functional dyspepsia characterised by epigastric pain unrelated to meals

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11
Q

What is post-prandial distress syndrome?

A

Subcategory of functional dyspepsia categorised by postprandial discomfort and early satiation

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12
Q

What is the management for functional dyspepsia?

A

Reassurance, explanation and lifestyle changes
PPIs for epigastric pain syndrome
Pro-kinetic agents for post-prandial distress syndrome
SSRI in refractory cases

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13
Q

What is gastroparesis?

A

Delayed gastric emptying

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14
Q

What are the symptoms of gastroparesis?

A 
Nausea and vomiting
Early satiety
Fullness
Bloating
Upper abdominal pain
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15
Q

What is the criteria for diagnosis of IBS?

A

Recurrent abdominal pain or discomfort associated with two or more of the following:
Improvement with defecation
Change in form of stool
Change in frequency of stool

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16
Q

What are the indications for further investigation of IBS?

A 
Rectal bleeding
Nocturnal pain
Fever
Weight loss
Clinical suspicion of organic diarrhoea
Raised stool calprotectin or lactoferrin
17
Q

What are the risk factors for IBS?

A

Female
Family history
Mental health problem

Y1 - Gatrointestinal (31 decks)

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