Gastro 7 - Disease Of Small Intestine Flashcards
What are the symptoms of Irritable Bowel Syndrome (IBS)?
Chronic abdominal pain (Described as crampy w/ variable intensity, which improves w/ defecation) and altered bowel habits. Other GI-symptoms: GERD, dysphagia, early satiety, nausea, chest pain.
What are non-GI symptoms associated w/ IBS?
Urinary frequency and urgency, dysmenorrhea, dyspareunia, and fibromyalgia.
What are the most common cause of small bowel obstruction (SBO)?
[ABC] Adhesions from previous surgeries (about 75% of cases). Bulge/hernia (second most common cause). Cancer/tumor (most commonly metastatic colorectal cancer).
How do we diagnose Meckel diverticulum?
Technetium scintigraphy (nuclear medicine) to ID areas of ectopic gastric mucosa.
What would be the cause of intussusception in children? What would be a buzzword symptom for this disease?
Mostly idiopathic (75%). Can be caused by adenovirus, Meckel’s diverticulum. Causes currant jelly stools. Bull’s eye appearance on ultrasonography.
What is Intestinal Ileus? What is the cause?
It is lack of peristalsis in the GI tract. Caused after post-surgical or severe illness that decreases blood flow to the gut.
What are two causes of Meconium Ileus?
Cystic fibrosis. Hirschsprung’s disease.
What would be the plain film findings of Necrotizing enterocolitis?
Dilated loops of bowel. Paucity of gas. Pneumatosis intestinalis.
What are the causes of Ischemic colitis?
Atherosclerosis of the celiac artery or mesenteric artery. Causes extreme pain.
What is angiodysplasia?
A small vascular malformation of the gut, have tendency to bleed; causes unexplained GI bleed ing and anemia. Location: most often in the cecum or ascending colon. Diagnosis done by colonoscopy or angiography.
What are the symptoms of Carcinoid syndrome? When do we see it?
[BeFDR] Bronchospasm. Flushing. Diarrhea. Right-sided heart disease/murmur. Only seen if the tumor is outside of the GI tract: the liver metabolizes all the serotonin that is produced in the GI.
