GI Flashcards
1
Q
Most common cause of Gastroenteritis
A
campylobactor
2
Q
Quick onset causes of GE
A
staph aures
Bacillus cereus
6-15hrs
3
Q
How long after GE fit to return to work
A
Catering/medics 72hrs post diarrhoea
others 48hrs
4
Q
Diarrhoea mx
A
Rehydrate
- 2L fluid/day + 200ml per loose stool
- Dioralyte to replace salts (oral rehydration solution)
- stop the anti-renal meds (NSAIDS, ACEi, diuretic)
Loperamide (imodium)
5
Q
Abx rx for GE
A
Ciproflaxicin for campolybactor, shigella and giardia
Metronidazole for giardia
6
Q
Dietary advice on IBS
A
- avoid insoluble fibre (bran), increase soluble (oats)
- low FODMAP diet
- avoid caffeine
- drink 8 cups of fluid a day
7
Q
Mebeverine
A
antispasmodic
bloating and abdo discomfort
8
Q
Loperamide
A
antidiarrhoeal agent
9
Q
Laxatives examples
A
Sennna
Ispaghula
Macrogols
10
Q
TCAs use in IBS
A
pain
diarrhoea, anxiety and depression
11
Q
TCA example for IBS
A
amitriptyline
12
Q
Linaclotide
A
guanylate cyclise c receptor agonist
for moderate to severe IBS
13
Q
IBS meds
A
- antispasmodics
- antidiarrhoeal
- laxatives
- TCA
- SSRI
- linaclotide
14
Q
Lifestyle advice for heartburn
A
healthy eating wt loss quit smoking avoid large fatty meals avoid alcohol
15
Q
GORD meds
A
Self-treatment: - gaviscon 10 ml - or antacids (Mg or Al) PPI eg omperazole H2 antagonist eg ranitidine
