GI issues of GYN

Question 1

1st line Therapy for C. Diff?

Answer 1

Treatment of choice is oral vancomycin (125mg four times daily for ten days) or fidaxomicin (200mg twice daily for ten days).

Question 2

How often should asymptomatic patients have follow up stool assays for C Diff?

Answer 2

Not recommended [as they frequently remain positive for weeks after treatment]

Question 3

DD Diarrhea?

Answer 3

Infectious causes
Bowel stimulants (e.g. magnesium-containing antacids or proton pump inhibitors)
Intolerance to a specific dietary component (e.g. lactose or gluten)
Inflammatory bowel disease
Malabsorption.

Question 4

Definition Acute Diarrhea?

Answer 4

Passage of three or more loose or watery stools in a 24-hour period

Question 5

Definition ileus?

Answer 5

Absent or abnormal peristalsis after surgery causing a functional obstruction without mechanical blockage.

Question 6

DD ileus?

Answer 6

Ileus
small bowel obstruction
bowel injury
intra-abdominal or retroperitoneal bleeding 
intra-abdominal abscess

Question 7

Definition Fecal Incontinence?

Answer 7

Involuntary loss of liquid or solid stool

Question 8

Which muscles provide the voluntary components of fecal continence?

Answer 8

The external anal sphincter and puborectalis muscles