GI Qs Flashcards
Non-drug treatment for IBS
CBT
When would you refer a pt for Urgent endoscopic investigation
- dysphagia
- acute GI bleeding
- over 55 with weight loss and upper abdo pain, reflux or dyspepsia
Drugs that cause GORD
- A/b blockers
- Bisphosphonates
- Diuretics
- CS
- NSAIDs
Ulcerative colitis - patchy or continuous?
Continuous
Crohn’s disease - patchy or cotinuous?
Patchy
UC symptoms
- Recurring diarrhoea
- Blood or pus
- Abdominal discomfort, urgent need to defacate
UC prevalence
Age 15-30
Aminosalicylates CI - important
- Aspirin: due to cross sensitivity
- Assessment of patients allergy status
Colestyramine counsellling
1 hr before and 4-6hrs after other meds
Orlistat criteria
- BMI: >28
- associated RF: diabetes, HT, hypercholesterolaemia
Which type of anaemia does sulfasalazine cause?
Aplastic anaemia
Malabsoprtion syndrome
- Diarrhoea bloating
- Frothy and floating stools – suggests fats are not being properly absorbed
In persistent diarrhoea and vomiting what drugs should you stop?
ACEi/ARBs
Spironolactone
Ivabradine
Dapa
Sulfasalazine common SE
Hepatotoxicity
How long do you have to wait before doing H.pylori diagnostic test to avoid unreliable results?
2 weeks PPI
4 weeks abx
laxative to clear bowels prior to colonoscopy =
magnesium citrate with sodium picosulfate (works within 3 hours of 1st dose)
Pancreatin counselling
Adequate hydration at all times in pt taking high strength
macrogol should not be combined with a starch based thickener
as the two can counteract the thickening action = watery liquid = risk of aspiration of thinner liquids in those with dysphagia
N + V in pregnancy
- Lifestyle + diet
- Antiemetic e.g. prochlorperazine, cyclizine
- Mod-severe: IV fluids
Linaclotide
- Pt who have not responded to laxatives from different classes
- Constipation for at least 12 months
Opioid induced constipation
Osmotic + stimulant
