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GI 🍕🍔🍹☕️ > IBS > Flashcards

IBS Flashcards

1
Q

Upper GI symptoms in IBS?

A

Between 25 and 50% of patients with IBS complain of dyspepsia, heartburn, nausea, and vomiting.

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2
Q

رابطه IBS & dyspepsia?

A

Prolonged ambulant recordings of small-bowel motility in patients with IBS show a high incidence of abnormalities in the small bowel during the diurnal (waking) period; nocturnal motor patterns are not different from those of healthy controls.

The prevalence of IBS is higher among patients with dyspepsia (31.7%) than among those who reported no symptoms of dyspepsia (7.9%).

Conversely, among patients with IBS, 55.6% reported symptoms of dyspepsia.

In addition, the functional abdominal symptoms can change over time. Those with predominant dyspepsia or IBS can flux between the two.

Although the prevalence of functional GI disorders is stable over time, the turnover in symptom status is high. Many episodes of symptom disappearance are due to subjects changing symptoms rather than total symptom resolution.

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3
Q

مکانیسم های پاتوفیزیولوژی IBS?

A

1-abnormal gut motor

2-visceral hypersensitivity

3-central neural dysfunction

4-psychological disturbances,

5-mucosal inflammation,

6-stress

7-luminal factors such as bile acid malabsorption and gut dysbiosis

8-Abnormal Serotonin Pathways

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4
Q

What is post-prandial pain in IBS related to؟

مربوط به کدوم پاتوفیزیولوژی عه؟

A

ررر

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5
Q

Which test suggests of visceral afferent dysfunction in IBS?

A

اا

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6
Q

Ddx of Gastric and esophageal hypersensitivity? ۳

A

Gg

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7
Q

اثر غذای پر از چربی در علایم بیماران IBS?

A

Gg

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8
Q

کدوم علایم IBS منشا پاتوفیزیولوزی شون central?

۳

A

اتت

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9
Q

تجربه ی یک Physical abuse چجوری ممکنه منجر به IBS شه؟

A

Hhh

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10
Q

Post infectious IBS

بیشتز در چه گروهی لز بیماران رخ میده؟

A

اا

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11
Q

What are the risk factors for developing postinfectious IBS? 8

A

Hh

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12
Q

What is the risk factor for IBS in patients with age older than 60 years?

A

Gg

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13
Q

عفونت GI با کدوم باکتری ها ممکنه منجر به IBS شه؟ ۳

A

لا

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14
Q

مکانیسم احتمالی اسهال در IBS-D?

A

Increased intestinal permeabilityدر ۳۹ درصدشون مشاهده شده

در دسته ی : Immune activation and mucosal inflammation

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15
Q

محرک تغیرر Permeability روده در IBS?

A

stress and anxiety

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16
Q

چه تستی رو درIBS وقتی میخوایم ببینیم BOS داره یا نه انجام میدادیم؟
ایا نتیجه ش مطابقه با مطالعات دبگه؟

A

ااا

17
Q

افزایش ترشح سروتونین در کولون در IBS با چه علایمی مرتبطه؟

A

غغب

18
Q

Which clinical features are suggestive of IBS? 5

A

Ccc

19
Q

وجود چه علایمی به ضرر تشخیص IBS اند؟ ۵

A

تتت

20
Q

Ddx of IBS When pain is in the epigastric or peri umbilical area? 5

A

Biliary tract disease

PUDs

Intestinal ischaemia

Carcinoma of stomach and pancreas

21
Q

Ddx of IBS When pain is in the Lower abdomen?

A

Ggg

22
Q

اگه بیماری اومده با درد Post prandial pain accompanied by bloating nausea and vomit به چیا فکر مبکنیم؟

A

رذ

23
Q

Ddx

وقتی که اسهال علامت اصلی عه؟ ۷

A

ااا

24
Q

برای بیماری که Constipation dominant است چیارو باید اول R/O کنیم؟ 7

A

الا

25
Q

What is porphyria?

A

The porphyrias are metabolic disorders caused by altered activities of enzymes within the heme biosynthetic pathway.

26
Q

چه W/U هایی رو برای بیماری که مشکوکیم به IBS انجام میدیم؟ ۳

A

الا

27
Q

What do we do in patients with persistent diarrhoea not responding to simple anti-diarrhoeal agents?

A

Fff

28
Q

برای بیماران بالای ۴۰ سال که مشکوکیم به IBS از چه مدالیته Imaging استفاده میکنیم؟

A

للل

29
Q

Which w/u we do if the main symptoms are diarrhoea and increased gas?

A

Ggg

30
Q

Which w/u we do if the patient has excessive gas with bloating?

A

Fff

31
Q

اگر در IBS-D ها شک داریم به Coeliac sprue، چه وورک اپی انجام میدیم که مطمین شیم؟

A

الا

32
Q

اگر در بیماری که مشکوکیم به IBS، همزمان علامتای Dyspepsia رو ببینیم، اقدام بعدی؟

A

ااا

33
Q

اگر در بیماری که مشکوکیم به IBS، Post prandial right upper quadrant pain داشته باشه، اقدام بعدی؟

A

الا

34
Q

کدوم یافته های ازمایشگاهی به ضرر IBS اند؟ ۵

A

الا

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