IBS & Pooping

Question 0

Rome III criteria for IBS

Answer 0

At least 3 days/mo in the last 3 mo., with symptoms onset at least 6 months prior to diagnosis, with 2+ of the following:
improvement with defecation
onset assoc. w/ change in frequency of stool
onset assoc. w/ change in form of stool

Question 1

3 characteristics of IBS

Answer 1

altered GI motility (hypermotility)
visceral hyperalgesia
psychopathology

Question 2

ABCs of IBS

Answer 2

Abd discomfort
Bloating
Change in habits/consistency

Question 3

when is colonoscopy indicated for IBS?

Answer 3

pt > 50 y/o

positive family history

Question 4

how much fiber do you supplement for IBS

Answer 4

20-30 g/day

Question 5

definition of constipation (3)

Answer 5

2 or fewer stools/week
hard stools
feelings of incomplete evacuation

Question 6

2 types of constipation

Answer 6

slow transit constipation

pelvic floor dysfunction

Question 7

definition of diarrhea

Answer 7

increased liquidity or decreased consistency of stools

Question 8

diffuse, watery diarrhea w/ abd cramping, N/V, fever

Answer 8

noninflammatory

Question 9

fever, bloody diarrhea, LLQ pain, tenesmus

Answer 9

inflammatory diarrhea

Question 10

usual causes of noninflammatory diarrhea? (3)

Answer 10

norovirus
adenovirus
giardia

Question 11

usual causes of inflammatory diarrhea (5)

Answer 11

Shigella
Salmonella
Campy
E. coli
C. diff

Question 12

when do you order a rectal swab culture

Answer 12

proctitis & rectal discharge

Question 13

HUS triad

Answer 13

acute renal failure
microangiopathic hemolytic anemia
thrombocytopenia

Question 14

rotavirus duration

Answer 14

< 1 wk

Question 15

campy incubation & length

Answer 15

24-72h

Sx last about a week

Question 16

which vomiting disease mimics appendicitis?

Answer 16

Campy

Question 17

profuse bloody diarrhea with fever (2)

Answer 17

campy

Shigella

Question 18

profuse bloody diarrhea w/o fever

Answer 18

E. coli

Question 19

what tx will shorten the course of campy

Answer 19

erythromycin

Question 20

what tx will shorten the course of shigella

Answer 20

Bactrim