Ischemic Bowel Disease and Pseudomembranous Colitis

Question 1

What is the etiology of ischemic bowel disease?

Answer 1

Drugs, trauma, connective tissue disease

Question 2

What are the signs and symptoms of ischemic bowel disease?

Answer 2

Acute abdominal pain, melena
Clinical findings out of portion to PE

Physical Exam:
Abdomen distension, shock, minimal exam findings

Question 3

What lab results would you expect for ischemic bowel disease?

Answer 3

Elevated WBC, amylase, CPK

Also do an Angiogram

Question 4

What is the treatment for ischemic bowel disease?

Answer 4

Surgery, heparin

Question 5

What is the etiology of pseudomembranous colitis?

Answer 5

Post antibiotics or chemotherapy

Question 6

What is the key feature of pseudomembranous colitis?

Answer 6

inflammatory diarrhea

Question 7

What lab results would you expect to see with pseudomembranous colitis?

Answer 7

• Many fecal WBC

- Positive C. difficile toxins

Question 8

What is the treatment for pseudomembranous colitis?

Answer 8

• Metronidazole

- Vancomycin