Item 283 - Constipation de l'adulte vue en cours/amphi đŸ”„ Flashcards

1
Q
A
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2
Q
A

RĂ©ponses : BCD

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3
Q

DĂ©finitions de la constipation chronique

A
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4
Q

DĂ©finition moderne de la constipation chronique

A
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5
Q

Constipation chronique : épidémiologie

A
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6
Q

MĂ©canismes de la constipation

A
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7
Q
A
  • La coloscopie N’est PAS indiquĂ©e car
    • depuis toujours
    • jeune
    • pas d’ATCD familiaux
  • Il faut faire un TR dynamique
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8
Q

Dysynergie ano-rectale

DĂ©finition

A
  • Anisme : l’anus se contracte quand on pousse (pousser = ↑ pression dans le rectum)
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9
Q

Explorations

Troubles de la statique pelvienne

A
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10
Q

schĂ©ma d’un rectocĂšle

A
  • RectocĂšle : lors de la poussĂ©e, hernie Ă  la face antĂ©rieure du rectume, les matiĂšres restent bloquer dans cette poche antĂ©rieure ☞ manoeuvre endo-vaginale pour rĂ©duire l’hernie antĂ©rieure et Ă©vacuer les matiĂšres
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11
Q

Colpo-cystodĂ©facographie Ă  l’IRM

A

Là on voit une poche, c’est la rectocùle

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12
Q

RectocĂšle VS

A
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13
Q

Constipation de transit : définition

A
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14
Q
A

RĂ©ponse A

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15
Q

DolichocĂŽlon

DĂ©finition

A
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16
Q
A

ABDE

17
Q

Maladie de Hirschprung

A
18
Q

MĂ©gacolon

A
  • Aspect granitĂ© au niveau du rectum
19
Q
A

ABC

20
Q
A

AB

  • macrogol (= laxatif osmotiques)
  • mucilage (= laxatifs de lest)
21
Q

Ce qu’il ne faut pas faire quand on est constipĂ©

A
22
Q

Démarche thérapeutique face à une constipation chronique

A