Lower Gastrointestinal Disease Flashcards

1
Q

What is the function of the large intestine and rectum?

A

Mainly absorbs water and electrolytes to form stool

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2
Q

What is Acute Appendicitis?

A

Sudden onset inflammation of the appendix

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3
Q

What is the pathology of Acute Appendicitis?

A

Obstruction of appendix lumen by fecalith, calculus, tumour or worms

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4
Q

What is visceral pain?

A

Referred pain

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5
Q

What is parietal pain?

A

Localised pain

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6
Q

What are the clinical signs of Acute Appendicitis?

A

Pain at umbilical region, migrating to lower abdomen. Tender right quadrant, palpation

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7
Q

What is the peritoneum?

A

Lining of abdominal cavity

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8
Q

What is peritonitis?

A

Inflammation of the lining

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9
Q

What is the main reasoning for peritonitis?

A

A variety - commonly infection

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10
Q

What happens to the peritoneum during appendicitis?

A

As the appendix is inflammed, coming to contact with the abdominal wall causes localised peritonitis

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11
Q

What is the treatment of Acute Appendicitis?

A

Surgical and/or antibiotics

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12
Q

What is Anti-biotic Associated Colitis/ Pseudomembraneous Colitis?

A

Toxins produced by C.Diff from antibiotics

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13
Q

What are the signs and symptoms of Anti-biotic Associated Colitis/ Pseudomembraneous Colitis?

A

Fever and lower abdo tenderness

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14
Q

What is the treatment of Anti-biotic Associated Colitis/ Pseudomembraneous Colitis?

A

Hydration, stop antibiotics

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15
Q

What is Inflammatory Bowel Disease?

A

Chronic inflammatory condition affecting GI

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16
Q

What are the two main forms of IBD?

A

Crohn’s disease and Ulcerative colitis

17
Q

What is Crohn’s disease?

A

Affects mouth to anus, mainly colon

18
Q

What are the complications with Crohn’s disease?

A

Anaemia, malabsorbtion, fistuals, extra-intestinal, risk of carcinoma, skip lesions, bowel obstruction

19
Q

What is Ulcerative colitis?

A

Colon only, starts in rectum, continuous, musosal, may involve appendix

20
Q

What are the complications of Ulcerative colitis?

A

Anaemia, electrolyte loss, extra-intestinal disease, risk of carcinoma, dysplasia

21
Q

What causes Colorectal carcinoma?

A

Genetic, chronic inflammation, dietary factors

22
Q

What are the signs and symptoms of Colorectal carcinoma?

A

Depends of site, altered bowel, blood PR, anaemia, weight loss