MSRA: Misc Bowel Problems

Question 1

What are the features of IBS?

Answer 1

6 months of abdominal pain (typically relieved by defecation), bloating and change in bowel habit

Question 2

What is the management of IBS?

Answer 2

Diet advice
Anti-spasmodics
Loperamide if diarrhoea

Question 3

What is the most common cause of small bowel obstruction?

Answer 3

Adhesions

Question 4

What is meant by Rovsing’s sign?

Answer 4

Palpation in LIF causes pain RIF

Question 5

What is the management of diverticular disease?

Answer 5

Fibre and bulk-forming laxatives

Question 6

What is the management of diverticulitits?

Answer 6

Co-amox if systemically unwell or complicated diverticulitis

Question 7

What is the first line investigation for coeliac disease?

Answer 7

TTG and IgA

Patient should have gluten in their diet for 6 weeks prior to testing

Question 8

What are the findings on endoscopic biopsy in coeliac disease?

Answer 8

Villous atrophy, crypt hyperplasia, increase in lymphocytes

Question 9

What is the presentation of dermatitis herpetiformis?

Answer 9

Itchy, blistering rash on extensor surfaces

Question 10

What does melanosis coli on endoscopy indicate?

Answer 10

Chronic laxative abuse

Question 11

What are the key features of carcinoid syndrome?

Answer 11

Flushing
Diarrhoea
Bronchospasm

Question 12

What are the complications of coeliac disease?

Answer 12

Anaemia
Osteoporosis
Hyposplenism
Lactose intolerance
Small bowel lymphoma