osce differentials- gastro

Question 1

constipation

Answer 1

functional, dietary, Hirschsprungs, anorectal malformation, spinal cord, drugs/toxins, hypothyroid, hyoercalcaemia, coeliac

Question 2

chronic diarrhoea

Answer 2

IBD, toddler diarrhoea, transiet dietary protein intolerance, coeliac, hyperthyroid, infection, pancreatic insuffiency

Question 3

abdominal pain

Answer 3

constipation, gastroenteritis, IBS, IBD, dysmenorrhea, coeliac, acute appendicitis, UTI, pneumonia

Question 4

failure to thrive (broad categories)

Answer 4

inadequate nutrient intake, inadequate absorption/greater losses, increased nutrient requirements, obstruction

Question 5

failure to thrive- inadequate nutrient intake

Answer 5

feeding, insufficient lactation, sucking/swallowing, GOR, appetite

Question 6

failure to thrive- inadequate absorption

Answer 6

malabsorption, allergies, IBD, coeliac, vomiting

Question 7

failure to thrive- obstruction

Answer 7

pyloric stenodid, intussusception, malrotation, hernia

Question 8

failure to thrive- increased nutrient requirements

Answer 8

hyperthyroid, malignancy, chronic IBD, metabolic disorder, chronic systemic disease

Question 9

hepatomegaly

Answer 9

inflammation- infection, toxins, drugs, hepatitis; storage- glycogen storage disease, mucopolysaccharidoses, DM, haemochromatosis; infiltration- tumours, mets, cysts

Question 10

splenomegaly

Answer 10

hereditary spherocytosis, haemolytic anaemia, sequestration crisis of sickle cell, portal hypertension, heart failure, inflammation, infection, malignancy