Psychiatry and the GI tract

Question 1

What is Globus sensation?

Answer 1

sensation of a lump in the throat

Question 2

What is Globus?

Answer 2

diagnosis of exclusion

- nervousness may lead to a dry mouth, repeated swallowing, and enhanced awareness of the throat

Question 3

What is IBS?

Answer 3

a functional bowel disorder

Question 4

What is IBD?

Answer 4

chronic, incurable digestive disease

Question 5

What are MUSs?

Answer 5

Medically Unexplained Symptoms

Question 6

What is the percentage of MUSs unexplained at 12 months?

Answer 6

75%

- 58% GI complaints

Question 7

What is the percentage of MUS patients with a psychiatric disorder?

Answer 7

30%

Question 8

How many GP appointments do MUSs make up?

Answer 8

20%

Question 9

What is Malingering?

Answer 9

Making up or exaggerating symptoms for external gain

e.g. influencing upcoming court case, avoid work, increase benefits, access dugs

Question 10

What is Factitious Disorder?

Answer 10

Making up or exaggerating symptoms in order to occupy the ‘sick role’

Question 11

What are the metabolic aspects of anorexia?

Answer 11

Decreased Na, K, Mg, PO4, Insulin, Glucose, Thyroid

Increased growth hormones

Question 12

What are the clinical signs of bulimia nervosa?

Answer 12

Russell’s Signs = callouses on knuckles from being sick

Stained and eroded teeth