Spectrum of Non-infectious Diarrhea Flashcards
Fever pus and blood are signs of which diarrhea?
infectious
afebrile, non bloody diarrhea are signs of which diarrhea??
noninfectious
A person has travelled recent;y and is complaining of diarrhea, what’s an IMP question to differentiate bw bacterial and parasitic?
bacterial: onset while in country
parasitic: onset after return
Diarrhea from where presents with weight loss and vomiting?
small bowel
Diarrhea from where presents with tenesmus and mucus?
large bowel!
Diarrhea from where presents with urgency?
large bowel
Diarrhea from where presents with melon?
small bowel
malabsorption of ___ causes increased breath hydrogen
carbs
luminal steatorrhea caused by
pancreatic insufficiency, bile salt def, bacterial overgrowth
mucosal steatorrhea caused by
celiac and crohn’s
gold standard for steatorrhea?
72hr stool fat collection
Crohn’s affect which part of the GI?
Any part.
age of onset for crohn’s?
15-30
60-80
crohn’s symptoms
abdominal pain and diarrhea (common)
fever
gi bleeding
crohn’s poor prognosis?
nal and perianal lesions (abscesses, When you see that, This is end stage “poor
fistulae)
extra intestinal manifestations of crohn’s?
erythema nods
stones
spondylitis
stomatitis
P ANCA is usually for
ulcer colitis
P ASCA is for
crohn’s
If u suspect crohn’s and patient has lower go bleeding we do ___
Flexible sigmoidoscopy
crohn’s management?
- glucocorticoids
- 5 ASA
- Budesonide
When is surgery an option for crohn’s?
if limited to distal allium
a beneficial yet expensive med for crohn’s?
Infliximab and Adalimumab
Ulcerative Colitis only affects the
large collon
what changes in Ulcerative Colitis?
absence of goblet cells
crypt distortion and abscess
chronic inflammation!
