Spectrum of Non-infectious Diarrhea

Question 1

Fever pus and blood are signs of which diarrhea?

Answer 1

infectious

Question 2

afebrile, non bloody diarrhea are signs of which diarrhea??

Answer 2

noninfectious

Question 3

A person has travelled recent;y and is complaining of diarrhea, what’s an IMP question to differentiate bw bacterial and parasitic?

Answer 3

bacterial: onset while in country
parasitic: onset after return

Question 4

Diarrhea from where presents with weight loss and vomiting?

Answer 4

small bowel

Question 5

Diarrhea from where presents with tenesmus and mucus?

Answer 5

large bowel!

Question 6

Diarrhea from where presents with urgency?

Answer 6

large bowel

Question 7

Diarrhea from where presents with melon?

Answer 7

small bowel

Question 8

malabsorption of ___ causes increased breath hydrogen

Answer 8

carbs

Question 9

luminal steatorrhea caused by

Answer 9

pancreatic insufficiency, bile salt def, bacterial overgrowth

Question 10

mucosal steatorrhea caused by

Answer 10

celiac and crohn’s

Question 11

gold standard for steatorrhea?

Answer 11

72hr stool fat collection

Question 12

Crohn’s affect which part of the GI?

Answer 12

Any part.

Question 13

age of onset for crohn’s?

Answer 13

15-30

60-80

Question 14

crohn’s symptoms

Answer 14

abdominal pain and diarrhea (common)
fever
gi bleeding

Question 15

crohn’s poor prognosis?

Answer 15

nal and perianal lesions (abscesses, When you see that, This is end stage “poor
fistulae)

Question 16

extra intestinal manifestations of crohn’s?

Answer 16

erythema nods
stones
spondylitis
stomatitis

Question 17

P ANCA is usually for

Answer 17

ulcer colitis

Question 18

P ASCA is for

Answer 18

crohn’s

Question 19

If u suspect crohn’s and patient has lower go bleeding we do ___

Answer 19

Flexible sigmoidoscopy

Question 20

crohn’s management?

Answer 20

• glucocorticoids
• 5 ASA
• Budesonide

Question 21

When is surgery an option for crohn’s?

Answer 21

if limited to distal allium

Question 22

a beneficial yet expensive med for crohn’s?

Answer 22

Infliximab and Adalimumab

Question 23

Ulcerative Colitis only affects the

Answer 23

large collon

Question 24

what changes in Ulcerative Colitis?

Answer 24

absence of goblet cells
crypt distortion and abscess
chronic inflammation!

Question 25

Primary Sclerosing Cholangitis happens with __ and has __ prognosis

Answer 25

UC, bad

Question 26

skip lesion is present in

Answer 26

crohn’s

Question 27

bloody diarrhea and mucus suggest?

Answer 27

UC

Question 28

colonic obstruction is common with?

Answer 28

CD

Question 29

GRANULOMAS are seen with

Answer 29

CD

Question 30

Transmural mucosal inflammation is with

Answer 30

CD

Question 31

Patient has chronic abdominal pain growth failure. you suspect?

Answer 31

IBD

Question 32

Pyoderma gangrenosum SUGGESTS

Answer 32

uc

Question 33

Loss of haustration happen with?

Answer 33

uc

Question 34

Most common subtype of IBS

Answer 34

IBS-D

Question 35

Visceral hypersensitivity is well documented in

Answer 35

IBS patients

Question 36

Alternating diarrhea and constipation, loose stool suggest?

Answer 36

IBS

Question 37

The abdominal pain relief after defecation suggests?

Answer 37

IBS

Question 38

Antispasmodics is beneficial in

Answer 38

bloating and pain

Question 39

(carbs/fat/protein) should be low in celiac

Answer 39

fat

Question 40

which vitamin should be supplemented in celiac?

Answer 40

K, B12, Ca phosphate (tetany y9eer)

Question 41

terminal ileum is seen in

Answer 41

Abdominal CT