STRATEGIES FOR CONSTIPATION Flashcards

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1
Q

WHAT PROPORTION OF THE POPULATION ARE AFFECTED BY CONSITPATION

A

1/3

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2
Q

WHAT DEFINITIONS CONSITUTE CONSTIPATION

A

BOWEL MOVEMENTS LESS THAN THREE TIMES A WEEK
PRODUCTION OF STOOL WHICH IS HARD, OR PAINFUL TO PASS

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3
Q

WHAT ARE THE ROME III CRITERIA FOR CHRONIC FUNCTIONAL CONSTIPATION

A

TWO OR MORE OF THE FOLLOWING THAT APPLY TO 25% OF BOWEL MOTIONS OVER A 3 MONTH PERIOD:
STRANING OR MANUAL MANOUVERS REQUIRED TO FACILITATE EVACUATION
LUMPY HARD STOOLS (OR IF LOSE STOOLS ARE RARE WITHOUT LAXITIVES)
SENSATION OF INCOMPLETE EVACUATION OR ANORECTAL BLOCKAGE
LESS THAN THREE MOVEMENTS EACH WEEK

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4
Q

ON THE BRISTOL STOOL SCALE WHAT CONSTITUTES AS THE PERFECT POO

A

TYPE 4

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5
Q

ON THE BRISTOL STOOL SCALE WHAT CONSTITUES AS A GOOD POO

A

TYPE 3-4

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6
Q

WHAT ARE THE FEATURES OF CONSTIPATION WARRANTING REFERRAL

A

ONSET IN MIDDLE/ OLD AGE
PER RECTAL BLEEDING, MALENA, OR MUOUS
WEIGHT LOSS, FEVER, RECTAL PAIN, ANOREXIA, NAUSEA, VOMITING
FAM HX OF COLORECTAL CANCER

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7
Q

WHAT ARE THE RECOMMENDED MANAGEMENT STRATEGIES FOR CONSTIPATION

A

INCREASE FIBRE AND WATER INTAKE
INTRODUCE GENTLE EXERCSISE
DRUG REGIMN MODIFICATION
ADDRESS PSYCHOLOGICAL ISSUES
USE OF BIOFEEDBACK OR NEUROMUSCULAR RETRAINING

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8
Q

THE PELVIC FLOOR IS TONICALLY CONTRACTED MOST OF HE TIME TO

A

SUPPORT ABDOMINOPELVIC VISCERA AND MAINTAIN URINARY AND FAECAL CONTINENCE

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9
Q

WHAT CAN OSTEOS DO TO HELP CONSTIPATION

A

VISCERAL TECHNIQUES
PATIENT EDUCATION (SQUATTING POSITION)

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10
Q

AT WHAT ANGLE (SPINE TO FEMUR) DOES THE PUBORECTALIS MM RELAX

A

35

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11
Q

WHAT ARE THE FIRST LINE pharmaceutical THERAPIES FOR CONSTIPAION

A

BULKING AGENTS
OSMOTIC LAXATIVES

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12
Q

WHAT IS THE MECHANISM OF BULKING AGENTS

A

INCREASE FAECAL BULK WHICH STIMULATES PERISTALSIS

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13
Q

WHAT IS THE MECHANISM OF OSMOTIC LAXATIVES

A

EXERTS OSMOTIC EFFECT WHICH INCREASES INTRALUMINAL PRESSURE

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