Symptoms And Signs

Question 1

Hinchey Scoring system?

Answer 1

Diverticulitis

Grade 1: necessitates hospital admission with IV antibiotics
Grade 2; CT guided abscess drainage
Grade 3/grade 4: colon emergency surgery

Question 2

Patient presenting with well localized pain lateral to the umbilicus with positive Carnett’s sign - diagnosis? Mechanism?

Answer 2

Acute cutaneous nerve entrapment syndrome

Entrapment of a cutaneous branch of a sensory nerve from T7 to T12

Question 3

Narcotic bowel syndrome?

Answer 3

Paradoxical increase in abdominal pain with escalating doses of narcotics

Opioid-induced activation of CNS glial cells -> inflammatory cytokines arrow -> pain

Question 4

Presence of delayed gastric emptying in functional dyspepsia (percent)?

Answer 4

20-50%

Question 5

Rome III criteria for functional dyspepsia?

Answer 5

One or more of the following:

1. Post prandial fullness
2. Early satiety
3. Epigastric pain
4. Epigastric burning

Without Structure of disease

Question 6

Rome III Criteria for cyclic vomiting syndrome?

Personal or family history of this symptom is supportive?

Improvement with stopping this drug?

Answer 6

3+ discrete episodes of vomiting during the preceding year

Migraine

Marijuana

Question 7

Rome III Criteria for Functional vomiting?

Answer 7

1+ episode of vomiting per week for three months (after exclusion of eating disorders, rumination, cannabinoid use)

Question 8

Signs of superior mesenteric artery syndrome?

Predisposing factors?

Answer 8

Middle abdominal discomfort, postprandial bilious vomiting, and knee chest/prone position for relief

Weight loss, lordosis, surgery with prolonged bed rest

Question 9

Silly act disease is also linked with this diarrheal illness? Association through?

Answer 9

Microscopic colitis; HLA-DQs

Question 10

High osmotic gap and low stool pH is consistent with?

Answer 10

Carbohydrate malabsorption