TBL 3 Flashcards
Hyperactive bowel motility other sx
Facilitated diffusion occurs
ab cramping
down the conc gradient
Colon cancer commonly causes
Adhesions lead to
Inguinal hernia look for
Volvulus
Colonic obstruction- thin stools
Obstruction- pain/NV
palpable mass
severe LLQ pain/cons/NV
SBO causes
Colonic obs causes
Adhesion, Neoplasm (carcinoid/adeno/lymph)/hernia/stricture/volvulus/intussception
Colon ca, diverticulitis, stricture, fecal impact
Bisacodyl
Insoluble fiber
Lactulose
PEG
Senna
Category and effect
Stim lax, semifluid stool in 6-8hrs (adjunct for impact)
Bulk, semisolid in 1-3 days (not for impact)
Surfactant, semisolid in 1-3 days
Osmotic
Stimulant (same as bisacodyl)
Carcinoid tumors include
serotonin, histamine, VIP
Manage Chron’s disease
Mild
Mod
Severe
Mild- CS/aza
Mod- CS/aza/anti TNF/anti integrin
Severe- Aza/anti TNF/anti integrin
Manage Ulcerative colitis
Mild
Moderate
Severe
Mild- 5ASA, CS
Mod- CS/aza/anti tnf
Severe- CS +antibiotics/aza/anti TNF/anti integrin