week 4

Question 1

what is ulcerative colitis?

Answer 1

is a chronic inflammatory diease of the muscosa of the rectum and colon

Question 2

what is Inflammatory bowels disease?

Answer 2

is a chronic , relapsing autoimmune(immune response to own GI track) inflammatory bowel disorder and refers to two separate diseases, ulcerative colitis and crohns disease

Question 3

what are the clinical features of ulcerative colitis

Answer 3

lower abdominal pain , rectal bleeding and bloody diarrhea(10-20 per day)

Question 4

crohns disease what is it?

Answer 4

is a chronic inflammatory disease of the layers intestinal wall and can occur from mouth to anus

Question 5

clincial features of Crohns disease

Answer 5

often constant pain, weight loss, intermittent bouts of fever, diarrhea, if bloody ,not as severe as ulcerative colitis, constant, chronic RLQ pain, may have RLQ mass, tenderness

Question 6

clinical features of IBS

Answer 6

Persistent or recurrent symptoms of abdominal pain
altered bowel function
varying complaints of flatulence, bloating
mucous in stool
nausea and anorexia
constipation or diarrhea

Question 7

Risk factors of of IBS

Answer 7

FEMALE
PSYCHOLOGICAL STRESS

Question 8

WHAT IS INTESTINAL OBSTRUCTION

Answer 8

intestinal obstruction is a partial or complete obstruction of the small or large intestine, that stops digesta from flowing through the gut. can be simple or strangulated

Question 9

clinical manifestations of intestinal obstuction

Answer 9

depending on the site and duration
mechanical obstructions:increased bowel sound initially, accompanied by abdominal pain,nausea, vomiting and distension
fuctional obstructions:absence of bowel sounds
uppper jejunal area:vomiting,dehydration, and electrolyte depletion
distal portion of the small bowel or ileum: constipation may be an early manifestation

Question 10

what is diverticular disease

Answer 10

complications from the presence of acquired herniations of the mucosa and submucosa of the colon due to structural and functional factors

Question 11

are diverticulosis clincial symtpoms generally
symptimatic or asmptomatic ?

Answer 11

asmptimatic but can have pain or change in bowel habit bloating and flatulence

Question 12

what is hepatitis?

Answer 12

is inflammation of the liver

Question 13

cirrhosis

Answer 13

final and irreversible result of alchol damage

Question 14

cholelithiasis

Answer 14

presence of gallstones in the gallbladder, acute or chronic

Question 15

cholelithiasis

Answer 15

presence of gallstones in the gallbladder, acute or chronic

Question 16

what are some risk factors for cholelithiasis

Answer 16

prolonged fasting or rapid weight loss
pregnacy
oral contraceptives and HRT
Obesity
middle age
female
variety of medical factors
diabetes
high fat diet
high cholesterol
genertics
native american
mexican-american

Question 17

what is peritonitis

Answer 17

inflammation of the abdominal wall tissue

Question 18

what is the difference between primary and secondary peritonitis

Answer 18

Question 19

what is appendicitis

Answer 19

is inflammation of the appendix is caused by obstruction of the lumen by faeces

Question 20

what are signs and symtoms of peritonitis

Answer 20

abdominal pain or tenderness
bloating or feeling of fullness in your abdomen
fever
nausea and vomiting
loss of appetite
diarrhoea
low urine output
thirst