wk 4 4 Benign colon conditions

Question 1

diverticular disease most likely to occur

Answer 1

sigmoid colon

Question 2

main cause of diverticular disease

Answer 2

low fibre intake

Question 3

define diverticular disease

Answer 3

mucosal herniation through muscle coat

Question 4

clinical features of diverticulitis

Answer 4

LIF pain/tenderness
septic (fever,tachycardia)
altered bowel habit (may)

Question 5

possible complications of diverticulitis 5

Answer 5

pericolic abscess
perforation 
haemorrhage
fistula (abnormal channel through 2 epithelial surfaces) 
stricture

Question 6

all fistulas are complications of

Answer 6

a pericolic abscess

Question 7

recurrent UTIs are suggestive of

Answer 7

fistula between bladder and colon - especially male

Question 8

what else may be seen in a fistula between bladder and colon in male

Answer 8

passing of air during urination

bubbling

Question 9

t/f uncomplicated diverticulitis does not need treatment

Answer 9

true

selflimiting

Question 10

hartmanns procedure

Answer 10

removing diseased part of colon, then restore continuity by joining 2 areas

Question 11

when would a laparoscopy be required for diverticulitis

Answer 11

when there is purulent peritonitis

surgery if fecal peritonitis

Question 12

t/f h.pylori gives colitis

Answer 12

false

more likely to give gastritis

Question 13

4 types of colitis

Answer 13

infective
ulcerative
crohns
ischaemic

Question 14

symptoms of acute colitis

Answer 14

diarrhoea +/- blood
abdominal cramps
dehydration
sepsis

Question 15

t/f haemoglobin will be reduced significantly if 1l of blood is lost

Answer 15

false

Question 16

t/f weight loss and anaemia would be observed in chronic colitid

Answer 16

true

Question 17

thumb printing is a sign of

Answer 17

severe mucosal inflammation

on RHS

Question 18

lead piping is

Answer 18

lack of folds, seen usually at sigmoid

Question 19

t/f treatment for ulcerative and crohns colitis begins as same

Answer 19

true
IV fluids
IV steroids - once diagnosed
GI rest

Question 20

how would u know if the colitis had settled

Answer 20

not going to toilet lots of times 
observations settled (tachycardiac? tachypnoeac? ect)

Question 21

crohns disease affects which part of colon

Answer 21

anywhere in colon

Question 22

side usually affected by colonic angiodysplasia

Answer 22

right side

Question 23

major GI bleed, what investigation

Answer 23

CT angiogram

Question 24

volvulus - possible locations

Answer 24

twist
sigmoid
transverse
in neonates - whole of small bowel

Question 25

differences between large and small intestine

Answer 25

large -
white strips of muscle (tenaie coli)
fat surrounding - appendages

Question 26

signs of bowel obstruction

Answer 26

distension
absolute constipation
pain
vomiting

Question 27

if vomiting came early what is this indicating

Answer 27

small intestine obstruction

Question 28

if distension is late (days/weeks after constipation) what is this indicating

Answer 28

small intestine obstruction

Question 29

which disease may become gangrenous

Answer 29

sigmoid volvulus

Question 30

treatment for sigmoid volvullus

Answer 30

flatus twist - untwisting with endocopy

if not surgical resecrtion

Question 31

pseudo-obstruciton

Answer 31

presents with signs symptoms of obstruction
no real mechanical obstruction
poor general health causes
electrolyte disturbance - organ failure

Question 32

causes of constipation

Answer 32

low fibre
high caffeine
dehydrated
slow transit - motility problem

Question 33

if patient gets better with laxatives, what does this suggest

Answer 33

can improve with dietary changes

Question 34

thyroid and parathyroid problems can cause bowel problems t/f

Answer 34

true