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Details

GI-ICM
Functional Disorders of the Colon
15
Medical
Graduate
02/10/2011

Additional Medical Flashcards

 


 

Cards

Term
What is the pathology and typical presentation of hirshsprung's disease
Definition

Aganglionosis of the internal anal sphincter

Pres: Meconium Ileus

Severe Constipation

Megacolon

Term
What is the pathology and presentation of Chagas disease?
Definition

Infection by trypanosoma cruzi from Triatoma bug attack of myenteric plexus

Pres: (2-20 yrs after infection w/ 1 of the following)

Cardiomyopathy

Mega Esophogus

Mega Colon

Term
What is the rome's criterea for Irritable bowel Syndrome
Definition

Chronic: >3 months

Abdomenal Pain

Irregular defecation: (3 or more of...)

Altered Frequency

Altered Form

Altered Passage

Mucus

Bloating

Abdomenal Distention

 

 

Term
What are the alarm signs for that IBS is a indicator of a severe condition
Definition

>45

Fever

Weight Loss

Blood Loss(check CBC, Stool- FOBT)

Daily Pain

Pain waking up from sleep

Persistant Diarrhea

Severe Constipation

Term
What is the most common management of IBS
Definition

Psychological

Diet

Exercise

Fiber

Meds:

Anti-diarrheals

Bulking Laxatives

Anticholinergics

Tricyclics/SSRI's

Term
What term should never be used to describe IBS
Definition
colitis
Term

What sex is IBS more common in?

What are the major etiologies of IBS?

Definition

Sex: Females

Post-Infectious

Functional:

Dysmotility: Increased, Early, Prolonged

Electrical Dysrhythmia

Sensory:

Hyperalgesia

Psychological

Term
What area of the brain show diminished activity in IBS patients
Definition
Corpus Callosum
Term
What is the major cause of acute constipation
Definition
Medications
Term
What are the major causes of Acute Diarrhea
Definition

Infection

Medications

Infarcted Bowel

Term
What are some signs of Lactose intolerance
Definition

Bulky floating stool

Weight Fluctuations

Fe Deficiency

Osteoporosis

Term
What are the major causes of Chronic Diarrhea
Definition

IBS

IBD

Lactose Intolerance

Celiac Sprue

Term
What is the typical presentation of Ogilvie's syndrome?
Definition
Patient with abdominal malignancy and an abrupt onset of Colonic Megacolon
Term

What is the definition of Constipation?

Major causes of Normal Transit constipation?

Major caused of Delayed transit constipation?

Definition

Constipation: <2 bowel movements per week

Normal Transit:

IBS variant

Spastic pelvic floor

Delayed Transit

Incomplete Hirshsprungs

Colonic Inertia

Diffuse GI Dyssfunction

Term

How are Anal Sphincter incontinences separated?

What are the causes of each?

What muscle is typically disturbed by obstetric trauma leading to sphicter incontinence?

Definition

Internal:

Trauma

Neural damage

External:

Psychiatric

Mental Status

Muscle: Puborectalis may be injured in obstetrics

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