Flashcard 12

Question 1

what could vit B deficiency cause

Answer 1

• dementia
• memory problems
• dermatitis
• heart failure

Question 2

symptoms:

• rectal bleeding
• altered bowel habits
• iron deficiency anaemia
• palpable rectal/ RLQ mass
• acute colonic obstruction
• systemic malignancy symptoms

Answer 2

colorectal cancer

Question 3

symptoms:
- non specific pain
symptoms of:
- appendicitis
- cholecystitis
- ulcer perf
- urinary retention
- pancreatitis bowel obstruction
- malignancy
- peritonitis

Answer 3

the acute abdomen

Question 4

symptoms

• sudden abdo pain (worse when moving)
• fever/ shivers
• tacky cardiac
• anorexia
• N+V
• abdo distension
• fluid cloudy @ peritoneal dialysis

Answer 4

peritonitis

Question 5

potential causes constipation

Answer 5

depression
hypothyroidism 
diverticulitis
organic
functional
neurogenic
systemic

Question 6

anorexia nervosa

Answer 6

eat too little, exercise too much with the aim of achieving lowest possible weight

Question 7

determine which hep viruses are DNA/ RNA

Answer 7

all RNA except Hep B

Question 8

symptoms:

• skin irritation @ anus
• constant throbbing pain worse @ sitting, coughing, defecating
• smelly discharge near anus
• pus/ blood in stool
• swelling/ redness @ anus
• pus/ blood in stool
• swelling and redness at anus
• sometimes bowl incontinence

Answer 8

anal fistula

Question 9

anorectal adenocarcinoma treatment

Answer 9

neoadjuvant chemo and radiotherapy

resection +/- colostomy

Question 10

hep B treatment

Answer 10

peginterferon 2a

tenofovir

Question 11

symptoms:

• sharp painful passage of stools
• deep burning for several hours after
• bleeding
• subconscious constipation to avoid toilet

Answer 11

anal fissure

Question 12

IBS management

Answer 12

education and reassurance
dietetic review
exclusion trials

Question 13

ulcerative colitis

Answer 13

• type of IBD
• inflammation in a continuous pattern from rectum upwards
• never spreads out of colon/ rectum
• periods of active/ remission

Question 14

crohns disease

Answer 14

• type of IBD

- inflammation in a patchy manner from mouth to anus

Question 15

management of bowel obstruction

Answer 15

• surgery
• IV fluids
• treat cause

Question 16

causes vit B12 deficiency

Answer 16

• lack of in diet
• lack of intrinsic factor (e.g. gastrectomy)
• autoimmune disease