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9 Cards in this Set
- Front
- Back
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T/F
pts who has functional GI problems, such as IBS, typically have a higher risk of that problem developing into a malignancy |
FALSE
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What type of pts with functional GI problems are more likely to have worse symptoms, and more co-morbidities? What is an example of a common co-morbidity
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Those who seek help!
Common co-morbidity- Psychiatric problem |
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IBS patients differ from non-IBS patients in respect to pain...describe this phenomenon
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they have a LOWER PAIN THRESHOLD
aka problems that would normally not really bug us give them more difficulties |
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What is the "close the gate" theory of treatment for IBS?
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the gut has its own NS that is connected to the brain...
to treat them, you have to shut down this connection |
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Most effect psychological tx for IBS
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Cognitive behavioral therapy
relaxation change behavior to cope accepting that you have a problem is pivotal! |
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make sure you listen and clearly define terms...
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because a person could say they have diarrhea, but actually just sit on the toilet
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What are the ROME criteria in general?
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questionaire that will help tell you that you have IBS
3 months chronic/recurrent symptoms of: Abdominal pain or discomfort that is (at least 2 of the following symptoms): 1. Relieved with defecation 2. Associated with change in stooling frequency 3. Associated with change in stool consistency…..And 2 or more: Altered stool frequency, form, or passage, passage of mucus, bloating or feeling of distention & fullness. |
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age of onset for IBS
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20 year old females
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Six-year-old Melissa is suffering from diarrhea, steatorrhea, impaired absorption of macronutrients. She has experienced an extreme weight loss since her last visit. Her mother reports that Melissa often gets these weird, itchy, blistering skin rashes after she eats. In order to diagnose Melissa’s problem a small bowel biopsy was performed and it revealed blunting of the villi (copies of the histology images are attached for reference). An ELISA test was performed on blood from Melissa and the ELISA revealed elevated levels of anti-tissue transglutaminase and immunoglobulin A (IgA). Additional information obtained during the physical exam revealed that Melissa is below the 5th percentile for her age group in weight, despite the fact that her two sisters are well above the 50th percentile for their respective age group.
1) what does she have? 2) what is the rash? 3) what is the toxic protein? 4) common problem associated with this disease? 5) what groups are at higher risk for getting this disease? |
1) what does she have- Celiac disease
2) what is the rash- Dermatitis Herpatiformis 3) what is the toxic protein- Gliadin 4) common problem associated with this disease- Osteoporosis 5) what groups are at higher risk for getting this disease- Downs Syndrome, Type I diabetes, automimune thyroid disease, primary biliary cirrhosis, Turner's syndrome (aka anything with autoimmunity) |
