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17 Cards in this Set
- Front
- Back
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4 functional GI disorders
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functional dyspepsia
IBS functional esophagus (?) functional biliary syndrome |
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Rome criteria for functional dyspepsia (3)
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recurrent pain in upper abdomen
pain not relieved by defecation and not associated with change in frequency no evidence of anatomical/biochemical pathology |
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4 possible causes of functional dyspepsia
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hyperalgesia
altered enteric motor function altered CNS function H pylori (maybe) |
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T/F: UGI series can detect mucosal lesions
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false: only endoscopy
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___ is a useful diagnostic for patients with ___-type dyspepsia
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gastric emptying test
dysmotility |
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2 kinds of functional dyspepsia
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ulcer-like
dysmotility-like |
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in ulcer-like functional dyspepsia, first ___, otherwise ___, then ___.
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eradiacate HP if present
try PPIs try prokinetic |
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in dysmotility-like functional dyspepsia, first ___, otherwise ___ (3)
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try prokinetic
eradicate HP if present try PPIs try TCAs |
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IBS affects ___% of adults. it affects men/women more.
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20
women |
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4 symptoms of IBS
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abdominal discomfort
bloating diarrhea alternating diarrhea/constipation |
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3 kinds of IBS
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diarrhea predominant
constipation predominant alternating diarrhea/constipation |
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6 psych/neurological symptoms of IBS
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lethargy
poor sleep backache somatization anxiety depression |
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3 other symptoms of IBS
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fibromyalgia
urinary frequency dyspareunia |
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4 blood tests in FGID
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CBC
ESR CRP thyroid function test |
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3 dietary tx for FGID
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avoid fat/caffeine/alcohol
avoid lactose fiber diet |
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___ aka ___ is a tx for urgency and diarrhea
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loperamide
immodium |
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5 kinds of altered motor function in FD
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impaired fundal relaxation
reduced gastric compliance weak postprandial antral contractions delayed gastric emptying small bowel motor dysfunction |
