Clear liquids, American
Management: Mild Diverticulitis
Gastroenterological Association
suggests no routine use of
antibiotics— because it is more
of an inflammatory process
When antibiotics are indicated—
use for 7-10 days—or until
patient is afebrile for 3-5 days •
Augmentin 875 mg BID •
Metronidazole 500 mg TID +
Bactrim DS BID • Ciprofloxacin
500 mg every 12 hours •
Metronidazole 500 mg every 8
hours • Cipro + Flagyl
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True False
, 2 of 171
Term Definition
For IBS-D: ➢ 3- to 6-week trial of lactose-
free diet ➢ Fiber-bulking agents
➢ Loperamide / Diphenoxylate
➢ Bile acid sequestrants-
cholestyramine (should not be
taken with other drugs) ➢
Alosetron, a serotonin
antagonist available on a
compassionate use basis from
the FDA, is highly effective but
can precipitate intestinal
ischemia
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True False
3 of 171
Term Definition
consitation diagnotics 3 ⚫ Usually unremarkable ⚫
Abdominal, pelvic and rectal
exams should be done -
Increased tympany to
percussion - Palpate tender
cord-like sigmoid colon -
Tenderness upon rectal
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True False
Correct definition
A spotty diffuse brown pigmentation of the mucosa,
melanosis coli, is indicative of chronic laxative
abuse==>Rectal biopsy may be needed to rule out
Amyloidosis Ulcerative colitis Crohn's disease
Hirschsprung's disease
4 of 171
Definition Term
⚫ The disease only develops in Pathophysiology
those with haplotype HLA-DQ2
[95%] or HLA-DQ8 [5%] ⚫
Pathology is unclear as 40
percent of the population has
one of the above
Anti-gliadin, anti-endomysium
and anti-tTG IgA antibodies
develop in the presence of
gluten
Patient's with celiac have a 3
fold increased risk of
nonHodgkin's lymphoma
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, True False
5 of 171
Term Definition
Abdominal Pain Workup Peppermint oil is a natural
antispasmodic Has GI effects
similar to CCB Can help with
postprandial pain
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True False
Correct definition
⚫ CBC, CMP, UA and a pregnancy test and abdominal films
are the starting point for those with abdominal pain
6 of 171
Term Definition
Differential Diagnoses: Lactose Intolerance, Antibiotic
Diverticular Bleeding Therapy, Viral infection,
Medications, IBS, Dietary
factors, Colon cancer, IBD,
Ingestion of Magnesium
containing antacids, AIDS,
Laxative abuse