nur676 exam 3 Questions and
Correct Answers | Latest Update
most common GI complaint in primary care and most common dx for GI...
✓ ~:- IBS
IBS occurs in...
✓ ~:- mostly young adults
✓ but in ALL ages
IBS is considered a ....
✓ ~:- gut brain disorder
has variety of GI sx
characteristics of IBS
✓ ~:- abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of
incomplete or difficult evacuation)
Gi motility in IBS result of ...
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✓ ~:- stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS
✓ ~:- chronic abd pain
bloating /distension
flatulence
bowel habit changes
what helps differentiate IBS from others
✓ ~:- MUST have abdominal pain present
IBS abdominal pain characteristics
✓ ~:- nonradiating, intermittent, crampy
usually in LLQ
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s/sx of IBS usually occurs after ...
✓ ~:- consuming meals (large) or alcohol
NOT IBS if ...
✓ ~:- nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS
✓ ~:- VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
diagnostics for IBS sx
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✓ ~:- labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if
✓ ~:- 1. <40 healthy adult with acute bowel change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria
✓ ~:- 1. sx present >3 months
2. initial sx onset >6 months of IBS dx
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool
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