Office Anoscopy and Diagnostic Evaluation in Inflammatory Disorders Quiz

Play an AI-generated podcast conversation about this lesson

What is indicated for any patient who reports chronic diarrhea?

Colonoscopy with biopsies

Comprehensive stool analysis

Specialty consultation

All of the above (correct)

What does CBC stand for in the context of diagnosing chronic diarrhea?

C-reactive protein

Irritable bowel syndrome

Complete blood count (correct)

Immunoglobulin A

Why is obtaining a complete medication history important in the diagnosis of chronic diarrhea?

To identify medications commonly associated with diarrhea (correct)

To prescribe new medications for treatment

To schedule diagnostic procedures

To assess the patient's mental health condition

What is one of the listed clues to specific diagnoses in patients with chronic diarrhea?

Medication history Signup and view all the answers

Which diagnostic test should be considered if there is no improvement with standard treatments for chronic diarrhea?

Colonoscopy with biopsies Signup and view all the answers

What is beyond the scope of the article regarding chronic diarrhea?

Diagnoses affecting immunocompromised patients Signup and view all the answers

What is the recommended imaging modality for patients with inflammatory diarrhea and suspected structural disease?

MRI with enterography Signup and view all the answers

What diagnostic procedure is advised for patients with alarm features or in case the initial workup for IRRITABLE BOWEL SYNDROME (WATERY – functional) fails to yield a diagnosis?

Colonoscopy Signup and view all the answers

What should be done when colonoscopy is performed to evaluate chronic diarrhea?

Take multiple mucosal biopsies Signup and view all the answers

What is the prevalence range of IRRITABLE BOWEL SYNDROME (IBS) worldwide according to current studies?

9% to 23% Signup and view all the answers

Which test is NOT typically recommended when a patient with IRRITABLE BOWEL SYNDROME (IBS) does not have any alarm features and expert guidelines are followed?

Upper gastrointestinal endoscopy Signup and view all the answers

Which diagnostic tests may be helpful to categorize diarrhea as watery, fatty, or inflammatory?

Fecal calprotectin, fecal fat, fecal occult blood tests Signup and view all the answers

What is the prevalence of chronic diarrhea in the adult population?

1% to 5% Signup and view all the answers

Which of the following is NOT a common cause of chronic diarrhea?

Inflammatory bowel disease (IBD) Signup and view all the answers

What is the main defining characteristic of chronic diarrhea?

Decreased stool consistency lasting longer than four weeks Signup and view all the answers

Which organization published guidelines for the evaluation of chronic diarrhea?

British Society of Gastroenterology Signup and view all the answers

What warrants further evaluation and can be caused by disorders such as inflammatory bowel disease and colorectal cancer?

Inflammatory diarrhea Signup and view all the answers

What is a common cause of inflammatory diarrhea?

Clostridioides difficile Signup and view all the answers

Which test is mentioned as more sensitive than stool examination for detecting infection?

Antigen test Signup and view all the answers

What is the primary mode of transmission for Entamoeba histolytica infection as mentioned in the text?

Fecal-oral route Signup and view all the answers

Which database was NOT mentioned in the searches conducted for the information provided?

PubMed Signup and view all the answers

What type of infection does Entamoeba histolytica cause, as described in the text?

Invasive protozoal infection Signup and view all the answers

Which publication did NOT provide opinions or assertions about the chronic diarrhea topic discussed?

Current Gastroenterol Rep Signup and view all the answers

What initial laboratory tests should be included in the workup for suspected inflammatory disorders?

Complete blood count, C-reactive protein level, anti-tissue transglutaminase IgA level, basic metabolic panel Signup and view all the answers

Which laboratory marker is associated with fatty diarrhea?

Elevated fecal fat levels Signup and view all the answers

What are alarm features that warrant further investigation in chronic diarrhea?

Anemia, unintentional weight loss, persistent blood in stool Signup and view all the answers

How can inflammatory diarrhea be differentiated from other types of diarrhea?

Presence of fecal leukocytes and lactoferrin Signup and view all the answers

Based on Rome IV diagnostic criteria, what is the predominant symptom differentiating IBS from functional diarrhea?

Pain Signup and view all the answers

If a patient meets Rome IV diagnostic criteria for IBS and has no alarm features present, what is the next step in diagnosis?

Diagnose the patient with IBS Signup and view all the answers