Because irritable bowel syndrome is a disorder for

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BECAUSE IRRITABLE BOWEL SYNDROME IS A DISORDER FOR WHICH NO PATHOGNOMONIC ABNORMALITIES HAVE BEEN IDENTIFIED, ITS DIAGNOSIS, RELIES ON RECOGNITION OF POSITIVE CLINICAL FEATURES AND ELIMINATION OF OTHER ORGANIC DISEASES. 357
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CLINICAL FEATURES SUGGESTIVE OF IRRITABLE BOWEL SYNDROME : - RECURRENCE OF LOWER ABDOMINAL PAIN WITH ALTERED BOWEL HABITS OVER A PERIOD OF TIME WITHOUT PROGRESSIVE DETERIORATION ONSET OF SYMPTOMS DURING STRESS OR EMOTIONAL UPSET ABSENCE OF OTHER SYSTEMIC SYMPTOMS SUCH AS FEVER AND WEIGHT LOSS SMALL VOLUME STOOL WITHOUT ANY EVIDENCE OF BLOOD 358
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ON THE OTHER HAND, THE FOLLOWING FEATURES GOES AGAINST THE DIAGNOSIS OF IBS - APPEARANCE OF THE DISORDER FOR THE FIRST TIME IN OLD AGE - PROGRESSIVE COURSE FROM THE TIME OF ONSET - PERSISTENT DIARRHOEA AFTER 48 HR - PRESENCE OF NOCTURNAL DIARRHOEA OR STEATORRHOEA OR BLOOD IN STOOL 359
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SYMPTOMS THAT SUGGEST OTHER DISEASE - WEIGHT LOSS OR ANOREXIA - BLOOD IN STOOL - STEATORRHOEA - FEVER - NOCTURNAL PAIN - ANEMIA - ABNORMAL BLOOD STUDIES - FAMILY H/O INFLAMMATORY BOWEL DISEASE OR MALIGNANCY - ONSET IN PATIENTS >50YRS OF AGE 360
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WHICH ONE OF THE FOLLOWING IS NOT A FEATURE OF IRRITABLE BOWEL SYNDROME - (A1IMS MAY 05) A) ABDOMINAL PAIN B) CONSTIPATION C) RECTAL BLEEDING D) BLOATING C 361
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ALL OF THE FOLLOWING ARE CRITERIA FOR IRRITABLE BOWEL SYNDROME EXCEPT - (NBE BASED AI 13 PATTERN) A) CHANGE IN FREQUENCY OF STOOL B) BLOOD & MUCUS IN STOOL C) CHANGE IN FORM OF STOOL D) IMPROVES WITH DEFECATION 362
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DIAGNOSTIC CRITERIA FOR IRRITABLE BOWEL SYNDROME:- RECURRENT ABDOMINAL PAIN OR DISCOMFORT AT LEAST 3 DAYS PER MONTH IN THE LAST 3 MONTHS ASSOCIATED WITH TWO OR MORE OF THE FOLLOWING: 1. IMPROVEMENT WITH DEFECATION 2. ONSET ASSOCIATED WITH A CHANGE IN FREQUENCY OF STOOL 3. ONSET ASSOCIATED WITH A CHANGE IN FORM (APPEARANCE) OF STOOL 363
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ALL OF THE FOLLOWING ARE CRITERIA FOR IRRITABLE BOWEL SYNDROME EXCEPT - (NBE BASED AI 13 PATTERN) A) CHANGE IN FREQUENCY OF STOOL B) BLOOD & MUCUS IN STOOL C) CHANGE IN FORM OF STOOL D) IMPROVES WITH DEFECATION B 364
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WHICH OF THE FOLLOWING DRUGS IS USED FOR IRRITABLE BOWEL SYNDROME OF THE CONSTIPATING TYPE - (AI 12) A) LUBIPROSTONE B) CHOLESTYRAMINE C) ALOSETRON D) RIFAXIMIN 365
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366
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WHICH OF THE FOLLOWING DRUGS IS USED FOR IRRITABLE BOWEL SYNDROME OF THE CONSTIPATING TYPE - (AI 12) A) LUBIPROSTONE B) CHOLESTYRAMINE C) ALOSETRON D) RIFAXIMIN A 367
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OTHER AGENTS USED IN TREATMENT OF IRRITABLE BOWEL SYNDROME: LINACLOTIDE IS A “GUANYLATE CYCLASE AGONISTS ” THAT STIMULATES INTESTINAL FLUID SECRETION AND TRANSIT. 368
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369
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A 40 YEAR OLD MALE PRESENTS WITH CHRONIC DIARRHEA FOR ONE YEAR. ON INVESTIGATION, THE FINDINGS OBTAINED WERE CRYPT ABCESS, CRYPT ATROPHY, CRYPTITIS AND MUCOSITIS. MOST LIKELY DIAGNOSIS IS - (AIPGMEE 08) A) CROHN’S DISEASE B) ULCERATIVE COLITIS C) MICROSCOPIC COLITIS D) COLLAGENOUS COLITIS 370
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INFLAMMATORY BOWEL DISEASE ( IBD ) IS A GROUP OF INFLAMMATORY CONDITIONS OF THE
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  • Winter '16
  • jean grey
  • chronic hepatitis, chronic liver failure

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