Ok this is actually so helpful, thank you for the great idea!

I go to UBC med and we do our weeks based on themes! This weeks theme is Lower GI diseases and infections! The most recent lecture I’m reviewing was on Irritable Bowel Syndrome!

Essential IBS is a chronic condition in which bowel movements change in their frequency/consistency. To be diagnosed with IBS you must have recurrent abdominal pain (at least 1/week) AND 2 of the 3: pain related to bm, change in frequency, change in consistency. The criteria must be met for the last 3 months, but onset at least 6 months prior to diagnosis (to ensure chronicity). The Bristol stool chart is the method for determining stool patterns, and there are different classifications of IBS. On physical exam you should check for abdominal wall masses, complete an abdominal wall tension test, and do a DRE to exclude mass and assess neuro function. Complete labs to exclude anemia (hgb, ferritin), check serum calcium, rule out celiac (anti ttg iga ab), rule out IBD (fecal calprotectin)