Gastroenterology
Quiz
Proofreading Exercise
You should 10 errors in this report.
HISTORY OF PRESENT ILLNESS:
This patient is seen in followup. She has had a change in her status to a certain degree now learning much more toward diarrhea than constipation. Typically it happens post prandially. She has usually no more than two to three bowel movements a day which may be quiet lose and occasionally bloody. She has also had the same pain in her left lower quadrant. She thinks that wheat and wheat products potentiate the problem. She currently is taking Citrucel. She stopped taking the DSS and lactulose. She is missing about one day of work per week because of her GI complaints. She is also taking Paxil 20 mg q. day, which I started in an attempt to control her symptoms.
PHYSICAL EXAMINATION:
Notable for moderate left lower quadrant and right lower quadrant tenderness; elsewhere nontender.
IMPRESSION AND PLAN:
1. Irritable bowel syndrome is still most likely. Since she has this change toward diarrhea, however, and her symptoms are so severe, I fell like we need too more fully evaluate her with upper endoscopy and a small bowl biopsy. She will also increase her Paxil to 30 mg q.d.

Natural gas
ACROSS
3 Relating to the colon
5 The part of the trunk lying between the thorax and the pelvis
7 Inflammation of the mucous membrane of the rectum
13 Relating to both abdomen and perineum
14 Inflammation of the ileum
DOWN
1 Coprolith
2 ___'s diverticulum
4 Inflammation of both stomach and intestines
6 Removal of the right or left side of the colon
8 Relating to both the colon and the rectum
9 Repeated defecation into inappropriate places, considered a mental disorder
10 ___ anus
11 Establishment of a fistula through which the ileum discharges to the outside of the
body
12 Excessive gas in the stomach and intestine
Brought to you by the Cogix Crossword Wizard