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Episode 40 Diarrhea

Shoot me any comments or questions @Rotation2ptoh  on X

Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Endless Universe (Dreamy Summer) by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

The Ghost Map” by Steven Berlin Johnson, Riverhead 2006

Some good You Tube presentations on this.

Superiority” by Arthur C. Clarke  https://nob.cs.ucdavis.edu/classes/ecs153-2019-04/readings/superiority.pdf

WHO rehydration formula: https://www.who.int/publications/i/item/WHO-FCH-CAH-06.1

I didn’t discuss POCUS for Hydration Assessment: https://www.pocus.org/inferior-vena-cava-ivc-assessment-for-volume-status-in-point-of-care-ultrasound-pocus-setting/

Answers for Episode 39 Constipation 

Question 1:

A 68-year-old woman with chronic constipation is prescribed magnesium oxide. After several weeks, she presents with lethargy and muscle weakness. Her serum magnesium level is elevated. Which of the following factors most likely contributed to her condition?

C. Delayed colonic transit time

Question 2:

Which of the following medications acts by inhibiting the ileal bile acid transporter (IBAT) and promotes colonic motility through serotonin release?

C. Elobixibat

Question 3:

A randomized controlled trial compared the efficacy of polyethylene glycol (PEG) 3350 to placebo in patients with chronic constipation. What was the reported treatment success rate in the PEG group?

C. 52%

Paper for Next Week:

Sung Il Kang, Latest Research Trends on the Management of Hemorrhoids, Journal of the Anus, Rectum and Colon (2025; 9(2): 179–191):

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