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260 Cards in this Set
- Front
- Back
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If you have a bowel adenocarcinoma, what should you be looking for?
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F&E imbalance
Bowel obstruction Bowel function |
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What's one of the first signs of colon cancer?
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Change in bowel habits
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What is priority when a patient is receiving EBR for breast cancer?
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SKIN INTEGRITY!
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What are we looking to get when we do a biopsy?
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Tissue Diagnosis
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How do you treat tumor lysis syndrome?
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allopurinol and lots of fluids to get rid of the waste. NOT necessary to protect mobility!!
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What's a good intervention to use when your patient is not eating?
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Pain meds before eating! Also, give their favorite foods
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What do you have to look for when your drug is a vesicant?
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Extravasation at the IV site
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What is Megace?
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an appetite stimulant
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You have a hospice patient with a Foley, feeding tube, pressure ulcers and a trach. What is your main concern?
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TRACH!! This is their AIRWAY!!
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Your patient has a colostomy, NG tube, IV, and a trach. What is your priority?
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TRACH!! Airway is ALWAYS the first priority!
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What does metastatic cancer mean with regards to the tumor?
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it's the spread of cancer from the primary tumor through the bloodstream or lymphatic tissue to another site.
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Can you ever have too much pain management when it comes to cancer?
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NO!!
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Which modality is used to treat cancer patients?
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MULTIPLE modalities are commonly used -- there is no magic bullet for treating cancer
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Your hospice patient makes a gurgling sound that makes the family uncomfortable. What should you do?
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Gently suction the oral cavity.
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What is the NADIR?
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the point at which the lowest blood cell count is reached. It is usually 7-10 days after treatment. WBC and platelets are usually the first to drop.
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What are some implications of the NADIR?
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you are at greatest risk for infection, complications or death during this period. This is a dose-limiting problem.
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What is the priority following a bone marrow transplant (BMT)?
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Priority attention should be given to keeping the patient free from infection.
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What are the symptoms of SVC
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it happens in the chest but your patient presents with bulging eyes, neck veins and arm on the affected side. They may also have a swollen face
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What should you monitor first when you're assessing infection risk?
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NADIR
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What are the characteristics of Duke's Classification: A
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invasion into but not through the bowel wall
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Dukes Classification: B
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Invasion through the bowel wall but not involving the lymph nodes
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Dukes Classification: C
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Lymph nodes involved
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Dukes Classification: D
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widespread metastases
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What is the Duke's Classification System used for?
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It's a classification system used for colorectal cancer
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What comprises the urinary system?
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the ureters, bladder and urethra
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When we say "renal" what are we referring to?
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the kidneys
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What is your main concern when you have a pelvic injury?
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blood supply and puncturing the bladder
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What is the smallest unit in the kidney?
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The nephron
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What do the afferent arterioles in the nephron feed?
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the glomerulus
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What are the loops responsible for?
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concentrating the urine and pulling out what needs to be saved
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What is the glomerulus responsible for?
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filtration
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At what percentage of nephron functioning should a transplant be considered?
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20%
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What is manufactured in the nephron?
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Renin
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How much filtration occurs in the glomerulus in one day?
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180 liters!
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What is released when changes in blood pressure are detected by receptors on in the carotid artery and aortic arch?
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VASOPRESSIN --> which then activates the renin-angiotensin system!
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What constitutes oliguria?
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output < 500cc/day
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What constitutes anuria?
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output < 50cc/day
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Why is creatinine the most sensitive indicator of renal function?
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Because it is a byproduct of muscle metabolism
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What does specific gravity measure?
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it evaluates the ability of the kidneys to concentrate solutes in the urine
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Urine osmolality
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may disclose early defects in renal functioning
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Creatinine Clearance
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detects and evaluates progression of renal disease. It measures the volume of blood cleared of endogenous creatinine in one minute which provides an approximation of the GFR.
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Serum Creatinine Level
Normal: 0.6-1.2mg/dL |
Measures effectiveness of renal function. In normal function, the level of creatinine which is regulated and excreted by the kidneys, remains fairly constant in the body.
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BUN
Normal: 7-18mg/dL (in pts. older than 60: 8-20mg/dL) |
serves as an index of renal function. These values are affected by protein intake, tissue breakdown and fluid volume changes
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BUN to Creatinine Ratio
Normal: about 10:1 |
evaluates hydration status. Al elevated ratio is seen in hypovolemia; a normal ration with an elevated BUN and creatinine is seen with intrinsic renal disease
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What does it mean if your urine is pale to colorless?
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possible diuretic use, alcohol consumption, diabetes insipidus, glycosuria, excess fluid intake or renal disease
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What does it mean if your urine is yellow to milky white?
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pyuria, infection or perhaps the presence of a vaginal cream
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Bright yellow urine means what?
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You've likely been taking multiple vitamin preparations
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Pink to red urine?
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hemoglobin breakdown, RBCs, menses, bladder or prostate surgery, beets, blackberries, certain meds like Dilantin or Rifampin, senna products
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Blue or blue green urine?
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dyes, pseudomonas, amitriptyline, triamterine
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Brown to black urine?
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old RBCs, urobilinogen, bilirubin, melanin, porphyrin, dehydration or meds like Flagyl, Quinine Sulfate, Methyldopa,
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What is the normal adult bladder capacity?
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300-500mL
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What is the second most common reason patients seek healthcare?
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UTIs
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How long can a latex indwelling catheter stay in?
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30 days
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How long can a silicone catheter stay in?
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90 days
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What part of the urinary tract do pyelonephritis, interstitial nephritis and renal/perirenal abscesses affect?
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The upper urinary tract
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What is GAG?
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it forms a water barrier around bacteria so it can get flushed out and not cling to the inside of the bladder.
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What is urethrovesicular reflux?
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when the urine in the urethra backs up into the bladder
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What is lab value of choice when assessing an elderly person for a UTI?
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the urinalysis
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What is number one reason for confusion in the elderly?
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UTI
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What is the number one killer in the intensive care unit?
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Sepsis
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What foods should be avoided to prevent UTIs?
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coffee, tea, citrus, colas, alcohol and caffeine in any form
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Stress incontinence
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when you sneeze, cough, laugh and pee comes out. the pelvic floor is weakened
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Urge incontinence
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you have to pee and then you just do...it doesn't allow you to make it to the bathroom on time
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Functional incontinence
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found in patients with cognitive impairments, spinal cord injuries -- the urinary tract is healthy and structurally intact. the patient is simply unaware of the need to void.
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What is residual urine?
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the urine leftover in the bladder after the patient voids
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Why should allopurinol not be used for an extended amount of time?
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it is nephrotoxic even though it does reduce urea
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What's one lab value that will be elevated in the presence of kidney stones?
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creatinine
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What are some treatment options for a patient with kidney stones?
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we can go after it with a cystoscope, lithotripsy or surgery. Surgery is not a favorite option.
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Polycystic Kidney Disease (PKD)
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genetic disease where cysts grow and if you get enough of them, it kills the organ altogether. It's almost guaranteed that if you have this, you'll have a transplant someday
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What are two of the main qualifications you have to meet to get a kidney transplant?
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You have to be in renal failure and you have to be on dialysis
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Acute Renal Failure: Causes
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it's a reversible syndrom taht must have an outside cause. Sudden kidney function loss occurs and urea and electrolytes build up.
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What are the four phases of acute renal failure?
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initiation period
oliguria period diuresis period recovery period |
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Describe the initiation period of renal failure
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it begins with the initial insult and ends when oliguria develops
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Describe the oliguria period of renal failure
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there is an increase in the serum concentration of substances that are usually excreted by the kidneys; hyperkalemia may develop
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Describe the diuresis period of renal failure
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marked by a gradual increase in urine output which signals that glomerular filtration has started to recover. Lab values stabilize and then decrease. Hydration must be closely monitored
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Describe the recover period of renal failure
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signals the improvement of renal function and may take 3-12 months. Lab values return to normal and a permanent reduction of 1-3% in GFR is expected
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What are some conditions that are considered "pre-renal?"
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hypovolemia, heart failure, shock, dehydration
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Describe what "intra-renal" means
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there is actually pathology in the kidney itself. problem with the nephron, tumors, cysts, kidney stones...
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What is considered "post-renal?"
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An obstruction
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Chronic Renal Failure: Causes
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DM, HTN, chronic glomerulonephritis, obstruction, infection, strept, PKD, vascular disorders, meds, dyes, heavy metals
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What does creatinine clearance do in the presence of ESRD?
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it DECREASES
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What do BUN and serum creatinine do in response to ESRD?
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They both INCREASE
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Which acid-base imbalance will patients with ESRD likely have?
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Metabolic Acidosis
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What does Kayexelate do?
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It absorbs and removes potassium from the body. Can be given orally or by enema.
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What ingredient mixed with Kayexelate requires the use of a cleansing enema following the administration of the Kayexelate enema?
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Sorbitol. Failure to use a cleansing enema afterwards will lead to bowel necrosis!
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Potential complications of chronic renal failure
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hyperkalemia
pericarditis hypertension anemia bone disease metastatic and vascular calcifications |
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cardiac tamponade
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a medical emergency wherein the heart is being crushed by fluid.
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What heart sounds will you auscultate if a patient has cardiac tamponade?
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pericardial friction rub
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What is primary glomerular disease?
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an autoimmune disorder that sets up immunoglobulins in the glomerulus
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What is acute glomerular nephritis?
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a secondary inflammation of the glomerulus, generally from a bacterial infection.
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What does your kidney look like if you have acute glomerular nephritis?
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Its fat and swollen
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What does your kidney look like if you have chronic glomerular nephritis?
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It's shriveled up like a raisin
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How do you differentiate between nephrotic syndrome and acute nephritic syndrome?
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A biopsy! The main difference is that nephrotic is not specific to the glomerulus and brings with it an increase in cholesterol and LDLs
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Your patient presents with pain in her lower back and problems urinating. What do you suspect?
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Cystitis
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Your patient has pain to the back and groin. What is this characteristic of?
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Pyeloephritis
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What is the most important indicator of renal failure?
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Creatinine
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When will you see periorbital edema and possibly cola-colored urine?
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In severe renal failure or PKD
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If you find blood in the urine, what should initially think happened?
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Trauma
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What is most commonly associated with UTI -- decreased intake or urinary stasis?
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Urinary stasis
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What is prostatitis?
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an inflammation caused by an infectious agent to the prostate
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What is the second leading cause of cancer deaths in men?
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Prostate cancer
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What is the biggest risk for cancer?
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Advancing age
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Where does prostate cancer like to go first when it metastacizes?
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The bones
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What is an herbal supplement said to aid in the prevention of prostate cancer?
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Saw Palmetto
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Is passing large clots a normal part of having prostate cancer?
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NO! This should not occur. Urine should be red after surgery and then very quickly turn light pink and yellow within a few days
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What is the number one killer of the kidney following diabetes?
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PKD
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What is iatrogenic incontinence?
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involuntary loss of urine due to medications patient is on
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What is mixed urinary incontinence?
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associated with urgency, exertion, effort, sneezing or coughing
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Why do we worry about urinary retention post-prostatectomy?
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It may indicate an obstruction
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What are the top two risk factors for bladder cancer?
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Smoking and working in the dye industry.
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Does IBS happen more in women or men?
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women
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What does CRP level tell us about?
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inflammation --it's more reactive than a sedimentation rate
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What is the gold standard for diagnosing Crohn's and IBS?
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ENDOSCOPY!
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How do we manage IBS?
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manage pain and encourage a high fiber diet to pull water into the lumen of the bowel
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What meds are used to treat IBS?
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antidepressants, anxiolytics, anticholinergics
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What is the major issue with appendicitis?
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RUPTURE
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What will your patient likely present with if he's suffering with acute appendicitis?
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RLQ pain, fever
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What has probably happened if your appendicitis patient suddenly says they're feeling much better?
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This bad! They have likely ruptured their appendix!!
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What are some complications of appendicitis?
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rupture, peritonitis, abscess formation, septic thrombosis of portal vein
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What position should a post-appendectomy patient be placed in?
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High Fowler's to preserve the lungs
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DiverticuLOSIS
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a balloon-like herniation of the bowel muscle
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DiverticuLITIS
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inflammation and/or infection of the bowel muscle
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DiverticuLOSIS
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a balloon-like herniation of the bowel muscle
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DiverticuLOSIS
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a balloon-like herniation of the bowel muscle
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Crohn's Disease
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discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
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DiverticuLITIS
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inflammation and/or infection of the bowel muscle
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DiverticuLITIS
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inflammation and/or infection of the bowel muscle
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What's the best way to diagnose Crohn's Disease?
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SCOPE!
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Crohn's Disease
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discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
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Crohn's Disease
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discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
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What's the best way to diagnose Crohn's Disease?
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SCOPE!
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What's the best way to diagnose Crohn's Disease?
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SCOPE!
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Ulcerative Colitis
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starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
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DiverticuLOSIS
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a balloon-like herniation of the bowel muscle
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DiverticuLOSIS
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a balloon-like herniation of the bowel muscle
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DiverticuLOSIS
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a balloon-like herniation of the bowel muscle
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DiverticuLOSIS
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a balloon-like herniation of the bowel muscle
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Ulcerative Colitis
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starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
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What is the best diet for a patient with ulcerative colitis?
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low residue, high calorie
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Ulcerative Colitis
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starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
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DiverticuLITIS
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inflammation and/or infection of the bowel muscle
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DiverticuLITIS
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inflammation and/or infection of the bowel muscle
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DiverticuLITIS
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inflammation and/or infection of the bowel muscle
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What is the best diet for a patient with ulcerative colitis?
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low residue, high calorie
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What is the best diet for a patient with ulcerative colitis?
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low residue, high calorie
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DiverticuLITIS
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inflammation and/or infection of the bowel muscle
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Crohn's Disease
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discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
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Does IBS happen more in women or men?
|
women
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Crohn's Disease
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discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
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Crohn's Disease
|
discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
|
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DiverticuLOSIS
|
a balloon-like herniation of the bowel muscle
|
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DiverticuLOSIS
|
a balloon-like herniation of the bowel muscle
|
|
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DiverticuLOSIS
|
a balloon-like herniation of the bowel muscle
|
|
|
DiverticuLOSIS
|
a balloon-like herniation of the bowel muscle
|
|
|
DiverticuLOSIS
|
a balloon-like herniation of the bowel muscle
|
|
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DiverticuLOSIS
|
a balloon-like herniation of the bowel muscle
|
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What meds are used to treat ulcerative colitis?
|
sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
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Crohn's Disease
|
discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
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What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
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DiverticuLITIS
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inflammation and/or infection of the bowel muscle
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What meds are used to treat ulcerative colitis?
|
sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
|
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What meds are used to treat ulcerative colitis?
|
sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
|
|
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What does CRP level tell us about?
|
inflammation --it's more reactive than a sedimentation rate
|
|
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What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
|
Crohn's Disease
|
discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
|
|
What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
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What is the gold standard for diagnosing Crohn's and IBS?
|
ENDOSCOPY!
|
|
|
DiverticuLITIS
|
inflammation and/or infection of the bowel muscle
|
|
|
DiverticuLITIS
|
inflammation and/or infection of the bowel muscle
|
|
|
DiverticuLITIS
|
inflammation and/or infection of the bowel muscle
|
|
|
Crohn's Disease
|
discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
|
|
How many patients with ulcerative colitis require surgery within 5 years?
|
Half of them (50%)
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How many patients with ulcerative colitis require surgery within 5 years?
|
Half of them (50%)
|
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|
Ulcerative Colitis
|
starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
|
|
|
How many patients with ulcerative colitis require surgery within 5 years?
|
Half of them (50%)
|
|
|
What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
|
DiverticuLITIS
|
inflammation and/or infection of the bowel muscle
|
|
|
DiverticuLITIS
|
inflammation and/or infection of the bowel muscle
|
|
|
What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
|
Ulcerative Colitis
|
starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
|
|
|
Crohn's Disease
|
discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
|
|
Ulcerative Colitis
|
starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
|
|
|
What is the best diet for a patient with ulcerative colitis?
|
low residue, high calorie
|
|
|
Ulcerative Colitis
|
starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
|
|
|
What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
|
What are some examples of a mechanical intestinal obstruction?
|
tumors, stenosis, adhesions, hernias, abscesses, insussusception
|
|
|
Crohn's Disease
|
discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
|
|
Crohn's Disease
|
discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
|
|
Crohn's Disease
|
discontinuous cobble-stone like lesions that can be found from the mouth all the way down to the anus; brings with in an increased risk for colon cancer
|
|
|
What are some examples of a mechanical intestinal obstruction?
|
tumors, stenosis, adhesions, hernias, abscesses, insussusception
|
|
|
What is the best diet for a patient with ulcerative colitis?
|
low residue, high calorie
|
|
|
What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
|
What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
|
What is the best diet for a patient with ulcerative colitis?
|
low residue, high calorie
|
|
|
What are some examples of a mechanical intestinal obstruction?
|
tumors, stenosis, adhesions, hernias, abscesses, insussusception
|
|
|
Ulcerative Colitis
|
starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
|
|
|
Ulcerative Colitis
|
starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
|
|
|
Ulcerative Colitis
|
starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
|
|
|
What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
|
What's the best way to diagnose Crohn's Disease?
|
SCOPE!
|
|
|
How do we manage IBS?
|
manage pain and encourage a high fiber diet to pull water into the lumen of the bowel
|
|
|
What meds are used to treat ulcerative colitis?
|
sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
|
|
|
What meds are used to treat ulcerative colitis?
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sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
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What are some examples of functional intestinal obstructions?
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muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
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What is the best diet for a patient with ulcerative colitis?
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low residue, high calorie
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What are some examples of functional intestinal obstructions?
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muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
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Ulcerative Colitis
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starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
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What meds are used to treat ulcerative colitis?
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sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
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What are some examples of functional intestinal obstructions?
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muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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What is the best diet for a patient with ulcerative colitis?
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low residue, high calorie
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What is the best diet for a patient with ulcerative colitis?
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low residue, high calorie
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What is the best diet for a patient with ulcerative colitis?
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low residue, high calorie
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Ulcerative Colitis
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starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
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What meds are used to treat IBS?
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antidepressants, anxiolytics, anticholinergics
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
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What meds are used to treat ulcerative colitis?
|
sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
|
|
|
Ulcerative Colitis
|
starts in the rectum and spreads proximally up the colon. Lesions are diffuse and contiguous. There is a high mortality rate -- mostly found in caucasians and jewish people
|
|
|
What is the best diet for a patient with ulcerative colitis?
|
low residue, high calorie
|
|
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What meds are used to treat ulcerative colitis?
|
sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
|
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What meds are used to treat ulcerative colitis?
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sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
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What is the major issue with appendicitis?
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RUPTURE
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
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What is the best diet for a patient with ulcerative colitis?
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low residue, high calorie
|
|
|
What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
|
|
|
What are some examples of functional intestinal obstructions?
|
muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
|
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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|
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What are some examples of functional intestinal obstructions?
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muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
|
|
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What meds are used to treat ulcerative colitis?
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sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
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What meds are used to treat ulcerative colitis?
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sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
|
|
|
What is the best diet for a patient with ulcerative colitis?
|
low residue, high calorie
|
|
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What meds are used to treat ulcerative colitis?
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sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
|
|
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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What will your patient likely present with if he's suffering with acute appendicitis?
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RLQ pain, fever
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What meds are used to treat ulcerative colitis?
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sedatives, antidiarrheals, antiperistaltic meds, anti-inflammatory meds, anticholinergics, antibiotics...
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
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What are some examples of functional intestinal obstructions?
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muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
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What has probably happened if your appendicitis patient suddenly says they're feeling much better?
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This bad! They have likely ruptured their appendix!!
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
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How many patients with ulcerative colitis require surgery within 5 years?
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Half of them (50%)
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
|
|
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
|
|
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
|
|
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What are some examples of functional intestinal obstructions?
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muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
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What are some complications of appendicitis?
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rupture, peritonitis, abscess formation, septic thrombosis of portal vein
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What are some examples of functional intestinal obstructions?
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muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
|
|
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
|
|
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What are some examples of a mechanical intestinal obstruction?
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tumors, stenosis, adhesions, hernias, abscesses, insussusception
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What position should a post-appendectomy patient be placed in?
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High Fowler's to preserve the lungs
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What are some examples of functional intestinal obstructions?
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muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
|
|
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What are some examples of functional intestinal obstructions?
|
muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
|
|
|
What are some examples of functional intestinal obstructions?
|
muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
|
|
|
What are some examples of functional intestinal obstructions?
|
muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
|
|
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What are some examples of functional intestinal obstructions?
|
muscular dystrophy, DM, Parkinson's -- the musculature cannot propel contents along the bowel
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