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15 Cards in this Set

  • Front
  • Back

Gastritis : definition, when is pain relieved

Inflammation of mucosal stomach lining.



Pain usually relieved by food



rule out causes.



May cause perforation of bowel and peritonitis.

Ulcer when is pain

Pain associated with eating or fasting(when hungry basically), due to increase of acid production.

GERD: definition, risk factors, when pain aggravated, education

Back flow of gastric contents into esophagus.



Risk Factors: obese, >40yo



Pain aggravated by meals or activities.



Education : small meals, low fat foods, raise HOB 6-8inches

Intussuception: definition, s/s

Segment of bowel "telescopes" within itself, causing bowel obstruction.


Most common in infants and small children.



currant jelly stool fresh blood mixed with mucous. Vomitting and colicky pain. Sausage shaped mass.

Large Intestine vs small intestine

Large - fluid absorption



Small - nutrition.

Pyloric Stenosis: definition, what age, s/s

Blockage caused by hypertrophy, hyperplasia, and narrowing of lower gastric compartment.


Most common cause of intestinal obstruction during infancy.



Projectile vomiting.


Olive shaped mass.

Appendicitis

No specific assessment or dx test can accurately identify conclusively.


Occurrence peaks in late teen years.



s/s: McBurneys Point(TTP 1/2 between naval and iliac crest).Diffuse migrating to RLQ within hours or day. Rosvings sign(LLQ pressure increases RLQ pain)

McBurneys Point

1/2 way between naval and iliac crest. Palpation at this point tender.



Sign for Appendicitis.

Rosvings Sign

LLQ pressure increases RLQ pain



Sign for Appendicitis.

Acute Pancreatitis

Inflamation of pancreas, release of digestive enzymes causing autolysis.



Causes: obstruction(gallstones), injury, infx, ETOH, Meds(steroids, diuretics), anything that makes the pancreas work hard(a big meal)

Choleycystitis: description, s/s

Inflammation of gallbladder, caused by blockage infx or tumor. Gallbladder produces bile to breakdown fat.




s/s: sharp, constant colicky pain, RUQ, can be referred to R shoulder, Jaundice if backing up to liver


Murphys Sign

Palpate under R sided rib cage, when you touch gallbladder "cessation of inspiration"(they catch their breath)



Sign in Cholecystitis

Diverticulitis

Inflammation of colon diverticula, pouches along colon wall traps undigested food leading to inflammation and infx.



s/s: LLQ pain, hemocult usually positive

Irritable Bowel Syndrome (spastic colon)

Disorder of motility. Intermittent and unpredictable hypOmotility and hypErmotility.



LLQ pain



correlation with depression and anxiety disorders common.

Esophageal Varices

Dilated veins of the lower esophagus.



Caused by obstructed portal circulation (By liver cirrhosis)