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29 Cards in this Set
- Front
- Back
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factors associated with Irritable Bowel Syndrome
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heredity, stress,depression, anxiety, diet in fat, irritating food , alcohol , smoking
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Irritable Bowel Syndrome is
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disorder of motility peristaltic waves
no inflammation or tissue change |
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Irritable Bowel Syndrome signs
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constipation, diarrhea, pain bloating,
relieved by defecation pain while eating spasms, contractions of bowel mucus accumulation in intestine s |
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medication management of Irritable Bowel Syndrome
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antidepressants
anticholinergics - for spasms antidiarrhea Tegaserod increases serotonin increases motility |
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side effects of Tegaserod
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diarrhea, hypovolemia, hypotension, dizziness
call doctor if you have diarrhea stop med |
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appendicitis is where
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attached to cecum below ileocecal valve
it empties to cecum occluded by fecalith stool and pus |
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appendicitis manifestations
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anorexia, N/V, McBurney point, rebound tenderness, muscle spasm, constipation diarhea, pain on the right lower,
Rovsing sign - left lower quadrant palpate but pain on the right paralytic ileus infection |
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if constipation do not give (appendicitis)
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Don't do
lexatives cathaterics enemas if fever, nausea or pain |
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appendicitis diagnostic assessment is done by
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complete blood cell count
elevated WBC neutrophils |
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complication of appendicitis
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perforation, abscess formation, collection of purulent material
peritonitis after surgery |
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appendectomy done by
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laperoscopy
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position after surgery appendicitis
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high fowler
IV fluids morthine sulfate food if sounds are present |
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diverticular disease
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sigmoid colon sac like herniation of bowel also in small intestine, weak muscular wall b/c of high pressure, where bowel content can accumulate
common in developed countries |
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diverticulosis symptoms
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asymptomatic
low fiber leads to perforation abscess formation from bacteria infection |
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diverticulitis complications
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abscess, fistula abstraction, perforation, peritonitis,hemorrhage
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diverticulosis symptoms
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constipation chronic #1
diarrhea, N/V anorexia, bloating abdominal distention, narrow stools, weakness, fever chills leukocytosis, cramps septicemia, hypotension, tachycardia |
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diverticulosis how diagnosed
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colonoscopy biopsy, CT, no barium enema b?c of perforation
blood cell count increase WBC and ESR |
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medical management of diverticulosis
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high fiber, low fat, antibiotics,bulk forming laxative
opioid, morphine Demerol, antispasmodics ProBanthine, stool softener colace, warm oil into rectum or suppository drain abscess |
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sugery
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resection Hartman procedure, colostomy is made
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constipation is related to
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narrowing of colon
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Inflammatory bowel disease are 2 disorders:
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regional enteritis Crohn's disease and ulcerative colitis
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Crohn disease
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inflammation of GI track
distal ileum and ascending colon remissions |
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Crohn disease how does it look like
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edema, thickening of mucosa, ulcers separated by normal tissue cobbelstone appearance
fistulas, fissures, abscesses granuloma |
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Crohn symptoms
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lower right quadrant pain
diarrhea unrelieed by defecation scars granulomas formation cramps after meal, spasm weight loss fever leucocytosis steatorrhea arthritis conjuctivitis skin lesions oral ulcers |
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tests for Crohn
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proctosigmoidoscopy
classic string sign on x ray constriction of segment endoscopy barium enema hemotocrit hemoglobin lower WBC elevated albumin and protein decreased ESR elevated |
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Ulcerative Colitis
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inflammation of colon and rectum
colon cancer |
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Ulcerative colitis symptoms
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bleeding, edema,inflamed ulcers
contiguous lesions bowel narrows shortens thickens b/c of fat deposit |
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Ulcerative colitis symptoms
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remissions
diarrhea, lower left quadrant pain tenesmus rectal bleeding palor anemia fatigue anorexia fever urgent need to defecate hypocalcemia, anemia tachycardia, tachypnea, hypotension |
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Ulcerative colitis complications
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osteoporotic fractures
corticosteroids can lower bone density |
