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15 Cards in this Set
- Front
- Back
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colon shape
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cobblestone
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symptoms
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cramping, colicky after meal
unintentional weight loss diarrhea with pus/mucous |
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assessment
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rebound tenderness, guided movement, palpable mass in LRQ, distention, absent or decreased bowel sounds or high pitched or increased
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What does fever mean
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fistula, abcess, or severe inflammation
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fistula formation
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common in chron's
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dx
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biopsy with colonoscopy
show intermittent inflammation and cobblestone feature |
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labs
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anemia, low folic acid, elevated esr and c reactive protein,
WBC urine increase=infection; may be bowel to fistula, electrolyte loss due to fistula and diarrhea |
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xray
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show narrowing, ulceration, fistula, or strictures
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nutrition
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tpn
vivonex-supplement low residue diet ensure sustacal avoid GI stimulants - coffee, alcohol high risk for malnutrition and dehydration |
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fistula nutrition
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3000cal/day
tpn |
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When sx
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issues such as fistula, cancer, abcess, obstruction, hemmorage
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complimentary alternative therapy
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yoga, herbal, hypnosis, essential oils, aroma therapy
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complications
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abcess, strictures, hemmorage, perforation, obstruction, dehydration, peritonitis, sepsis
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risk factors
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smoking, environmental, genetic
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peritonitis
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fever, chills, no gas, no stool, n/v, excessive fatigue, painful abd. worse on touch and moving
life threatening! |
