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20 Cards in this Set
- Front
- Back
What is Achalasia
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complete lack of peristalsis within the body of the esophagus. LES fails to relax when swallowing. develops as a massive dilated esophagus.
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S/S of Achalasia
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epigastric pain
sensation of food sticking regurgitation - night time weight loss aspiration chest pain halitosis and cant burp |
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What is GERD
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reflux of GI contents into the esophagus. Causes HEARTBURN
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Pt teaching for GERD
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elevate HOB 4-6 inch
sleep on left side no smoke or alcohol decrease weight avoid heavy lifting avoids foods such as caffeine chocolate peppermint tomatoes tea chew gum avoid milk at night take meds before the first meal of the day |
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What is peptic ulcer disease (PUD)
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Lesions in the mucolsal membrane of the upper GI
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Gastric ulcers
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more common in women and older ppl
more likely to hemerage can be caused by drugs alchol abuse smoking |
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Gastric Ulcer S/S
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pain 1-2 hrs after meals
burning pain can occur when the stomach is emptying |
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Duodenal ulcers
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HCL secretions
H. pylori play a key role (NSAID use) ppl with other diseases can be caused by tx of other diseases |
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Duodenal S/S
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pain behind the xiphod process
2-4 hrs after meals releaved by antiacids last for a few weeks, stops, comes back |
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Perforation of GI ulcer S/S
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Sudden sharp pain that spreads over intire abd
pt in fetal position abd tender and board like Shock SURGICAL EMERGENCY |
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gastric outlet obstruction
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relief from belching and projecile vomiting
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Apendicitis S/S
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aNOREXIA
NAUSEA VOMIT UMBILICAL PAIN REBOUND TENDERNESS MUSCLE GAURDING |
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DX of Apendicitis
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increased WBC
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TX of Appendicitis
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IV antibiotics 6-8 hrs before surgery
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Pre op for appedicitis
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never give laxatives
keep NPO Ice on abd never apply heat |
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What is IBS
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ABD PAIN WITH CONSTIPATION AND/OR DIARRHEA
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s/s of IBS
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abd distention
sleep disturbance bloating urgency |
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TX for IBS
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Pschological and lifestyle changes
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Inflammatory Bowel Disease - Ulcerative colitis
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rectum to cecum. disease of the colon and rectum
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IBD - Chrons disease
S/S |
from the mouth to the anus.
Bloody diarrhea and abd pain |