Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
Neoplasms Usually adenocarcinoma, but may be malignant lymphomas. Advanced stage when diagnosed.
|
More common in men who are poor, hispanic, black, asians/pacific Islanders.
|
|
|
Associated with aging, autoimmunity, or repeated exposure to irritants like bile, anti-inflammatory agents, or smoking.
|
Linked with diets containing smoked foods, salted fish & meat, & pickled stuff. May be genetic. Seen with H. pylori infections.
|
|
|
Others factors include gastritis, pernicious anemia, polyps, & achlorhydria (lack of HCL acid production), smoking & obesity.
|
Symptoms occur late. Rarely diagnosed in early stages. Anemia, PUD, or indigestion are common s/s. Presence of palpable mass,
|
|
|
Ascites, bone pain from metastasis may be first symptom. Symp. depend on where tumor is. Anorexia,
|
wt. loss, indigestion, & a feeling of fullness. Mimics PUD. May have occult blood in stool and anemia.
|
|
|
Presence of lactic acid and a high lactate dehydrogenase level
|
in the gastric juice suggests carcinoma.
|
|
|
Diagnostic Assessment-Endoscopic Exam of stomach with biopsy. Med. Management-surgery, chemo. & Radiation.
|
Surgical management-Due to fact that diagnosis is often late, surgery is often palliative.
|
|
|
Gastrectomy-as much of the stomach and surrounding tissue.
|
Surgery is only means of cure. Chemo & radiation used mostly for palliative measures.
|
|
|
Adjunct Therapy: Chemo (combo therapy) & Radiation.These therapies used in conjunction with surgery
|
Radiation may be used to shrink the tumor prior to surgery or as palliative when surgery not indicated.
|
|
|
Transfusion of packed RBCs correct the anemia. Gastric decompression may be necessary before surgery if gastric lesion is located at or near pylorus and causing obstruction.
|
When tumor has extended into transverse colon and partial colon resection is required, special bowel prep necessary.
|
|
|
May include low-residue diet, enemas, antibiotics to reduce intestinal bacteria, correction of malnutrition.
|
Diagnostics include Endoscopy, biopsy, upper GI barium study, cytology, CBC, urinalysis, stool exam, liver enzymes, serum amylase, tumor markers (CEA & CA)
|
|
|
Diagnostic Assessment-Endoscopic Exam of stomach with biopsy. Med. Management-surgery, chemo. & Radiation.
|
Surgical management-Due to fact that diagnosis is often late, surgery is often palliative.
|
|
|
Gastrectomy-as much of the stomach and surrounding tissue.
|
Surgery is only means of cure. Chemo & radiation used mostly for palliative measures.
|
|
|
Adjunct Therapy: Chemo (combo therapy) & Radiation.These therapies used in conjunction with surgery
|
Radiation may be used to shrink the tumor prior to surgery or as palliative when surgery not indicated.
|
|
|
Transfusion of packed RBCs correct the anemia. Gastric decompression may be necessary before surgery if gastric lesion is located at or near pylorus and causing obstruction.
|
When tumor has extended into transverse colon and partial colon resection is required, special bowel prep necessary.
|
|
|
May include low-residue diet, enemas, antibiotics to reduce intestinal bacteria, correction of malnutrition.
|
Diagnostics include Endoscopy, biopsy, upper GI barium study, cytology, CBC, urinalysis, stool exam, liver enzymes, serum amylase, tumor markers (CEA & CA)
|
|
|
Staphy- toxin from Staphy aureus. Get from meat, bakery products, cream fillings, salad dressings, milk, skin and resp tract of food handlers
|
onset of symp. 30 min.-7 hrs. n/v, abd cramps, diarrhea. give fluid/ele. replacement, antiemetics
|
|
|
Clostridial from clostridium perfringens. Get from meat or poultry cooked at low temps, gravies, improperly canned food.
|
Onset 8-24 hrs. n/v, diarrhea, abd cramps, midepigastrium pain tx symptoms, fluid replacement
|
|
|
Salmonella from Salmonella typhimurium, grows in gut. get from improperly cooked poultry, pork, beef, lamb, eggs.
|
onset 8 hr-several days. n/v, diarrhea, abd cramps, fever, chills. tx symptoms, fluid/ele. replacement.
|
|
|
Botulism from Clostridium. Ingested toxin absorbved from gut and blocks acetylcholine at neuromuscular junction. get from canned food, pereserved veggies most common, fruit, fish thats canned
|
12-36 hrs. n/v, abd pain, constipation, distention, headache, dizziness, muscular incoordination, weakenss, cant talk or swallow, diplopia, breathing difficulties, paralysis, delirium, coma. mainain airway, polyvalent antitoxin, guanidine chydrochloric acid
|
|
|
E-Coli from contaminated beef, pork, milk, cheese, fish
|
onset varies by strain, 8 hr-1 week. bloody stools, hemolytic uremic syndrome, abdominal cramping, profuse diarrhea. Tx symptoms, fluid/ele replacement.
|
