Gi, Gu, Std Disorders Sickcall

Front 1

Acute simple gastritis
S/S

Back 1

malaise, anorexia, epigastric pressure, headache, dizziness, nausea/vomiting, last for approx. 24-48 hrs, possible mild epigastric tenderness.

Front 2

Acute simple gastritis
Treatment

Back 2

Remove offending agent
use antacids
NPO if you suspect appendicitis
give phenergan 25mg IM/IV and IV fluids per MO order
IV therapy to correct electrolyte inbalance if not tolerating oral fluids
Above all, MAINTAIN HYDRATION

Front 3

Gastroenteritis
S/S

Back 3

anorexiz, nausea and vomiting, diarrhea, abdominal cramps, malaise, myalgias, severe dehydration and shock possible, abdomen distended and tender, fever

Front 4

Gastroenteritis
Treatment

Back 4

Bed rest with bathroom access
clear liquid diet, maintain hydration
IV rehydration with compazine/phenergan if needed
Follow up in 24 hours

Front 5

Appendicitis
S/S

Back 5

Mild to severe pain in epigastric or peri-umbilical area
may have only one or two episodes of vomiting.pain shifts to RLQ after 2-12 hours.
increased pace of soreness with walking, coughing, sneezing, or and jarring motions.
may mimic gastroenteritis, but pain will move to RLQ
may have loss of appetite
may fave fever 99-102 degrees
moderate malaise
constipation w/rebound tenderness in RLQ

Front 6

Appendicitis
Treatment

Back 6

observation
NPO/ bed rest
NG tube per MO order
refer to MO
no laxatives or narcotics
IV ringers lactate
surgery required

Front 7

Diarrhea
S/S

Back 7

change in concictency
blood
mucus
pus
fatty materials, oil, grease

Front 8

Diarrhea
etiology

Back 8

can be cause be nerves, viral, or bacterial infections
nicturnal diarrhea may suggest organic disease of the bowel
different foos or water
poor water or food sanitation or poor hygiene
may have fever associated with dehydration

Front 9

Diarrhea
treatment

Back 9

dicated by cause when know
clear liquids for 24 hours, then diet as tolerated
Kaopectate indicated only if illness and diarrhea continues
may give lomotil or imodium if no blood in stool or no fever
if febrile or blood in stoll, refer to MO for antibiotic and stool culture.

Front 10

Constipation
Can refer to:

Back 10

jardness and difficulty in defecation
feeling of imcomplete defecation
can present as an acute abdomen
can be caused by decrease in fluid intake in excess of two days causing a hard dry stool
normal defecation caries from TID to q 3days

Front 11

Constipation
Treatment

Back 11

Reeducate pt as to diet and fluid volumes
reestablish regular evacuation
have pt drink 6-8 glasses of water
metamucil 3 tbsp bid with plenty of water
never give a laxative if you suspect an acoute abdomen

Front 12

Inguinal Hernia
etiology

Back 12

can be congenital
caused from acute or chronic abdominal strain

Front 13

Inguinal Hernia
two types:

Back 13

Indirect- bowel protrudes through the exteral inguinal ring
Direct- bowel protrudes through the posterior wall of the inguinal canal

Front 14

Inguinal Hernia
S/S

Back 14

heavy dragging sensation in groin
local tenderness with sudden straining
may find large inguinal mass in exam of scrotum
thumb test hernia examination

Front 15

Inguinal Hernia
Treatment

Back 15

moist heat may provide some releif of discomfort
slight maneuver pressure for reduction (MO only)
always refer to MO for surgical consult