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12 Cards in this Set
- Front
- Back
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Organic Vs. Functional GI Disorder:
Caused by bacteria or other infectious agents we can isolate Structural changes we can see on X-ray or endocsopes Inflammation visible on biopsy Abnormal serum laboratory tests |
Organic GID
This is stuff we can see or use lab tests to prove! |
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Do FGIDs often lead to more serious conditions such as intestinal bleeding or cancer?
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No
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Organic Vs. Functional GI Disorder:
No known physical cause No physical findings Symptoms are REAL and cause pain or interfere with patient's life Stress or emotional factors can make symptoms/frequency worse |
Functional GI disorders
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Organic Vs. Functional GI Disorder:
Causes: -Disturbance of normal activity and function of gut -Increased sensitivity to what's going on in gut and abdomen - GI reaction to "triggers" like foods, hormones, stress, psychological problems -Problems related to mind-body (brain-gut) connection |
Functional GI disorders
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OGID vs FGID:
Peptic Ulcer Dz |
Organic!
Caused by H. pylori |
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OGID vs FGID:
IBS |
Functional!!
-mostly women -1 in 5 people in US -multiple triggers |
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This model takes into account all aspects of a patients life (including childhood, physiology, stress/disease, social activities) when you examine their symptoms
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Biopsychosocial
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Do factors such as stress and relationships affect GI physiology?
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Yes
Often stress can exacerbate FGID symptoms |
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What is the BEST approach when assessing a patient with a FGID
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ASK about it! Then LISTEN
Ask questions and try to understand the patient's feelings, point of view, health and social history |
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What is the most common FGID?
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IBS
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What is the superior treatment plan for FGID?
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Combining cognitive behavioral therapy with medical therapy
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What is cognitive behavioral therapy?
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Therapy aimed at changing behavior to improve health and coping
-Change thought patterns that trigger gut reactions -Relaxation training (Deep Breathing) |
