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18 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Acute IBD includes |
Appendicitis Peritonitis Gastroenteritis |
GAP |
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Chronic IBD includes? |
Ulcerative Colitis Crohn's Disease Diverticulitis |
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Appendicitis? |
Inflammation of appendix - obstruction Increased risk in adolescents/young adults |
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Peritonitis? |
Inflammation of peritoneum - infection of -puncture (surgery/trauma) -septicemia -rupture of part of GI tract |
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Gastroenteritis |
Inflammation of stomach/small intestines -due to infection: Vomiting, watery stools risk for impaired nutrition, F/E imbalance |
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Characteristics of chronic IBD? |
-recurrent inflammation of intestinal tract, autoimmune disorder psychological stressors Crampy abdominal pain Diarrhea (acute exacerbation) Exacerbation/remissions (flare-ups) |
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Ulcerative Colitis patho? |
Inflammatory process affects mucosa/submucosa of colon/rectum -diffuse inflammation of intestine mucosa -abscess formation Leads to mucosal ulceration/bleeding,necrosis -fibrosis/narowing of lumen |
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Crohns Disease Patho? |
Affects segmental areas song entire wall of GI tract Common in distal ileum -cobblestone granulomas, skip lesions -All layers may be affected - advanced disease: lesion sporadic/fistulas common |
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Ulcerative Colitis signs/symptoms?
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Bloody diarrhea Abdominal pain (LLQ) High Pitched Bowel Sound Firm upon palpation Fever, anorexia, weight loss Malnutrition/dehydration Emotional depression |
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CHROHNS DISEASE SIGNS/symptoms? |
Diarrhea w/o blood Steatorrhea/fat soluble vitamin deficiency Development of gluten intolerance Abdominal pain/tenderness (Weakness, wt. loss, anemia, fever)
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Complications of IBD? |
Chronic anemia Arthritis Bowel perforation, fistula formation Skin, eye, liver and renal diseases High risk of colon cancer Increased risk of sm. Intestine cancer w/ Chrohns |
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UC/CD DIAGNOSTIC TESTS? |
Sigmoidoscopy/colonoscopy Capsule endoscopy Abdominal X-Ray Barium enema (ulcerative colitis) |
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UC/CD LAB TEST results? |
Both: Increased WBCs, ESRs, platelets Deceased serum electrolytes, albumin Occult blood (C+S) |
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Medical management CD? |
Intestinal resection with anastomosis |
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UX/CD dietary interventions? |
NPO w/ IV during exacerbation -Low residue, lactose free, elemental diet -high protein, vitamin, calorie |
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5-Aminosalicylates (5-ASA)? |
- Oral Anti inflammatory Sulfasalazine - azulfidine (Sulfa allergy?) Urine/skin = Brown/yellow |
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UC/CD antimicrobial agents? |
Cipro - ciprofloxacin Flagyl - metronidazole |
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Medical management UC? |
Total protocolectomy w/ permanent ileostomy Total colectomy w/ ileal pouch |
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