12A: GI Flashcards
What are signs and symptoms of GI disease?
Nausea, vomiting, diarrhea, constipation, dysphagia, heartburn, pain, GI bleeding, fecal incontinence
What is the cause of nausea?
Nerve endings in stomach are irritated
What are the four signs of a GI bleed?
- Coffee ground emesis
- Hematesis
- Melena
- Hematochezia
What is coffee-ground emesis?
Vomiting of blood that is dark brown
What is hematesis?
Vomiting bright red color
What is melena?
Dark and tarry stools
What is hematochezia?
Bleeding from rectum
What are major causes of GI bleeds?
- Severe gastritis
- Peptic ulcers
- NSAIDs
- Chronic ETOH
- Anticoagulants
What is a hiatal hernia?
Lower part of esophagus at stomach migrates up into thoracic cage
What should you avoid with hiatal hernias?
- Supine
- Valsalva
What is GERD?
Gastric acid reflux into esophagus
What is the difference between reflux, indigestion, and GERD?
Reflux/indigestion = occasional
GERD = chronic, structural damage to esophageal lining
What is the cause of GERD?
Low pressure of LES - slower GI motility gives esophagus longer exposure to acids
What are signs of GERD?
Heartburn, irritability, refusal to feed, dysphagia, cough
What aggravates GERD symptoms?
Recumbency, bending, meals
What can GERD lead to?
Laryngitis, morning hoarseness
How is GERD diagnosed?
Barium swallow, endoscopy
What is GERD linked to?
Development of esophageal cancer
What are interventions for GERD?
- Antacids, meds
- Surgery to tighten sphincter
- Supine positioning