Assessment and Diagnostics for Gastrointestinal Disorders (Online Lecture)

Question 1

where does the GI tract start and end

Answer 1

mouth
anus

Question 2

peristalsis

Answer 2

propels food through the tract

Question 3

accessory organs

Answer 3

liver
gallbladder
pancreas
bile ducts
vasculature

Question 4

SNS action on GI

Answer 4

inhibitory effect

Question 5

PNS action on GI

Answer 5

peristalsis
- rest and digest

Question 6

function of GI tract

Answer 6

• breakdown of for for digestion
• absorption of nutrients
• elimination of undigested foodstuff or other waste products

Question 7

upper GI bleed appearance

Answer 7

dark red

Question 8

lower GI bleed apperence

Answer 8

bright red

Question 9

assess medications

Answer 9

NSAIDS
ASA
antihypertensive
laxative

Question 10

assess current state of health

Answer 10

nasuea
vomitting
diarrhea
constipation
indigestion
swallowing
pain

Question 11

assess previous health

Answer 11

past GI illness
ulcers
gallbladder disease
IBS
GERD
GI Bleed
abdominal trauma

Question 12

order of assessment for the abdomen

Answer 12

inspection
auscultation
percussion
palpation

Question 13

emergency signal

Answer 13

• abdominal pain that is progressive or severe
• severe pain with guarding
• acute pain in elderly
• vomit with fresh blood
• bloody tarry stools
• abdominal tenderness with rigidity
• rebound tenderness
• fever
  -hypotension
• dehyration
• tachycardia

Question 14

Lab studies
- CBC

Answer 14

H&H
platelet

Question 15

Lab studies
- CMP

Answer 15

BUN
CR
Electrolytes
albumin
protein levels

Question 16

Lab studies
- PT/PTT

Answer 16

bleeding

Question 17

Lab studies
- triglycerides

Answer 17

fatty liver
pancreatitis

Question 18

Lab studies
- liver function test

Answer 18

cirrhosis
hepatitis
alcoholic

Question 19

C diff can occur if taking

Answer 19

antibiotics

Question 20

occult blood testing

Answer 20

blood in still that cannot be seen

Question 21

ultrasound pros

Answer 21

noninvasive
risk free
quick
no contrast
low cost

Question 22

when doing an upper/lower GI tract study we use

Answer 22

contrast

Question 23

Lower GI tract studies contraindications

Answer 23

active inflammatory disease of colon
obstruction or suspected perforation
active GIB (GI bleed

Question 24

MRI you need to assess for

Answer 24

metal devices

Question 25

can a upper GI endoscopy be bedside

Answer 25

yes

Question 26

upper GI endoscopy
-NPO and if not what else

Answer 26

Yes, if emergency an NG tube and stomach contents suctioned

Question 27

upper GI endoscopy
- assess for what post op

Answer 27

VS
oxygen
pain
gag reflex!! (will stay NPO until this returns)

Question 28

colonoscopy
- bowel prep

Answer 28

laxatives
enemas