Chapter 40 Flashcards
Inflammation of the gastric or stomach mucosa
 gastritis
Vomiting of blood
Hematemesis
Bright red bloody stools
hematochezia
Tarry or black stools indicated of a cold blood stool
Melena
Acute gastritis is most often caused by what 4 things?
Aspirin
NSAIDs
corticosteroids
alcohol consumption
What auto immune disorders are associated with the development of chronic gastritis?
Hashimoto thyroiditis
Addison’s disease
Graves’ disease
Thin membrane that lines the inside of the wall of the abdomen
Peritoneum
What are symptoms of gastric/duodenal ulcers?
Pyrosis
Vomiting
Constipation or diarrhea
Bleeding
Many people have peptic ulcers with what types of symptoms?
Many people usually have no signs and symptoms
The patient reports severe, sharp upper abdominal pain which may be referred to the shoulder, what could this be?
Peptic ulcer perforation
What is the tx for peptic ulcers?
Combination of 2 antibiotics (amoxicillin and clarithromycin) and a proton pump inhibitor (omeprazole)
For 10-14 days
With peptic ulcers, what should the patient avoid?
NSAIDS
What is a minimally invasive surgery that involves indirect visualization of the abdominal cavity through the use of a laparoscope attached to a camera?
Laparoscopy
What would be symptoms of anemia due to GI bleeding?
Tachycardia
Hypotension
What are 2 major causes of upper GI bleeding?
Gastritis
Hemorrhage from peptic ulcers
Erosion of the ulcer through the gastric serosa into the peritoneal cavity without warning is called?
Perforation
Erosion of the ulcer through the gastric serosa into adjacent structures such as the pancreas or biliary tract is called?
Penetration
Gastric surgery is more common among what group of people?
Older adults (mean age of diagnosis is 68 years old)
What foods may increase the risk of gastric cancer?
Smoked, salted, or pickled foods
What type of cancer cells is normally associated with gastric cancer?
Adenocarcinomas
What are palpable nodules around the umbilicus called?
They’re a sign of GI malignancy, usually a gastric cancer
Sister Mary Joseph nodules
What May occur as a result of any surgical procedure that involves removal of a significant portion of the stomach or pylorus?
Dumping syndrome
Tumors of the sm intestines are more common among what group?
Older African American men
The most common primary malignant tumor of the sm intestines is what?
Adenocarcinoma
What blood type is at highest risk for peptic ulcer disease?
Type O
To manage dumping syndrome when should you incorporate fluids?
Between meals
A medication for gastric ulcers with H. Pylori that may cause a metallic taste in the mouth is called?
Metronidazole
When will you feel pain after eating with a duodenal ulcer?
2-3 hrs after meal
What procedure helps with the diagnosis of peptic ulcer disease?
Endoscopy
With advanced gastric cancer how may you feel after every meal?
Bloated
A total gastrectomy that results in low RBC count is given what?
Vitamin B12 injection
