Chapter 49: Intestinal/ Bowel Disorders Flashcards

1
Q

Which bacteria may cause gastroenteritis?

A

Shigella species

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2
Q

which quadrant is Appendicitis?

A

right lower quadrant pain

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3
Q

Norovirus

A

also known as Norwalk-like viruses, causes gastroenteritis and is
transmitted through the fecal-oral route and possibly the respiratory route.

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4
Q

McBurney Point

A

is associated with later stage of appendicitis.

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5
Q

Blood cultures are
performed to determine …

A

whether septicemia has occurred.

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6
Q

early symptoms of gastroenteritis.

A

Nausea and vomiting are usually the first symptoms in a patient who has gastroenteritis, followed by diarrhea and abdominal cramping.

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7
Q

Diphenoxylate
hydrochloride

A

Diphenoxylate
hydrochloride with atropine sulfate reduces gastrointestinal motility in the patient, thereby reducing the symptoms. This medication, however, may
contribute to drowsiness and falls in older adults.

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8
Q

Loperamide

A

Loperamide has antiperistaltic action and is occasionally prescribed for
patients with gastroenteritis.

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9
Q

enterovesical fistula

A

A fistula that is present between the bowel and bladder is referred to as an enterovesical fistula.

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10
Q

enteroenteric fistula

A

A fistula that is present between two segments of bowel is called an enteroenteric fistula.

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11
Q

Which complication is seen in patients with a history of having
ulcerative colitis for 10 years or greater?

A

Colorectal cancer

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12
Q

Which complication is commonly seen in Crohn’s disease?

A

Fistulas

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13
Q

Vedolizumab

A

Vedolizumab is an intestinal-specific leukocyte traffic inhibitor. It prevents
the migration of WBCs to inflamed bowel tissue.

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14
Q

Which diagnostic test is preferred to differentiate between
ulcerative colitis and Crohn’s disease?

A

Xray with barium enema

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15
Q

Infliximab

A

Infliximab is recommended for the treatment of Crohn’s disease. Infliximab is
contraindicated in patients with heart disease because it worsens the
symptoms.

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16
Q

how to manage diverticulitis

A

The most effective way to manage diverticulitis is with a low-fiber diet while
inflammation is present, followed by a high-fiber diet once the inflammation
has subsided.

17
Q

surgical treatment for UC (ulcerative colitis)

A

Restorative proctocolectomy with ileo pouch-anal anastomosis (RPC-IPAA)
has become the gold standard for patients with UC.