Digestive Flashcards
Acute gastritis
CI’d for Tx
Epigastric pain, abdominal distension
Drugs, illness, trauma
Chronic gastritis
Regional CI
Often asymptomatic. May have pain after eating, heartburn.
Peptic ulcer
Positioning concern
H pylori, drugs
Epigastric pain
Inflammatory Bowel Disease
Regional CI (trots)
Crohn’s disease and ulcerative colitis
Can affect multiple organ systems, causing arthritis, arthralgia, myalgia, obstructive pulmonary disease
Crohn’s disease
Form of inflammatory bowel disease
Multiple skip lesions that can appear in any part of GI tract
Most common ileum of SI, ileocecal
Scarring and thickening of the bowel.
Diarrhea malaise fever weight loss
Out of the inflammatory bowel diseases, which has more bloody pooh?
Ulcerative colitis
Out of the inflammatory bowel diseases, which is more painful?
Crohns
Ulcerative colitis
Broad area of mucosal ulceration ascending from colon.
Bloody diarrhea 20-30 times/day
Periods of remission
Nausea vomiting anorexia weight loss
Irritable bowel syndrome
Calming tx, nothing stimulatory
Aka spastic colon.
Motility disorder associated with anxiety, stress, depression.
Alternating constipation diarrhea
Food intolerance
Lower abdominal pain, relieved with BM
Feeling of incomplete evacuation bloating nausea
Diverticulosis
Outpourings in wall of colon or SI.
Diverticulitis
Inflammation of diverticula caused by food trapped becoming infected
Usually sigmoid colon
Low fibre, age, obesity
Diverticulitis Sx.
Episodic or constant and severe
Develops in LLQ or epigastric region
Pelvic pain in women
Back pain very common.
Board-like abdomen
Involuntary rigidity
Rigid upon palpation when knees and hips flexed.
Medical emergency
Poss peritonitis
Positive rebound test
Decreased pain with pressure at McBurney’s point (between right ASIS and navel), increased pain with release.
Possible appendix rupture.
TrPs in what muscle are related to constipation?
Iliacus
Abdominal pain decreases with crunch?
May be visceral. (Try rebound)
Abdominal pain increases with abdominal crunch?
Muscular
How to treat abdominal TrP
Stretch, not compression.
TrP in what muscles refer to belly?
QL
Iliocostalis thoracis
Multifidi
Progesterone and digestion
Increases transit time –> constipation
Gastrin
Stimulates digestion, mass movement
Enterogastrone
Decreases forward movement of chyme.
Released after eating fatty food.
Inhibits motility
When standing in normal lordosis, the psoas can…
Assist in lumbar extension
When bending forward, the psoas may affect the lumbar spine how?
Assisting with flexion
Iliopsoas TrP
Refer to low back (parallel to spine), groin, anterior thigh
Presentation of short iliopsoas
Stand with weight in uninvolved limb, slight hip flexion on affected side
Stand leaning toward involved side
Walk stooped with excess hip flexion and hyperextension of L spine. Head poked forward and up to compensate.
Gastritis
Inflammation of gastric mucosa
Deep erosion –> scarring
Acute or chronic
Epigastric pain nausea abdominal distension heartburn
Back and neck pain, headache
Gallbladder pain can refer to:
In between shoulder blades or tip of
R scapula, shoulder
Referral pattern of duodenal ulcer:
Mid back
Referral pattern of pancreatic pain
Left flank just below ribs
Cancer can radiate up back in between ribs.
Referral of kidney pain
Outer back above waist, groin, tip of penis, scrotum
Referral of large bowel pain
General LBP
