Digestive System-Patho Flashcards
Ulcers (esophageal, gastric, duodenal AKA peptic)
When the protective lining of the stomach breaks down the lining is prone to ulceration. Epigastric pain, heartburn, indigestion. Breakdown of the mucosa and increased acid production cause ulcers. Iron deficiency, anemia, blood in stool. Treat with drug therapy
Gastritis
Inflammation of the lining of the stomach. it may be acute or chronic, epigastric pain, indigestion, vomitting, nausea and anorexia. Etiology: stress, medication irritating mucous lining. Treat the signs and symptoms, Take antacids, bland diet.
Gastric Cancer
Often asymptomatic, Gastric cancer is a lesion confined to the mucosa and submucosa, the developed cancer is the muscularis layer. Indigestion, discomfort, vomiting, anorexia. Take an EGD and biopsy, treat with a gastrectomy
Colorectal Cancer
Deveral forms of cancer that develpoed in the colon or rectum. Occurs in people 55 or older, history of polyposis, or ulcerative colitits, diet. Positive result in a guaiac test for occult blood is the only sign. Rectal exam, sigmoidoscopy, ct scan. SURGERY
Stages of Cancer
Stage one: has not penetrated the mucosal layer
Stage two: into the muscle wall
Stage three: involves nearby lymph nodes
Hemorrhoids
The veins in the rectal and anal area become varicosed as a result of constipation, straining, pregnancy or obesity. Do a visual inspection or a proctoscopy. H&H (hemoglobin and Hematocrit) may indicate anemia. Bright red blood in stool, protrude through anus. Take stool softners
Ascariasis (Round worm)
source of infection s fecal to contamination of soil with the mouth being the portal entry. Immature eggs in stool. Stools for OP (ovum parasite) and take antihelmintics
Enterobiasis (Pin worm)
Eggs from contaminated items, eggs into mouth, have itching around anus. Take an antihelmntics and do the tape test or stool for OP (ovum parasites)
Giardiasis lamblia (Giardia)
Flagellated protozoa. known as travelers diarrhea, Resists chlorination and cold but not freezing. Mucous diarrhea, abd pain and wight loss. Take a antihelmintic
E Coli (Escherichia)
Normal flora. Do a stool specimen for a CNS (culutral and sensitivity) Elevated wbc and take antibiotics
Salmonella
diarrhea, abd pain, vomit fever, keeps eggs and meats in fridge, wash hands, use different utensils and discard cracked or dirty eggs.
Hiatal Hernia
condition in which a portion of the stomach protrudes upward into the chest through an opening in the diaphrgm
Barrett’s Esophagus
Pre cancer, tissue lining the esophagus is replaced by tissue that is similar tot he intestinal lining. EGD, biopsy. Ablative therapy ( burn bad tissue)
Cholelithiasis
Gallstones
Female, forty, fetal, fat
do a cholecystogram
Beriatric surgery
Adjustable gastric banding