elim GI

Question 1

location
intensity
duration
radiating
alleviating aggravating

Answer 1

characteristics of pain

Question 2

0-5 Intensity and Duration

Answer 2

Pain

Question 3

sharp
stabbing
burning
itching
aching
bloating
cramping

Answer 3

quality

Question 4

Roux en Y gastric bypass

makes stomach small to hold less food and transport to small intestines, less calories & nutrients absorbed.

Answer 4

Bariatric Bypass Surgery

Question 5

Defecation thats difficult or less than normal

affected by diet, fluid intake, neurologic, hypothyroid med

Answer 5

constipation

Question 6

increase volume, fluid, frequency of feces

risk of dehydration, fluid/ electrolyte imbalance

leading cause of death in children, infectious/congenitial
allergy, lactose intolerance

Answer 6

diarrhea

Question 7

increase pulese, BP, dehydration, fever pain, rebound tenderness

risk factor: ab surgery, ectopic preg, perforation: trauam, ulcer, apendicitis

Answer 7

Peritonitis “Hot belly”

Question 8

mech block, failure to move feces through intestines

subsequent vomitting, pattern reflects parastalic wave

cancer,hernia, edema

Answer 8

intestinal obstruction

Question 9

agenesis, atresia, fistula, stenosis

Answer 9

anorectal malformation

Question 10

duodenum, illeum, jejunum, ileal or jejunal atresia

Answer 10

obstruction second to congenital formation

Question 11

most common congenital problem, pouch in lower intestines

painless bleeding lead to volvulus obstruction

Answer 11

meckel’s diverticulum

Question 12

twisted bowel leads to obstruction

occurs during fetal dev

Answer 12

intestinal malrotation

Question 13

engorgement, edema, vascular compression, can cause gangrene

90% of infant obstruction mostly occur before 2

Answer 13

intussusception

Question 14

congenital obstruction inhibits normal motility

constipiation can work around block

Answer 14

Hirschsprung disease

Question 15

decrease blood flow to bowel leads to inflammation and bacterial infetion

bowel ischemia with necrosis and perforation

preterm infant

Answer 15

necrotizing enterocolitis

Question 16

ulcerative colitis

crohns disease

diverticular disease

Answer 16

inflammatory bowel disease

Question 17

inflammation of sigmoid/rectum

autoimmune in young females, white/jews

mucosal destruction w/ edema, abscess, bleeding, cramp, diarrhea, necrosis

risk in colon cancer

Answer 17

ulcerative colitis abrupt onset

Question 18

autoimmune inflammation effects small/large intestines

diarrhea, weight lose, abscess, fistula

Answer 18

crohns disease

Question 19

sharp burning pain LLQ, w abnormal bowel, hypersensitive bowel

no bleed, fever or weightloss,

maybe bacteria or food,

Answer 19

irritable bowel syndrome- unknown cause

Question 20

hypertrophy and pressure cause herniation

cause: low residue diet

Answer 20

diverticular disease (general)

Question 21

fistulas lead to abscess, perforation and peritonitis

tender, pain, fever, diarrhea, constipation, distention

Answer 21

diverticulitis

Question 22

Most common surgical emergency/ young adult

infection cause inflammation, ischemia then necrosis due to edema and inflam

gangrene then perforation occur

Answer 22

Appendicitis

Question 23

Intenstinal Obstruction, inguinal, umbilical

Answer 23

Hernia

Question 24

neuromuscular mech to transit parastalsis

SP surgery, neurologic problem, peritonitis, meds

intestinal obstruction

Answer 24

paralytic ileus

Question 25

familial congenital, precursor to colom cancer

Answer 25

polyps

Question 26

varicose vein in rectum,

risk: childbirth pressure, liver disease, can bleed

Answer 26

hemorrhoids

Question 27

develop from polyps

Answer 27

colon cancer

Question 28

HPV immunosuppress

Symptom: pain/itch, bleeding, change in bowel, lump, discharge

Answer 28

anal cancer