for final G.I. Pathophys Flashcards
pain in the LLQ could mean what?
diverticulitis, bowell obstruction or IBD
pain in the epigastric region could mean?
gall bladder stuff, peptic ulcer, pancreatitis, GERD would be a little higher
pain in the RLQ could mean?
appendix or bowell obstruction, or IBS
pain in the RUQ could mean
peptic ulcer, liver, gall bladder, right kidney, pancreas
what is the most valuable diagnostic for celiac disease?
IgA antibody testing
gluten sensitivity
what is the most common GI disorder in US
GERD
bacteria are an important element of the digestive tract?
true!
your patient has cirrhosis and esophageal varices and their SBP has decreases from 132 to 110 and their heart rate has increased from 84 to 108. what is likely happening
upper GI bleed
esophageal varices is a problem with arteries or veins?
with veins
caused by portal hypertension, because the liver becomes so fibrotic and hard that pressure builds up
then when they rupture, it acts similar to an artery because of the high pressure
“abd pain, bloating, visual changes, & bone pain,” weight loss and possible autoimmune hypersensitivity disorder? what could it be?
celiac disease
vitamin A deficiency, vitamin B for bone pain
problem with nutritional absorption
what are the most common causes of pancreatitis
gallstones and alcohol abuse
its inflamed and irritated because it is having to absorb and digest lots of amounts of one thing
cobblestone or skip legions
weight loss
fatigue
exarcebations and remissions
Crohn’s disease
what organ is involved with jaundice?
liver
buildup of bilirubin
red blood cell destruction can also cause this
dilated veins visible at umbilicus
caput medusa
fine capillaries that fan out from a central point on skin
spider angiomas
itching of pts skin
peritis
enlarged fluid filled abdominal cavity
ascites – advanced livers disease
nurse suspects hepatic encephalopathy in a patient with sever liver dysfunction. Which symptom supports the nurse’s conclusion
change in personality/LOC –> because of buildup of ammonia
blood in stool might be
rupture esophageal varices
due to low levels of coagulation factors, patients with cirrhosis are at risk for which of the following?
spontaneous bleeding
what does it mean when someone vomits bright red blood?
the blood hasn’t mixed with bile and the other gastric contents
if it looks like coffee grounds, then it has probably gotten into the stomach
which of the following contributes most to complications associated with GI bleeding?
A) patient age
B) recent gastric ulcer
C) sodium levels
D) amount of blood loss
amount of blood loss
name some agents that cause injury to the stomach or mucosal lining?
NSAIDS ibuprofen, aspirin
alcohol
which conditions will most likely present with an elevated WBC level?
A) appendicitis
B) IBS
C) Diverticulitis
appendicitis and diverticulitis
what is the most common complication of esophageal varices?
hemorrage
who is at risk for esophageal varices
pts with liver disease, especially those with portal vein hypertension
what is the pathology of hyperbilirubinemia
excessive RBC hemolysis
in liver disease there is low albumin. what is the consequence and complication of low albumin levels?
clotting deficiency and low oncotic pressure
cullen sign and grey turner sign
acute pancreatitis
Non alcoholic fatty liver disease and alcohol induced liver disease are basically the same thing (T/F)
false
*they both cause liver problems, but not the same
