GI 1 Flashcards
symptoms include reflux, heartburn, feeling full, bleaching, indigestion, substernal chest pain
hernia
wear a devise to check ph
ambulatory espohageal pH monitoring
NPO, numb throat
upper endoscopy
lab and diagnostic tests for endoscopy
RBC, hemoglobin, hematocrit, serum and pre albumin, AST, ALT, and ALP
GI hernia meds
antacids, histamine 2, H2 recepter blockers, PPI
GI hernia medical management
restrict certain foods, small frequent meals, don’t lay down after eating
mild to severe heartburn, sour taste in mouth, regurgitation, coughing, belching, chest pain, asthma or cough
GERD
most common GERD procedure
Nissen fundoplication
if chronic heartburn is not properly treated it can increase the risk for
esophageal cancer
risk factors for gastric and duodenal ulcers
NSAIDS, cigarette smoke, ETOH
when removed stomach why do you need B12 shots
lack of intrinsic factor
RLQ pain, rebound tenderness, guarding
appendicitis
impairment of the forward movement of intestinal contents
intestinal obstruction
abnormal saclike outpouchings of intestinal wall and can occur anywhere in the GI tract except rectum
diverticular disease (diverticulosis and diverticulitis)
IBS that is limited to intestine (colon and rectum)
ulcerative colitis
IBS that is inflammation and may develop anywhere in the GI tract. May appear in patches commonly at the end of the small intestine
Chron’s disease
in ulcerative colitis symptoms develop
over time rather than suddenly
disease that usually affects the jejunum and ileum
chrone’s disease
heartburn, sour taste in the morning, regurgitation, laughing, belching, chest pain (atypical are asthma or cough)
GERD
factors that contribute to GERD
obesity, pregnancy, hiatal hernia
GERD lab and diagnostic procedures
upper endoscopy, esophageal pH, and barium studies
GERD meds
antacids, histamine 2 receptor blockers, PPI, Reglan (don’t use long term)
most common GERD surgery
Nissen fundoplication
GERD lifestyle changes
tight fitting clothing, obesity, meds, H. Pylori, too much exercise, wrong posture, smoking, pregnancy, hernia