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NPTE > GI > Flashcards

GI Flashcards

1
Q

Lower GI

A

small and large intestine

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2
Q

Gland organs

A

gallbladder
liver
pancreas

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3
Q

Rehabbing GI disease

A

recognize electrolyte imbalances
orthostatic hypotension
muscle cramping due to alteration in sodium-potassium pumps
difficulty swallowing secondary to disk protrusion or esophageal pathology
back pain or shoulder pain may be secondary to acute ulcer or GI bleed
Kehr’s sign=free air or blood within abdominal cavity

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4
Q

Rehabbing those with GERD

A

avoid certain exercise secondary to an increase in symptoms with activity
recumbency will induce symptoms
increased incidence of neck and head discomfort secondary to perception of lump in throat
left S/L preferred.
R S/L may promote acid flowing into esophagus
Chronic bronchitis, asthma, pulmonary fibrosis may all be present with GERD
tight clothing, exercise, constipation may all precipitate GERD
certain positioning during postural drainage may encourage acid into esophagus

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5
Q

Gastritis symptoms are similar to GERD but

A

higher intensity

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6
Q

Rehabbing patients with Gastritis

A

secondary from chronic NSAIDs and may be asymptomatic
blood in stool should result in physician referral
educate patients to take medications with food and avoid certain types of food and drink
patient should avoid all aspirin-containing compounds

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7
Q

Peptic ulcer disease is caused by

A

H. pylori
chronic NSAID use

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8
Q

Rehabbing those with Peptic ulcer disease

A

fatigue
pallor
exercise tolerance must be monitored for signs of bleeding
HR increase or BP decrease may be signs of bleeding
back pain is a sign of perforated ulcer in posterior wall of stomach
pain that radiates from midthoracic area to R upper quadrant and shoulder may signify blood and acid within peritoneal cavity secondary to bleeding ulcer

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9
Q

Conditions associated with diarrhea

A

IBS
hyperthyroidism
electrolyte imbalance
endocrine disorder
incomplete obstruction of the bowel
diverticulitis
certain meds
caffeine
diet
malabsorption
pelvic inflammatory disease

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10
Q

Conditions associated with constipation

A

MS
SC tumors
IBS
DMD
endocrine disorder
diverticulitis
inactivity
bowel obstruction or fecal impaction
pregnancy
CVA
certain meds

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11
Q

Malabsorption conditions

A

celiac
CF
pancreatic carcinoma
pernicious anemia
AIDS
Crohns
Addisons

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12
Q

Rehabbing those with malabsorption diseases

A

osteoporosis
pathologic fractures
fatigue level pallor
bone pain
exercise tolerance
weight loss and abdominal bleeding
muscle spasms secondary to electrolyte imbalance
generalized swelling secondary to protein depletion

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13
Q

Rehabbing those with IBS

A

physical activity to assist with bowel function and relieve stress
breathing techniques for stress management
biofeedback

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14
Q

Diverticulitis involves

A

both diarrhea and constipation

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15
Q

sxs diverticulitis

A

abdominal pain primary symptom
tenderness over L side of lower abdomen

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16
Q

Rehabbing those with diverticulitis

A

physical activity especially during times of remission
breathing
avoid intra-abdominal pressure exercises
back or hip pain can be referred

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17
Q

Viruses that can cause Hepatitis

A

Epstein-Barr
herpes I and II
varicella-zoster
measles

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18
Q

Hep A

A

close personal contact with fecal-oral route (food)
flu like
does not progress to chronic and can recover in 6-10 weeks

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19
Q

Hep B

A

sharing of needles, sex

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20
Q

Hep C

A

sharing of needles, sex
primary etiology of chronic liver disease and eventual liver failure
manifests as Hashimotos, diabetes and corneal ulceration

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21
Q

If exposed to hepatitis through blood or bodily fluids must receive…

A

immunoglobulin therapy immediately

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22
Q

What precautions should be followed at all times for protection against hepatitis?

A

standard

23
Q

What precautions should be followed for patients with hepatitis A and E?

A

enteric

24
Q

When treating someone with hepatitis, recognize that ___ may be present and they may not typically respond to traditional therapeutic intervention.

A

arthralgias

25
Q

What type of activities along with periods of rest should you do with someone with hepatitis?
Avoid prolonged …

A

balance
bed rest

26
Q

When rehabbing someone with cirrhosis of the liver, recognize that ___ may develop as well as fluid in ankles and feet.
Report any __ ____.
Avoid all activities that produce _____ ____.
Adequate ____.

A

ascites
blood loss
Valsalva maneuver
rest

27
Q

Gallbladder symptoms are in __ quadrant, with muscle guarding and what else?
Can radiate to

A

upper right
tenderness, rebound pain
interscapular region

28
Q

Implications for PT when pts are on antibiotics?

A

dermatologic and respiratory reactions
hypersensitivity

29
Q

Implications for PT when pts are on Anticholinergics?

A

changes in cognition
complaints of dry mouth, constipation, or urinary retention

30
Q

Implications for PT when pts are on Antiemetics?

A

sedative effects

31
Q

Visceral symptoms will refer to soft tissue within the same ____ the corresponds to organ’s spinal cord innervation.

A

dermatome

32
Q

Visceral pain is transmitted via autonomic nervous system and will be accompanied by

A

nausea
vomiting
pallor or sweating

33
Q

Gastric ulcer will display pain where?

A

L upper quadrant

34
Q

Hepatomegaly will display pain where?

A

R upper quadrant

35
Q

Perforated colon will display pain where?

A

L lower quadrant
and/or
L upper quadrant

36
Q

Kidney stone will display pain where?

A

R lower quadrant

37
Q

Ureteral stone will display pain where?

A

R lower quadrant

38
Q

Ileitis will display pain where?

A

L lower quadrant

39
Q

Duodenal ulcer will display pain where?

A

R upper quadrant

40
Q

Pneumonia will display pain where?

A

L upper quadrant
and/or
R upper quadrant

41
Q

Cholecystitis will dipslay pain where?

A

R upper quadrant
and/or
R lower quadrant

42
Q

sigmoid diverticulitis will display pain where?

A

L lower quadrant

43
Q

Meckel diverticulum will display pain where?

A

R lower quadrant

44
Q

Appendicitis will display pain where?

A

R lower quadrant

45
Q

Kidney stone will display pain where?

A

L lower quadrant

46
Q

Spleen injury will display pain where?

A

L upper quadrant

47
Q

Hepatitis will display pain where?

A

R upper quadrant

48
Q

Ureteral stone will display pain where?

A

L lower quadrant

49
Q

aortic aneurysm will display pain where?

A

L upper quadrant

50
Q

biliary stones will display pain where?

A

R upper quadrant

51
Q

Intestinal obstruction will display pain where?

A

L lower quadrant
and/or
R lower quadrant

52
Q

Mesentery

A

fold of peritoneum that carries blood vessels, lymph and attaches various organs to abdominal wall.

53
Q

Varices

A

large, swollen veins that develop in esophagus or stomach that cause internal bleeding

54
Q
A

NPTE (54 decks)

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