GI Disorders Flashcards

1
Q

Pinworms is caused by…

A

enterobius vermicularis

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2
Q

Pinworms are the…

A

most commo worm infestation in US

- greatest in 5-14 YO

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3
Q

Signs and symptoms of pinworms:

A
  • minor: asymptomatic
  • nocturnal pruritus (most common)
  • major: abdominal pain, insomnia, anorexia, diarrhea
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4
Q

How to confirm pinworms:

A
  • nighttime perianal or perineal itching in a child
  • visual inspection for adult worm
  • cellophane tape or adhesive paddle test
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5
Q

Non-pharmacologic therapies for pinworms:

A
  • personal hygiene
  • hot cycle for washing clothes
  • bathe daily
  • clean and vacuum house daily
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6
Q

Pharmacologic therapies for pinworms:

A
pyrantel pamoate (Pin-X, Pyrantel)
- max single dose: 1 g
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7
Q

Side effects of pyrantel pamoate:

A
  • nausea
  • vomiting
  • anorexia
  • diarrhea
  • abdominal cramps
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8
Q

Anorectal disorders are located at…

A
  • perianal canal
  • anal canal
  • lower area of rectum
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9
Q

Most common anorectal disorder:

A
  • hemorrhoids

- pruritus

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10
Q

Signs and symptoms of anorectal disorders:

A
  • itching
  • discomfort
  • burning
  • inflammation
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11
Q

What are the internal hemorrhoid grades?

A

they go from 1-4

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12
Q

Grade 1 for internal hemorrhoid grades:

A

hemorrhoids enlarge but do not prolapse into anal canal

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13
Q

Grade 2 internal hemorrhoid grades:

A

hemorrhoids protrude into anal canal and return spontaneously on defecation

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14
Q

Grade 3 internal hemorrhoid grades:

A

hemorrhoids protrude into the anal canal on defecation but can be returned to their original position manually

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15
Q

Grade 4 internal hemorrhoid grades:

A

hemorrhoids are permanently prolapsed and cannot be reintroduced into anus

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16
Q

Non-pharmacologic therapies for hemorrhoids:

A
  • diet changes
  • avoid lifting heavy things
  • increase dietary fiber
  • proper bath habits/hygiene
17
Q

If you have a hemorrhoid, you should avoid…

A
  • alcohol
  • caffeine
  • citrus fruits
  • fatty foods
18
Q

Pharmacologic treatments for hemorrhoids:

A
  • local anesthetics
  • vasoconstrictors
  • protectants
  • astringents
  • keratolytics
  • analgesics, anesthetics, antipuritics
  • corticosteroids
19
Q

Examples of local anesthetics:

A
  • benzocaine
  • dibucaine
  • lidocaine
20
Q

Examples of vasoconstrictors:

A
  • ephedrine sulfate

- phenylephrine hydrochloride

21
Q

Examples of protectants:

A
  • cocoa butter
  • glycerin
  • lanolin
  • white petrolatum
22
Q

Examples of astringents:

A
  • calamine
  • zinc oxide
  • witch hazel
23
Q

Examples of keratolytics:

A
  • alcloxa

- resorcinol

24
Q

Examples of analgesics, anesthetics, antipuritics:

A
  • menthol
  • camphor
  • juniper tar
25
Q

Examples of corticosteroids:

A

hydrocortisone

26
Q

Non-pharmacologic treatments to nausea and vomiting in pregnancy:

A
  • take prenatal vitamins
  • get out of bed slowly
  • smaller meals
27
Q

Pharmacologic treatments for nausea associated with motion sickness:

A

antihistamines such as cyclizine, dimenhydrinate, diphenhydramine, meclizine, doxylamine

28
Q

Clinical presentation of acetaminophen poisoning:

A
  • has delayed effect

- 3-5 days after intake and can have severe hepatic and renal toxicity

29
Q

Clinical presentation of ibuprofen poisoning:

A
  • nausea
  • vomiting
  • abdominal pain
30
Q

Clinical presentation of diphenhydramine poisoning:

A
  • sedation or stimulation
  • tachycardia
  • hypertension
  • dry mouth
  • dilated pupils
31
Q

Clinical presentation of aspirin:

A
  • have effects on multiple organs
32
Q

Pharmacologic therapy for poisoning:

A

1 dose of 1g/1kg of activated charcoal within 1 hour

- can cause vomiting or black stools

33
Q

Referral criteria for poisoning:

A
  • CNS depression
  • convulsions
  • absent or poor gag reflex
  • debilitation or advanced age
  • suspected suicide attempt
  • suspected abuse
34
Q

Specifically for treating hemorrhoids, you should use…

A

preparation-h