GI Disorders Flashcards
Pinworms is caused by…
enterobius vermicularis
Pinworms are the…
most commo worm infestation in US
- greatest in 5-14 YO
Signs and symptoms of pinworms:
- minor: asymptomatic
- nocturnal pruritus (most common)
- major: abdominal pain, insomnia, anorexia, diarrhea
How to confirm pinworms:
- nighttime perianal or perineal itching in a child
- visual inspection for adult worm
- cellophane tape or adhesive paddle test
Non-pharmacologic therapies for pinworms:
- personal hygiene
- hot cycle for washing clothes
- bathe daily
- clean and vacuum house daily
Pharmacologic therapies for pinworms:
pyrantel pamoate (Pin-X, Pyrantel) - max single dose: 1 g
Side effects of pyrantel pamoate:
- nausea
- vomiting
- anorexia
- diarrhea
- abdominal cramps
Anorectal disorders are located at…
- perianal canal
- anal canal
- lower area of rectum
Most common anorectal disorder:
- hemorrhoids
- pruritus
Signs and symptoms of anorectal disorders:
- itching
- discomfort
- burning
- inflammation
What are the internal hemorrhoid grades?
they go from 1-4
Grade 1 for internal hemorrhoid grades:
hemorrhoids enlarge but do not prolapse into anal canal
Grade 2 internal hemorrhoid grades:
hemorrhoids protrude into anal canal and return spontaneously on defecation
Grade 3 internal hemorrhoid grades:
hemorrhoids protrude into the anal canal on defecation but can be returned to their original position manually
Grade 4 internal hemorrhoid grades:
hemorrhoids are permanently prolapsed and cannot be reintroduced into anus