Inflammatory Disorders of the GI Tract Flashcards
two types of inflammatory bowel diseases
chrons disease
ulcerative colitis
what is the cause of inflammatory bowel disease
unknown
chrons disease apperence in the bowel
cobblestone
why will chrons disease have bowel obstructions
due to lumen narrowing
chrons disease
- definition
subacute and chronic inflammation of GI tract extending though all layers
is chrons disease the same or does it vary
it varies through remissions and exacerbations
chrons disease
- where will it affect
any part of GI tract (from mouth to anus)
chrons disease
- fast or slow progressive
slowly progressing
is chrons disease diasabiling
yes
chrons disease
- clinical manifestions
- systemic
low grade fever
weight loss
chrons disease
- clinical manifestations
- GI related
diarrhea (multiple episoides)
abdominal pain
steatorrhea
abcess and fistulas
chrons disease
where is the abdominal pain
right lower quadrant
chrons disease
abdominal pain and relief with eating
crampy pain after eating
chrons disease
weight loss is secondary to pain associated with
eating
chrons disease
- steatorrhea
fatty stools
complications of chrons disease
colon cancer
intestinal obstruction
chrons disease
- diagnostics
CT scan
MRI
CBC
Albumin
Protein levels
C reactive protein
what does C reactive protein
inflamattory marker
chronic inflammation
chrons disease
medical management
steroids
chrons disease
why do we need to be careful with steroids
develop gastritis
ulcerative colitis
chronic ulcerative and inflammatory condition of the colon
ulcerative colitis
- why do they have blood
the intestine is shedding the lining
does ulcerative colitis stay the same or get better
exacerbations and remissions
ulcerative colitis
- type of diarrhea
crampy
6 or more bloody stools per day
why might ulcerative colitis have anemia/fluid/electrolyte issues
loosing blood and loosing fluids through diarrhea
ulcerative colitis
- complications
perforation/peritonitis
bleeding
osteoporosis (decrease bone mass and steroid use)
ulcerative colitis
- medical management
aimed at reducing inflammation and immune response, resting bowel and improved quality of life
medical management of IBD
surgery
- colectomy
- ileostomy
pre op IBD
pre surgery antibiotics (reduce bacterial load)
WOC consult
bowel prep
emotional support
pain and nutritional management
post op IBD
nutrition
Mobilize
incentive spirometer
surgical site and abdominal assessment
stony assessment and care
supporting positive body image
how should the stoma look
beefy red moist
