MDC2 Lower GI

Question 1

What is a mechanical intestinal obstruction?

Answer 1

bowel is blocked by problems outside the intestine

Question 2

What causes a mechanical obstruction?

Answer 2

adhesions
hernias
intussusception
volvulus

Question 3

What is a nonmechanical intestinal obstruction?

Answer 3

peristalsis issue (intestines not moving to promote elimination)

Question 4

What causes a nonmechanical obstruction?

Answer 4

post-operative ileum (POI)

Question 5

What do you do when the patient comes with a suspected bowel obstruction?

Answer 5

Keep NPO!

Question 6

signs and symptoms of an intestinal obstruction

Answer 6

vomiting, mid-abdominal pain (mechanical), obstipation, cramping, abdominal distension, absent bowel sounds below the obstruction

Question 7

What is the treatment for an intestinal obstruction?

Answer 7

NG tube, isotonic IV solutions, enema, and POI may be given alvimopan, exploratory laparotomy

Question 8

What is irritable bowel syndrome (IBS)

Answer 8

GI disorder where a patient experiences recurrent diarrhea, constipation, abdominal pain, bloating

Question 9

What causes it?

Answer 9

The cause is unknown but IBS flares have been known to be caused by caffeinated beverages and dairy

Question 10

signs and symptoms of IBS

Answer 10

Fatigue, malaise, abdominal pain, changes in bowel patterns