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Med Surg 1 > Upper Gastrointestinal Disorders > Flashcards

Upper Gastrointestinal Disorders Flashcards

1
Q

lips
- actinic cheilitis

A

squamous cell cancer precursor

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2
Q

mouth
- leukoplakia

A

white coating
cannot scrape

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3
Q

mouth
- lichen planus

A

precursor to cancer

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4
Q

mouth
candidiasis
stomatitis

A

do not want to drink/eat
give a numbing solution
- could bite into side of mouth

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5
Q

candidiasis is caused by

A

steroids
immunocompromised

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6
Q

stomatitis

A

sore in mouth

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7
Q

parotitis

A

inflammation of parotid

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8
Q

sialadentitis

A

inflam of salivary gland

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9
Q

who is parotitis and sialadentitis common in

A

elderly

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10
Q

neoplasm

A

cancer

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11
Q

achalasia

A

failure to move food or drink down

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12
Q

Salagen

A

artificial saliva

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13
Q

oral cancer risk factors

A

any form of tobacco
HPV infection
previous history of head and neck cancer

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14
Q

s/s oral cancer

A

painless mass/sore that does not heal
any lesion present more than 2 weeks
difficulty chewing/swallowing or speaking
enlarged cervical lymphnodes

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15
Q

prevention of oral cancer

A

HPV vaccination

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16
Q

treatment of oral cancer

A

surgery
- radical neck dissection
chemo
radiation

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17
Q

radial neck dissection

A

remove lymph nodes from jaw to clavicle and muscel

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18
Q

since they re removing muscle during a radical neck dissection they can have

A

shoulder droop

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19
Q

what should we watch out for post radical neck dissection

A

hemorrhage

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20
Q

signs and symptoms of hemorrhage

A

tachycardia
hypotension (late sign)
tachypnea
change in mental status
*high epigastric pain

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21
Q

what to do if possible bleeding

A

call for help
apply pressure

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22
Q

what do post op radical neck dissection patients need to avoid

A

bearing down
= increase pressure and could cause bleeding

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23
Q

chyle fistula

A

milky apperence out of JP drain
- lymph fluid

24
Q

Post op neck dissection how will we protect the airway

A

fowlers
assess for stridor/resp distress

25
what tubes will a patient have in after neck dissection
JP tubes
26
exercise to prevent shoulder droop on the neck dissection patent is important, when can they participate in these activities
when the drain is removed and when the incision is healed
27
hiatal hernia
opening in the diaphragm through which the esophagus passes becomes enlarged and part of the upper stomach tends to move up into the thorax
28
what are some signs and symptoms of hiatal hernia
heart burn and regurgitation
29
since the signs and symptoms of the hiatal hernia are heart burn and regurgitation we need to assess for what first
STEMI
30
management of hiatal hernia - meds
H2 receptor blockers
31
management of hiatal hernia - meals
small frequent meals
32
management of hiatal hernia - post meals
do not lie down 1 hour after meals
33
life style of the hiatal hernia is the same as what other condition
GERD
34
management of hiatal hernia - HOB
4-8 inches
35
GERD
backward flow (reflux) of gastrointestinal contents into the esophagus
36
GERD is associated with
barretts esophagus
37
barretts esophagus is a precursor to
esophageal cancer
38
GERD - diet therapy
avoid peppermint, alcohol, caffeine, beer, milk, soda, smoking
39
GERD - educational
lifestyle changes avoid drinking and eating 2 hours before bed weight management HIB elevated
40
GERD medications
antacids H2 blockers (Pepcid, Zantac) Proton pump inhibitors (Prevacid, Prilosec) prokinetic medications (Ragland)
41
antacids - action
reduce pH of stomach
42
antacids - frequency
2-3 hours before and after meals
43
antacids - concerns
altering acid-base balance if used excessively getting too much mag, sodium, calcium
44
antacids - drugs
maalox MOM sodium bicarb tums
45
histamine receptor antagonists - action
decrease acid production
46
histamine receptor antagonists - prescribed or OTC
OTC
47
histamine receptor antagonists - drug examples
Pepcid axid Tagamet Zantac
48
proton pump inhibitors - action
reduce gastric acid production for up to 24 hours
49
proton pump inhibitors - warning
do not crush
50
proton pump inhibitors - drugs
protonix nexium Prevacid
51
reglan - action
accelerate gastric emptying
52
reglan - s/s
extrapyramidal s/s
53
reglan - long or short term
not for long term use
54
cancer of the esophagus may be caused by
chronic irritation - GERD - smoking - alcohol - second hand smoke
55
esophageal cancer common complaint
dysphagia
56

Med Surg 1 (47 decks)

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