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What is gastritis? - CORRECT ANSWER-Inflammation of the stomach lining. The
lining will be red and inflamed and irritated
What are the causes of gastritis? - CORRECT ANSWER-Ingestion of irritating
substances such a alcohol, aspirin, NSAIDS, viruses and bacteria
What are complications of GERD? - CORRECT ANSWER-Barrett's esophagus where
columnar tissue replaces normal squamous tissue in the distal esophagus that
carries a high risk for cancer. Progression can lead to ulcers and scarring.
Esophageal strictures, pulmonary symptoms such as cough, asthma and laryngitis
from reflux in breathing passages.
What are the signs and symptoms of peptic ulcer disease? - CORRECT ANSWER-
epigastric burning pain that is usually relieved by food or antacids (gastric ulcers
present on empty stomach but can be after food, duodenal ulcers present 2-3
hours after food and is relieved by food). Can also be life threatening as GI
bleeding can occur without warning and cause a drop in H/H and dark tarry stools
and hematemesis.
What is the role of H.pylori in peptic ulcer disease? - CORRECT ANSWER-promotes
both gastric and duodenal ulcer formation and thrives in acidic areas. It slows
,down ulcer healing and can reoccur frequently, and taking it away can help ulcers
heal.
What is pseudomembranous colitis?(C.diff) - CORRECT ANSWER-acute
inflammation and necrosis of large intestine. The intestinal lining cannot absorb
well.
What is the cause of pseudomembranous colitis? - CORRECT ANSWER-clostridium
difficile, exposure to long term antibiotics that off set the e.coli and c.diff balance
in intestine
What are the manifestations of pseudomembranous colitis? - CORRECT ANSWER-
foul smelling/bloody stool, abdominal pain, fever, leukocytosis, sepsis, colonic
perforation.
What is GERD? - CORRECT ANSWER-the back flow of gastric contents into the
esophagus through the lower esophageal sphincter. The inflammation occurs
from the reflex of highly acidic stomach acid that comes up.
What are the causes of GERD? - CORRECT ANSWER-Any condition or agent that
alters closure of the lower esophageal sphincter or increases in abdominal
pressure, fatty food, caffeine, large amounts of alcohol, smoking, pregnancy and
anatomical features like hiatal hernia
How do we treat pseudomembranous colitis? - CORRECT ANSWER-stop current
antibiotics, treat ischemia and contributing conditions, give oral antibiotics like
metronidazole or vancomycin, fecal transplant or colectomy if severe
, How do we prevent the spread of pseudomembranous colitis? - CORRECT
ANSWER-wearing appropriate PPE and washing hands with soap and water only
What are the signs and symptoms of appendicitis? - CORRECT ANSWER-
Periumbilical pain, RLQ pain, presence of a positive McBurneys point with pain,
nausea, vomiting, fever, diarrhea, RLQ tenderness, systemic signs of infection
How do we assess for appendicitis? - CORRECT ANSWER-McBurney's point
technique when pressing on the belly button and RLQ hip region and removing
the pressure causes intense pain, indicates positive appendicitis
What is a mechanical bowel obstruction? - CORRECT ANSWER-due to adhesions,
hernia, tumors, impacted feces, volvus or twisting of the intestines,
intussusception
What are the signs and symptoms of liver disease? - CORRECT ANSWER-
hepatocellular failure (jaundice, decreased clotting, hypoalbuminemia, decreased
vitamin D and K) and portal hypertension (GI congestion due to blockage of blood,
more esophageal or gastric varies, hemorrhoids, enlarged spleen,)
Explain what jaundice is? - CORRECT ANSWER-green- yellow staining of tissues
from increased level of bilirubin as the liver cannot metabolize extra bilirubin
Where can you find jaundice on assessment? - CORRECT ANSWER-eyes, skin, and
mouth