NURS5315Advanced
Pat
hophysi
ologyGast
roi
ntest
inal
CoreKnowledgeObj
ect
iveswi
th
AdvancedOrgani
zer
s
GIs
yst
em-Mo
dul
e9
Ga
str
oin
tes
tin
alBl
eed
s
1
. An
aly
zet
hee
ti
ol
ogy
,cl
i
nic
alma
nif
est
ati
ons
,an
dpa
thop
hys
iol
ogyof
t
heu
ppe
ran
dlowe
rGI
ble
eda
ndd
esc
ri
bet
hei
mpl
i
cat
ion
sth
ish
asf
or
y
ourc
li
ni
cal
pra
cti
cea
san
urs
epr
act
it
ion
er.
Di
sea
s E
tio
logy Cl
in
ical Pa
tho
phy
sio
log I
mpli
cat
ions
e Mani
fes
tat
ion
sy f
orPrac
tic
e
?Uppe
r Bl
e ed
ing F
rank,br
igh
t An ysourc
eof I
fle
ft
GI vari
ces r
edor“coff
ee b l
eedi
ngwh i
ch u
ntrea
tedor
Ble
ed ( v
a r
icose g
round” occu
rsinthe i
fsever
e,ca
n
vei
ns)inthe (aff
ectedby es
ophagus, r
esul
tin
esophagusorstomach) st
oma ch
,or s
hock.
st
oma c
h, e me si
s duoden
um.
pepti
cu l
cers
,He mate
me si
s=
gastr
iti
s,ora b
righ
tred,
Ma l
l
or y
- b
loodyemesis
=
,We i
sste
ar r
equi
res
(
teari
ngof emer
gent
esophag
us i
nte
rve
nti
on.
f
rom Mel
ena=bla
ck
st
oma ch) t
arr
y.
, Sh
ock
s
ymp
tomsi
f
u
ntr
eat
ed:
d
ecr
eas
edCO,
h
ypot
ens
ion
,
ARF
,
t
ach
yca
rdi
a,
a
nda
nemi
a.
Lo
wer I
nfl
amma t
oryHema t
ochezia: Anysourc
eof Oc cul
tGI
GI bowel bri
ghtredblood ble
edingi
nthe b leedisone
Bl
eed di
sease, i
ns t
oolsandt hej
ejunu
m, i
leu
m, t hatisnot
canc
er, pre
se nce col
on,orr
ectum.visi
bleand
di
vert
ic
ula, suggestbl
ee di
n resul
tsinir
on
or l
owe rtr
ack defic
iency.
Typeof
hemorr
hoi
dsu suall
yrect
u m, bleed
si
gmoi dcol
on , assoc i
ate
d
ordescendi
n g withcolon
col
on . cance r
.=
testi
ng
stool
s
foroccult
blood
Pe
pti
cUl
cerDi
sea
se
2
. An
aly
zet
hee
ti
ol
ogy
,cl
i
nic
alma
nif
est
ati
ons
,an
dpa
thop
hys
iol
ogy
, ofg
ast
ri
can
ddu
ode
nal
ulc
ersa
ndd
esc
ri
bet
hei
mpl
i
cat
ion
sfor
c
li
ni
cal
pra
cti
ce.
Di
sea
se E
tiol
ogy Cl
in
ica
l Pa
tho
phy
sio
lo Cl
in
ica
l
Ma
nif
est
ati
o gy I
mpl
ic
ati
ons
n
s
Pat
hophysi
ologyGast
roi
ntest
inal
CoreKnowledgeObj
ect
iveswi
th
AdvancedOrgani
zer
s
GIs
yst
em-Mo
dul
e9
Ga
str
oin
tes
tin
alBl
eed
s
1
. An
aly
zet
hee
ti
ol
ogy
,cl
i
nic
alma
nif
est
ati
ons
,an
dpa
thop
hys
iol
ogyof
t
heu
ppe
ran
dlowe
rGI
ble
eda
ndd
esc
ri
bet
hei
mpl
i
cat
ion
sth
ish
asf
or
y
ourc
li
ni
cal
pra
cti
cea
san
urs
epr
act
it
ion
er.
Di
sea
s E
tio
logy Cl
in
ical Pa
tho
phy
sio
log I
mpli
cat
ions
e Mani
fes
tat
ion
sy f
orPrac
tic
e
?Uppe
r Bl
e ed
ing F
rank,br
igh
t An ysourc
eof I
fle
ft
GI vari
ces r
edor“coff
ee b l
eedi
ngwh i
ch u
ntrea
tedor
Ble
ed ( v
a r
icose g
round” occu
rsinthe i
fsever
e,ca
n
vei
ns)inthe (aff
ectedby es
ophagus, r
esul
tin
esophagusorstomach) st
oma ch
,or s
hock.
st
oma c
h, e me si
s duoden
um.
pepti
cu l
cers
,He mate
me si
s=
gastr
iti
s,ora b
righ
tred,
Ma l
l
or y
- b
loodyemesis
=
,We i
sste
ar r
equi
res
(
teari
ngof emer
gent
esophag
us i
nte
rve
nti
on.
f
rom Mel
ena=bla
ck
st
oma ch) t
arr
y.
, Sh
ock
s
ymp
tomsi
f
u
ntr
eat
ed:
d
ecr
eas
edCO,
h
ypot
ens
ion
,
ARF
,
t
ach
yca
rdi
a,
a
nda
nemi
a.
Lo
wer I
nfl
amma t
oryHema t
ochezia: Anysourc
eof Oc cul
tGI
GI bowel bri
ghtredblood ble
edingi
nthe b leedisone
Bl
eed di
sease, i
ns t
oolsandt hej
ejunu
m, i
leu
m, t hatisnot
canc
er, pre
se nce col
on,orr
ectum.visi
bleand
di
vert
ic
ula, suggestbl
ee di
n resul
tsinir
on
or l
owe rtr
ack defic
iency.
Typeof
hemorr
hoi
dsu suall
yrect
u m, bleed
si
gmoi dcol
on , assoc i
ate
d
ordescendi
n g withcolon
col
on . cance r
.=
testi
ng
stool
s
foroccult
blood
Pe
pti
cUl
cerDi
sea
se
2
. An
aly
zet
hee
ti
ol
ogy
,cl
i
nic
alma
nif
est
ati
ons
,an
dpa
thop
hys
iol
ogy
, ofg
ast
ri
can
ddu
ode
nal
ulc
ersa
ndd
esc
ri
bet
hei
mpl
i
cat
ion
sfor
c
li
ni
cal
pra
cti
ce.
Di
sea
se E
tiol
ogy Cl
in
ica
l Pa
tho
phy
sio
lo Cl
in
ica
l
Ma
nif
est
ati
o gy I
mpl
ic
ati
ons
n
s
