NURS 623 exam3b ABD
How many adults does anxiety disorders affect approximately?
Anxiety effects approximately 40 million adults
What is the most common psychiatric disorder in the US?
anxiety
Anxiety symptoms are typically manifested in several dimensions:
o affective
o cognitive
o behavioral
o somatic.
What are behavioral symptoms of anxiety?
apathy, compulsions, rigidity,overreactions, preoccupation, and
repetitive actionssuch as hair pulling or nail biting.
What are Somatic symptoms of anxiety?
loss of appetite, dry mouth, and fatigue, to diarrhea, sweating, chest
pain,hyperventilation, vomiting, and paresthesias.
Differential diagnoses of Anxiety
Panic Disorder, Panic Attack Specifier, Agoraphobia, Specific Phobia, and Generalized
Anxiety Disorder
How is generalized anxiety disorder (GAD) defined?
Generalized anxiety disorder (GAD) is characterized by excessive worry (over 6 months)
about multiple concerns that are difficult to control.
What are the three neurotransmitters associated with GAD?
o norepinephrine
o serotonin
o gamma-aminobutyric acid (GABA).
How is heartburn described?
Extreme pain making it difficult to differentiate from anginia pectoris
How is dyspepsia described?
Epigastric discomfort, postprandial fullness, early satiety, anorexia, belching borborygmi,
dysphagia, & abd burning (Sx have functional or organic cause)
, NURS 623 exam3b ABD
Patients at increased risk of dyspepsia
o Drink alcohol in significant amounts
o take drugs such as salicylates, corticosteroids, NSAIDs, erythromycin, or
theophylline
o Giardias
Type of dyspepsia caused by Helicobacter pylori
Nonulcer dyspepsia
Sx H-pylori causes:
o vague abd pain
o sense of fullness
o nausea
o bloating
o Sx worse after eating
What may be occurring if Sx of dyspepsia are continuous and associated with anorexia
and weight loss?
gastric cancer
What abd problem do pregnant woman have a high incidence of (most late in
pregnancy)?
esophagitis
What is jaundice?
yellow color of the skin, mucous membranes, and sclera from accumulation of bilirubin
in the blood
What is hyperbilibrubinemia?
a result of increased production, decreased uptake,decreased conjugation, or decreased
excretion of biliru-bin.
What are most cases of jaundice or hyperbilirubinemia caused from?
Result from cholestasis r/t impaired bile formation and/or bile flow, which can be the
result of extrahepatic biliary tract obstruction or hepatic parenchymal disease.
Normal serum bilirubin level?
0.3 to 1.0 mg/dL
How many adults does anxiety disorders affect approximately?
Anxiety effects approximately 40 million adults
What is the most common psychiatric disorder in the US?
anxiety
Anxiety symptoms are typically manifested in several dimensions:
o affective
o cognitive
o behavioral
o somatic.
What are behavioral symptoms of anxiety?
apathy, compulsions, rigidity,overreactions, preoccupation, and
repetitive actionssuch as hair pulling or nail biting.
What are Somatic symptoms of anxiety?
loss of appetite, dry mouth, and fatigue, to diarrhea, sweating, chest
pain,hyperventilation, vomiting, and paresthesias.
Differential diagnoses of Anxiety
Panic Disorder, Panic Attack Specifier, Agoraphobia, Specific Phobia, and Generalized
Anxiety Disorder
How is generalized anxiety disorder (GAD) defined?
Generalized anxiety disorder (GAD) is characterized by excessive worry (over 6 months)
about multiple concerns that are difficult to control.
What are the three neurotransmitters associated with GAD?
o norepinephrine
o serotonin
o gamma-aminobutyric acid (GABA).
How is heartburn described?
Extreme pain making it difficult to differentiate from anginia pectoris
How is dyspepsia described?
Epigastric discomfort, postprandial fullness, early satiety, anorexia, belching borborygmi,
dysphagia, & abd burning (Sx have functional or organic cause)
, NURS 623 exam3b ABD
Patients at increased risk of dyspepsia
o Drink alcohol in significant amounts
o take drugs such as salicylates, corticosteroids, NSAIDs, erythromycin, or
theophylline
o Giardias
Type of dyspepsia caused by Helicobacter pylori
Nonulcer dyspepsia
Sx H-pylori causes:
o vague abd pain
o sense of fullness
o nausea
o bloating
o Sx worse after eating
What may be occurring if Sx of dyspepsia are continuous and associated with anorexia
and weight loss?
gastric cancer
What abd problem do pregnant woman have a high incidence of (most late in
pregnancy)?
esophagitis
What is jaundice?
yellow color of the skin, mucous membranes, and sclera from accumulation of bilirubin
in the blood
What is hyperbilibrubinemia?
a result of increased production, decreased uptake,decreased conjugation, or decreased
excretion of biliru-bin.
What are most cases of jaundice or hyperbilirubinemia caused from?
Result from cholestasis r/t impaired bile formation and/or bile flow, which can be the
result of extrahepatic biliary tract obstruction or hepatic parenchymal disease.
Normal serum bilirubin level?
0.3 to 1.0 mg/dL
