NR511 Midterm Study Guide Worksheet

Disease Risk Subjective Finding Objective Findings Diagnostics Treatment Education GI DISORDERS Appendicitis Older adults Colick, Htn, tachy, No lab, Sx, fluids, No heavy lifting epigastric, flexing right leukocytosis, UA, electrolytes, IV periumbilical, knee relieves hematuria abx, no narcs, RLQ pain, pain, pressure perforationworsens with on abd, cephalosporin walk or coughing Celiac disease White northern Asymptomatic muscle wasting, anti-tTG IgA strict gluten-free Gluten free Europeans, , may anemia, antibodies. diet consult family hx, Down’s complain of reduced fat, Try a gluten free dietician and syndrome, HLA-DQ2 diarrhea, ataxia, diet and see nutritionist or HLA-DQ8, Turner’s weight loss, peripheral syndrome, or type 1 dyspepsia, neuropathy diabetes and and flatulence Dermatitis thyroiditis. herpetiformis 10% ppl Cholelithiasis- American Indian indigestion, positive Mild elevation avoid foods high in Avoid fatty food inflamed women, nausea, and Murphy’s sign WBC 15000/mL, fat and surgery, gallbladder fat, female, 40 age, vomiting, with deep Serum nonsurgery wall flatulent, fertile, and after fatty breath, mild transaminases ursodiol and fat-intolerant. meal, RUQ or jaundice increase, methyl tertuarty epigastrium possible, aspartate butyl ether for pain, pain aminotransferas cholesterolstones, radiate to e , alanine if no surgery middle back, aminotransferas possible right shoulder e, alkaline phosphatase, bilirubin, ultrasound cystic duct block, extracorporeal shock wave lithotripsy Crohn’s Smoking, age 10-40, abdominal tubular, tender bile salt Sulfasalazine, Stress chrom 7, 10, 16 cramping and mass in the deficiency, Glucocorticoids, management,diet, tenderness, RLQ, anal elevated WBC Oral prednisone, lifestyle, avoid all fever, fissures, count and TNF-alpha foods high in fiber, anorexia, perianal sedimentation blockers(Humira including whole grain weight loss, fissures, rate, prolong and remicade), breads and cereals, spasm, edematous, PTT, all fresh fruits and flatulence, pale skin tags, malabsorption vegetables, and and right obstruction, and vitamin and seeds and nuts. lower fibrosis, and mineral quadrant stenotic deficiencies, (RLQ) pain or changes within minor erosions the bowel, , or deep tolerance to constipation, longitudinal fat and spicy and vomiting; fissures diffuse jejunoileitis ,abdominal fistulas and abscesses, Diverticulitis- 60 + age, developed Pain LLQ of tenderness in mild to moderate high-fiber diet, Change diet, avoid pouchlike countries, low fiber abs, fever, the LLQ of the leukocytosis, antibiotics long constipation and protursions diet, obesity, chills, and abdomen, obstruction, air term not straining during sigmoid tachycardia, seen in x rays, recommended, bowel movements, segment dysuria, surgery in rare drink water pneumaturia , cases fecaluria GERD age Heartburn, stool positive for occult blood on rectal exam resulting from microhemorrha ges in the irritated esophageal epithelium. Otherwise normal physical exam Hx, EGD PPI, head instructing them on regurgitation, elevation, weight appropriate lifestyle water brash, dysphagia, sour taste in the morning, odynophagia, loss, modifications, eat small, frequent meals, with the main meal at midday. belching, coughing, hoarseness, or wheezing, chest pain, made worse by certain foods and or heavy lifting Giardia- transmitted via oral– Bloating, Stool exam, Metronidazole, protozoal anal intercourse gassy, nausea, small bowel bx, quinacrine pathogen watery positive for hydrochlorida diarrhea, trophozites weight loss, anorexia, H. Pylori Infection 30-55 years Same as peptic ulcer Irritable bowel Womenmen, late Abd pain, Tender on LLQ, Physical exam Diet, antidiarrheal, High fiber, avoid syndrome adolescence to early diarrhea and hx laxative triggers adult constipation alteration, LLQ pain, relief wit bm Peptic ulcer Age 30-70, NSAIDS, asprin, H. Pylori, Genetics, blood type, personality type, and smoking Burning or gnawing pain in epigastric, reduction in pain after eating or increase detect H. pylori: fecal antigen assay, urea breath test, biopsy ,serological antibody test Pharm treatment PPI, H2 receptor antagonists, bismuth, antacids,misoprost ol, sucralfate change in fecal color when taking bismuth preparations, sucralfate not with other meds or digoxin, ciprofloxacin, or phenytoin Pancreatitis Biliary tract dz and alchol Deep epigastric pain, aggravated by lying down coughing, nausea, vomiting, sweating and weakness Ab tenderness over epigastric, tachycardic , shallow respiration, mild jaundice and scleral icterus Increase serum amylase and lipase, decrease serum calcium, Demerol, antiinflamm, symptoms management cholecystectomy,abst ain from alcohol, decrease fat Salmonella Ingesting raw chicken, eggs and livestock Nausea vomiting, colicky ab pain, diarrhea, fever, headache, stool smells bad, Stool exam No txt, unless fever and systemic dz, Bactrim Ds, quinoline, norfloxacin Stress proper handling of food, thorough cooking, and good hand washing. Shigella poor hygiene and overcrowding, it is Watery diarrhea, high Isolate in stool or rectalswab, Bactrim DS