CHA 2 EXAM 2- GI WITH COMPLETE
SOLUTION 2024/25 RATED A+
Jdiagnostic testing methods - laboratory studies- CBC (show anemia or infection), electrolyte, liver, stool
samples (occult, parasites,ova)
EGD
upper/lower GI series- barium swallowed then x-ray
barium enema
percutaneous transhepatic cholangiography- PTC gallbladder
CT- contrast or not, if contrast ask allergies to seafood or iodine teach: may feel flush and feel like peed
their pants
endoscopy- direct visual of GI using scope or swallow video capsule
ultrasound- no radiation, non invasive, do not have to lay still
GERD - increase risk if: obese, pregnancy, increased inner abdominal pressure
barium swallow study or EGD
antacids, histamines antagonist, PPI
education!
replace injury with columnar epi- barretts esophagus
can cause- erosion, narrowing of esophagus
hiatal hernia - belching, flatulence, indigestion (depepsia),
sliding hernia- most common
rolling
barium swallow EGD
want to decrease pressure, lose wt and stop smoking
surgery- laproscopic neisers- resp assessment
will have NG to prevent n/v
esophagectomy - removal of all or part of the esophagus
, post-op semi folwers, prevent reflux into lungs
feeding tube until healed
dietary edu- volume of stomach is decreased- small meals
gastritis - inflammation of the gastric mucosa (stomach lining) erosive or not
causes: H. pylori- cause type B- bacterial = increase wbc
NSAID use
autoimmune response
alcohol, coffee
increased risk of gastric cancers
1. acute- after exposure to irritants after removed go back to normal
2. chronic- patchy/ diffuse on lining= decreased function in parietal cells
decrease stomach acid and vitamin B absorption
management: H2 receptors,antacids, PPI, need vitamin B 12
ulcer formation - epithelium is no longer protected from pepcid
1. gastric- h. pylori
2. duodenal- h. pylori
3. stress- after trauma, medical crisis
peptic ulcers - lesion in stomach or deuodum
labs: CBC
abdominal x-ray or EGD
gastric- pain relief, antibiotics, dont abruptly stop PPI
duodenal- occur decreased ph level
1 hr 30 mins after eating pain occurs
SOLUTION 2024/25 RATED A+
Jdiagnostic testing methods - laboratory studies- CBC (show anemia or infection), electrolyte, liver, stool
samples (occult, parasites,ova)
EGD
upper/lower GI series- barium swallowed then x-ray
barium enema
percutaneous transhepatic cholangiography- PTC gallbladder
CT- contrast or not, if contrast ask allergies to seafood or iodine teach: may feel flush and feel like peed
their pants
endoscopy- direct visual of GI using scope or swallow video capsule
ultrasound- no radiation, non invasive, do not have to lay still
GERD - increase risk if: obese, pregnancy, increased inner abdominal pressure
barium swallow study or EGD
antacids, histamines antagonist, PPI
education!
replace injury with columnar epi- barretts esophagus
can cause- erosion, narrowing of esophagus
hiatal hernia - belching, flatulence, indigestion (depepsia),
sliding hernia- most common
rolling
barium swallow EGD
want to decrease pressure, lose wt and stop smoking
surgery- laproscopic neisers- resp assessment
will have NG to prevent n/v
esophagectomy - removal of all or part of the esophagus
, post-op semi folwers, prevent reflux into lungs
feeding tube until healed
dietary edu- volume of stomach is decreased- small meals
gastritis - inflammation of the gastric mucosa (stomach lining) erosive or not
causes: H. pylori- cause type B- bacterial = increase wbc
NSAID use
autoimmune response
alcohol, coffee
increased risk of gastric cancers
1. acute- after exposure to irritants after removed go back to normal
2. chronic- patchy/ diffuse on lining= decreased function in parietal cells
decrease stomach acid and vitamin B absorption
management: H2 receptors,antacids, PPI, need vitamin B 12
ulcer formation - epithelium is no longer protected from pepcid
1. gastric- h. pylori
2. duodenal- h. pylori
3. stress- after trauma, medical crisis
peptic ulcers - lesion in stomach or deuodum
labs: CBC
abdominal x-ray or EGD
gastric- pain relief, antibiotics, dont abruptly stop PPI
duodenal- occur decreased ph level
1 hr 30 mins after eating pain occurs
