SLCC Pathophysiology Exam 4 Questions
With Complete Solutions
Hiatal Hernia Expansion of esophagus diaphragm pre-spincter that can become filled with
stomach acid. Px
Hiatal Hernia Risk Factors Pregnancy
Age
Weightlifting while holding breath
habitual vomiting
PUD Peptic Ulcer Disease
Px epigastric
H. pylori bacteria (specific for ulcers)
Px starts 2 hrs. after eating (PUD not gallbladder)
Cured ABX and Proton Pump Inhibitor (PPI)
H. Pylori common bacteria found in ulcers
, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions
Upper Gastric Internal Bleeding (UGIB) Hematemesis-Frank bleed
Black "coffee grounds" vomitus -ulcer gastric bleeding
Lower Gastric Internal Bleed (LGIB) Occult Blood- hidden blood (Fecal chemical paper
change)
Melena- Larger amount of digested blood + smell
Hematochezia-Frank Bleed-hemroids
Irritable Bowel Syndrome (IBS) *NO DAMAGE* to intestine -->Px
abnormalities:
psychosocial
Motility
sensory
CNS processing
Inflammatory Bowel Disease Crohns-Anywhere intestines. Skip lesions involve all layers
Ulcerative Colitis-Erosion of lining of large colon and rectum in the mucosal layer-->Toxic
Megacolon
, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions
S/S Crohns Abdominal Px
Tenderness
Nausea/Vomiting
Severe Diarrhea
Low Grade fever
Bloody Stools -->Anemia
Severe malabsorption-->Weight Loss
Dehydration-->Electrolyte imbalance
Fistulas tunneling into different areas
Cirrhosis of the Liver clogged hepatic portal vein can cause back in the veins leading to
portal hypertension-->organ engorgement, splenomegaly, ascites esophageal varices--
>hematemesis
Protein Loss-->low osmotic pressure
Esophageal Varices enlarged and swollen veins at the lower end of the esophagus
, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions
S/S Cirrhosis of the Liver Ascites
Gynecomastia
Caput medusa
Umbilical hernia
Dependent Edema
Gynecomastia Abnormal development of breast tissue in males
Hepatic Encephalopathy ↑ serum ammonia (Poison)-->LOC
Asterixis Factoid (Flap Liver...hand clap)
Hyperreflexia
Asterixis Factoid Flap Liver...hand clap the more movement the more of a problem in the
liver
Bilirubin by product of partial protein catabolism. If not fully broken down can cause
Jaundice
With Complete Solutions
Hiatal Hernia Expansion of esophagus diaphragm pre-spincter that can become filled with
stomach acid. Px
Hiatal Hernia Risk Factors Pregnancy
Age
Weightlifting while holding breath
habitual vomiting
PUD Peptic Ulcer Disease
Px epigastric
H. pylori bacteria (specific for ulcers)
Px starts 2 hrs. after eating (PUD not gallbladder)
Cured ABX and Proton Pump Inhibitor (PPI)
H. Pylori common bacteria found in ulcers
, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions
Upper Gastric Internal Bleeding (UGIB) Hematemesis-Frank bleed
Black "coffee grounds" vomitus -ulcer gastric bleeding
Lower Gastric Internal Bleed (LGIB) Occult Blood- hidden blood (Fecal chemical paper
change)
Melena- Larger amount of digested blood + smell
Hematochezia-Frank Bleed-hemroids
Irritable Bowel Syndrome (IBS) *NO DAMAGE* to intestine -->Px
abnormalities:
psychosocial
Motility
sensory
CNS processing
Inflammatory Bowel Disease Crohns-Anywhere intestines. Skip lesions involve all layers
Ulcerative Colitis-Erosion of lining of large colon and rectum in the mucosal layer-->Toxic
Megacolon
, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions
S/S Crohns Abdominal Px
Tenderness
Nausea/Vomiting
Severe Diarrhea
Low Grade fever
Bloody Stools -->Anemia
Severe malabsorption-->Weight Loss
Dehydration-->Electrolyte imbalance
Fistulas tunneling into different areas
Cirrhosis of the Liver clogged hepatic portal vein can cause back in the veins leading to
portal hypertension-->organ engorgement, splenomegaly, ascites esophageal varices--
>hematemesis
Protein Loss-->low osmotic pressure
Esophageal Varices enlarged and swollen veins at the lower end of the esophagus
, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions
S/S Cirrhosis of the Liver Ascites
Gynecomastia
Caput medusa
Umbilical hernia
Dependent Edema
Gynecomastia Abnormal development of breast tissue in males
Hepatic Encephalopathy ↑ serum ammonia (Poison)-->LOC
Asterixis Factoid (Flap Liver...hand clap)
Hyperreflexia
Asterixis Factoid Flap Liver...hand clap the more movement the more of a problem in the
liver
Bilirubin by product of partial protein catabolism. If not fully broken down can cause
Jaundice
