NURS 3600 GI disorders (Exam 3) Galen –
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Practice questions for this set
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water is pulled into the bowel, caused by lactose intolerance or overfeeding
Choose an answer
1 Osmotic diarrhea 2 Anorectal Malformations
3 Hypertrophic pyloric stenosis 4 Rectal Fistula
Don't know?
Terms in this set (118)
Anorectal Malformations Interruption in the rectum preventing proper bowel
movements.
Includes Anal atresia, Rectal stenosis, Imperforate
anus, and rectal fistula.
One of the most common congenital defects
Rectal Stenosis Narrowing of rectum
,S/S of Rectal Stenosis (4) Ribbonlike/narrow stools (may not be apparent at
birth)
Difficulty pooping
Vomiting
Distended abdomen
Imperforate Anus Absence of anus that may include rectal fistula
Rectal Fistula Stool from vagina or urethra
Anal atresia Anus is present but rectum is incomplete/closed
S/S of Anal Atresia or Imperforate No stools
Anus (1)
Diagnostics for Anorectal Physical Exam
Malformations (5) MRI
X-Ray
Ultrasound
IV Pyelogram/voiding cystogram for malformations
including the urinary tract
Treatment of Anorectal Malformations ALL require surgery
New anus: 1st surgery to form colostomy and resect
intestine
2nd to remove colostomy and anastomosis
May include manual dilation
Pre-op Interventions for Anorectal NPO
Malformations (2) IV maintenance with fluids that include sugar
Post-op Interventions for Anorectal VS
Malformations (8) I&O
pain management
infection control
skin care
monitor stools
NG decompression
PO feedings after bowel sounds become present
, Education for Anorectal Colostomy care
Malformations (7) Manual anal dilation instructions
Dietary fiber
Maintain fluids
Infection prevention
Stool softeners
May need to delay toileting
Hypertrophic pyloric stenosis Constriction of the pyloric sphincter with obstruction
of the gastric outlet
Cause of pyloric stenosis Unknown, may be ganglion immaturity
Risk factors of pyloric stenosis 1st born white males
Family hx
S/S of pyloric stenosis (6) Normal feedings then sudden, projectile, non-bilious
vomiting (often occurs within 16 min of feeding)
Olive shaped mass
Dehydration
Weight loss
Visible reversal peristalsis in LUQ
Constipation
Diagnostics for pyloric stenosis (4) Palpable olive shaped mass
Abdominal x-ray
Abdominal ultrasound
GI series with positive "string sign"
Treatment for pyloric stenosis pyloromyotomy: laparoscopic procedure to expand
pyloric sphincter
Pre-op interventions for pyloric NPO
stenosis (3) IV fluids
Assess hydration (surgery may be delayed to
rebalance electrolytes if dehydrated)
Questions With Trusted Solutions
Save Groups
Practice questions for this set
Learn 1 /7 Study using Learn
water is pulled into the bowel, caused by lactose intolerance or overfeeding
Choose an answer
1 Osmotic diarrhea 2 Anorectal Malformations
3 Hypertrophic pyloric stenosis 4 Rectal Fistula
Don't know?
Terms in this set (118)
Anorectal Malformations Interruption in the rectum preventing proper bowel
movements.
Includes Anal atresia, Rectal stenosis, Imperforate
anus, and rectal fistula.
One of the most common congenital defects
Rectal Stenosis Narrowing of rectum
,S/S of Rectal Stenosis (4) Ribbonlike/narrow stools (may not be apparent at
birth)
Difficulty pooping
Vomiting
Distended abdomen
Imperforate Anus Absence of anus that may include rectal fistula
Rectal Fistula Stool from vagina or urethra
Anal atresia Anus is present but rectum is incomplete/closed
S/S of Anal Atresia or Imperforate No stools
Anus (1)
Diagnostics for Anorectal Physical Exam
Malformations (5) MRI
X-Ray
Ultrasound
IV Pyelogram/voiding cystogram for malformations
including the urinary tract
Treatment of Anorectal Malformations ALL require surgery
New anus: 1st surgery to form colostomy and resect
intestine
2nd to remove colostomy and anastomosis
May include manual dilation
Pre-op Interventions for Anorectal NPO
Malformations (2) IV maintenance with fluids that include sugar
Post-op Interventions for Anorectal VS
Malformations (8) I&O
pain management
infection control
skin care
monitor stools
NG decompression
PO feedings after bowel sounds become present
, Education for Anorectal Colostomy care
Malformations (7) Manual anal dilation instructions
Dietary fiber
Maintain fluids
Infection prevention
Stool softeners
May need to delay toileting
Hypertrophic pyloric stenosis Constriction of the pyloric sphincter with obstruction
of the gastric outlet
Cause of pyloric stenosis Unknown, may be ganglion immaturity
Risk factors of pyloric stenosis 1st born white males
Family hx
S/S of pyloric stenosis (6) Normal feedings then sudden, projectile, non-bilious
vomiting (often occurs within 16 min of feeding)
Olive shaped mass
Dehydration
Weight loss
Visible reversal peristalsis in LUQ
Constipation
Diagnostics for pyloric stenosis (4) Palpable olive shaped mass
Abdominal x-ray
Abdominal ultrasound
GI series with positive "string sign"
Treatment for pyloric stenosis pyloromyotomy: laparoscopic procedure to expand
pyloric sphincter
Pre-op interventions for pyloric NPO
stenosis (3) IV fluids
Assess hydration (surgery may be delayed to
rebalance electrolytes if dehydrated)
