Med Surg. GI disorders Question with complete solution 2023

Med Surg. GI disorders Question with complete solution 2023GERD • Backward flow of stomach acid into the esophagus o Heartburn (pyrosis) 20 mins to 2 hours after eating o Regugitation : backwards up to the mouth o Eructation: belching Bernstein test NG tube insert hydrochloric acid and saline and reproduce pain person is having Barium shallow contrasts iodine (make sure you not allergic to shellfish) you shallow Barium and x ray taken to see if you see narrowing endoscopy direct visualization using a scope putting scope inside. barret esophagus esophagus cancer if GERD not treated Acute Gastritis • Inflammation of the stomatch can lead to alcoholism, smoking, stress, poisoning/ contamination, bacteria parasites • s/s: fever, headache, epigastric pain, coating of tongue, loss of apetitie Don give antidiarrheals such as imodium and lomital because it can slow down peristalsis leaving bacteria inside when having acute gastritis pt. continues to vomit what do you do give ng tube until symptoms subside so wont cause any more acid going up while vomiting PUD ulcerations result in imbalance of acid and pepsin too much acid -usually by h. pylori usually common in elderly who takes a lot of NSAIDS make sure you take food with NSAID to prevent ulcers Diagnosis tests for acute gastritis stool, emesis for occult blood, WBC, electrolytes, CBC Symptoms of gastric and duodenal ulcers dyspepsia: upset stomach hematemesis: throwing up blood melena: black stool perforation! most lethal complication perforation contents can enter the sterile field can cause peritonitis causing systemic infection peritonitis rarley has what symptoms fever in initial stage peritonitis symptoms: sudden severe abdominal pain, rigid abdomen, shallow rapid respiration, tachycardia with weak pulse, nausea and vomitting diet recommendations for ulcer high in fat and carbohydrates, low in protein and milk products, small frequent meals, limit coffee, tabacco and alcohol