CMSRN Review Gastrointestinal System
Types of Acute Abdomen - Answer-1. Peritonitis
2. Appendicitis
Require Surgical Intervention
Peritonitis s/s: - Answer-pain
tenderness
rigid abdominal muscles
fever
nausea
vomit
bloating
altered peristalsis
chills
fever
loss of appetite
,Peritonitis Assessment and Diagnostic Findings - Answer-Based on patient history
Results of Lab Studies
Blood Cultures
Ultrasound
CT
X-Ray studies of the abdomen
Paracentesis
Peritonitis treatment - Answer--Peritoneal lavage: sterile cleansing of the peritoneum.
-Intravenous fluids
-Intravenous antibiotics (Control Infection and Inflammation)
-Insertion of a nasogastric tube; decompress GI tract.
-Intestinal abscesses can be drained percutaneously or surgically removed.
Appendicitis S/S - Answer-Periumbilical RLQ pain
low grade fever
nausea
rebound tenderness at McBurney's point.
appendicitis diagnosis - Answer-Blood and urine tests
R/o Pregnancy
Elevated WBCs
X-ray
CT scan
Ultrasound
, Appendicitis Treatment - Answer-Antibiotic therapy (third gen. cephalosporins), Surgical removal of
appendix
Upper GI bleed location and conditions - Answer-Esophagus and Stomach
Esophageal Varices
Gastric/Duodenal Ulcers
Cancer
Mallory-Weiss Tears
Upper GI Bleed Risks Factors - Answer-Age
Hx of GERD
Use of NSAIDS and Steroids
Alcoholism
upper GI Bleed signs and symptoms - Answer-nausea
hematemesis
hematochezia
heart burn/indigestion
light-headedness
melena (upper GI bleed)
Upper GI Bleed diagnostics - Answer-Patient Hx
CBC
Coagulation Studies
Endoscopy
Types of Acute Abdomen - Answer-1. Peritonitis
2. Appendicitis
Require Surgical Intervention
Peritonitis s/s: - Answer-pain
tenderness
rigid abdominal muscles
fever
nausea
vomit
bloating
altered peristalsis
chills
fever
loss of appetite
,Peritonitis Assessment and Diagnostic Findings - Answer-Based on patient history
Results of Lab Studies
Blood Cultures
Ultrasound
CT
X-Ray studies of the abdomen
Paracentesis
Peritonitis treatment - Answer--Peritoneal lavage: sterile cleansing of the peritoneum.
-Intravenous fluids
-Intravenous antibiotics (Control Infection and Inflammation)
-Insertion of a nasogastric tube; decompress GI tract.
-Intestinal abscesses can be drained percutaneously or surgically removed.
Appendicitis S/S - Answer-Periumbilical RLQ pain
low grade fever
nausea
rebound tenderness at McBurney's point.
appendicitis diagnosis - Answer-Blood and urine tests
R/o Pregnancy
Elevated WBCs
X-ray
CT scan
Ultrasound
, Appendicitis Treatment - Answer-Antibiotic therapy (third gen. cephalosporins), Surgical removal of
appendix
Upper GI bleed location and conditions - Answer-Esophagus and Stomach
Esophageal Varices
Gastric/Duodenal Ulcers
Cancer
Mallory-Weiss Tears
Upper GI Bleed Risks Factors - Answer-Age
Hx of GERD
Use of NSAIDS and Steroids
Alcoholism
upper GI Bleed signs and symptoms - Answer-nausea
hematemesis
hematochezia
heart burn/indigestion
light-headedness
melena (upper GI bleed)
Upper GI Bleed diagnostics - Answer-Patient Hx
CBC
Coagulation Studies
Endoscopy
