N316A – Adult Health Nursing – Exam 2 Review Questions and Answers
Crohn's Disease Activity Index (CDAI) -Patient symptoms grading system
-Considered to be in one of 4 disease states:
clinical remission, mild, moderate, severe
Ulcerative Colitis chronic inflammation of the colon with presence of ulcers, similar
presentation as Crohn's
Symptoms of ulcerative colitis Diarrhea (10 to 20/day)
Bloody stools
Cramping, abd pain
Distention
Fever
Leukocytosis (high WBCs)
Uveitis (eye inflammation)
Erythema nodosum (on legs)
Arthritis
Diagnosis of Ulcerative Colitis Colonoscopy - distinguish from Crohn's
Treatment for ulcerative colitis -Corticosteroids, anti-inflammatories, antidiarrheals
-Topical or suppository 5-aminosalicylic acid
-Mesalamine enema
-Surgery
Volvulus -Twisting of the large intestine causing obstruction and ischemia
, -Sigmoid volvulus = most common
Symptoms of volvulus -Bilious vomiting
-Abdominal pain (colicky at first, then steady)
-Abdominal tenderness
Diagnosis of volvulus upper and lower barium GI studies
Treatment of volvulus surgery
Non-alcoholic Fatty Liver Disease (NAFLD) -Hepatocytes accumulate triglycerides
-Steatosis: greater than 5% of liver contains fat
-Most common cause of chronic liver disease, associated with metabolic syndrome, insulin
resistance, and obesity
Non-alcoholic steatohepatitis (NASH) extreme form of NAFLD, scarring and inflammation of
liver
Common Bile Duct -carries bile from the liver and gallbladder to the duodenum
-obstructions can occur d/t gallstones or tumor in head of pancreas
-obstruction can cause jaundice
Acute Pancreatitis inflammation of the pancreas secondary to the leakage of pancreatic
digestive enzymes into glandular parenchyma
Risk factors for acute pancreatitis Biliary disease (cholelithiasis)
Crohn's Disease Activity Index (CDAI) -Patient symptoms grading system
-Considered to be in one of 4 disease states:
clinical remission, mild, moderate, severe
Ulcerative Colitis chronic inflammation of the colon with presence of ulcers, similar
presentation as Crohn's
Symptoms of ulcerative colitis Diarrhea (10 to 20/day)
Bloody stools
Cramping, abd pain
Distention
Fever
Leukocytosis (high WBCs)
Uveitis (eye inflammation)
Erythema nodosum (on legs)
Arthritis
Diagnosis of Ulcerative Colitis Colonoscopy - distinguish from Crohn's
Treatment for ulcerative colitis -Corticosteroids, anti-inflammatories, antidiarrheals
-Topical or suppository 5-aminosalicylic acid
-Mesalamine enema
-Surgery
Volvulus -Twisting of the large intestine causing obstruction and ischemia
, -Sigmoid volvulus = most common
Symptoms of volvulus -Bilious vomiting
-Abdominal pain (colicky at first, then steady)
-Abdominal tenderness
Diagnosis of volvulus upper and lower barium GI studies
Treatment of volvulus surgery
Non-alcoholic Fatty Liver Disease (NAFLD) -Hepatocytes accumulate triglycerides
-Steatosis: greater than 5% of liver contains fat
-Most common cause of chronic liver disease, associated with metabolic syndrome, insulin
resistance, and obesity
Non-alcoholic steatohepatitis (NASH) extreme form of NAFLD, scarring and inflammation of
liver
Common Bile Duct -carries bile from the liver and gallbladder to the duodenum
-obstructions can occur d/t gallstones or tumor in head of pancreas
-obstruction can cause jaundice
Acute Pancreatitis inflammation of the pancreas secondary to the leakage of pancreatic
digestive enzymes into glandular parenchyma
Risk factors for acute pancreatitis Biliary disease (cholelithiasis)
