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N368 Med/Surg
Gastrointestinal Disorders
23
Nursing
Undergraduate 3
11/30/2009

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Cards

Term
What is Stomatitis?
Definition
Inflammation of the oral mucosa; Cold sore = HSV-1; Apthos Ulcer = canker sore, unknown cause; oral candidiasis = thrush; oral mucositis = damage to epithelial cells r/t chemo/radiation
Term
Where does oral cancer develop?
Definition
Lips, tongue, floor of mouth, buccal mucosa; uncommon
Term
What is Gastroesophageal Reglux Disease (GERD)?
Definition
Backward flowing of gastric contents into esophagus = relax of LES, incompetent LES, increase pressure in stomach
Term
Manifestations of GERD? Tx?
Definition
Heartburn, dysphagia, regurgitation, chest pain, pain after eating, belching; protonix, PPIs, nutrition, lifestyle mod., surgery
Term
What is a sliding hiatal hernia?
Definition
Fundus of stomach slides up through diaphragm
Term
What is a paraesophogeal hernia?
Definition
stomach herniates through diaphragm, risk of incarceration or strangulation
Term
Manifestation of Hiatal Hernia?
Definition
Reflux, heartburn, feeling of fullness, substernal chest pain, dysphagia, occult bleeding, belching, indigestion
Term
What is the most common area for GI bleed?
Definition
Upper GI tract
Term
What three primary disorders lead to upper GI bleeds?
Definition
Erosive gastritis = 20% = acid reflux, bulemia; peptic ulcer dz = 50%; Esophageal varicies = highest mortality = fr. portal HTN
Term
What is Hematemasis?
Definition
Vomiting blood = looks like coffee grounds
Term
What is Melena?
Definition
Black tarry stools
Term
What is Hematochezia?
Definition
Frank blood in stool = from upper GI
Term
What is Acute Gastritis?
Definition
Benign, self-limiting; Ass. c ingestion of gastric irritants = ASA, ETOH, caffeine...
Term
What is Chronic Gastritis?
Definition
Progressive & irreversible; common in elderly, alcoholics, cig. smokers; chronic infection of H. Pylori
Term
What are the manifestations of acute gastritis?
Definition
anorexia, N/V, hemataemesis, melena, abdominal pain, systemic shock (very young or old)
Term
What are the manifestations of chronic gastritis?
Definition
vague discomfort after eating; may be asymptomatic; anemia, fatigue
Term
What is erosive gastritis?
Definition
"Stress induced gastritis" r/t shock, trauma, major surgery, sepsis, burns, head injury
Term
What type of ulcers follow a major burn?
Definition
Curling's ulcers
Term
What type of ulcers follow head injury or CNS surgery?
Definition
Cushing's ulcers
Term
Tx of Gastritis?
Definition
Meds = H2 receptors, Tx of H. Pylori; GI Rest; Gastric lavage' CAM = chamomile, garlic, ginger, mint
Term
What is Peptic Ulcer Disease (PUD)?
Definition
Break in mucous lining c exposure to acid-pepsin secretions; any area of GI tract
Term
Risk factors for PUD?
Definition
H.Pylori infection, low socioeconomic status, unsanitary living, NSAID use, age 50-70, Hx of ulcer, glucocorticoids, cigarettes, fam hx
Term
Manifestations/complications of PUD?
Definition
Hemorrhage
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