GI session 10
Gastritis – usually acute but can by chronic.
- Often from an irritant such as increased Ibuprofen (or other NSAIDs) intake
- Irritation of the stomach
- May cough up blood
- Gastroenteritis – inflammation of stomach an bowel.
PUD – Peptic Ulcer Disease –
- gastric – superficial, more common in women, 50 and 60 y.o., pain after meals,
- duodenal – Deep, more common in men, 35-45 yo, pain just below xiphoid process, H. pylori in 90%+
- PPI’s tend to be better for recovery
- H2 blockers tend to be better for prophylaxis of PUD
- Surgeries are less common now because of the medications controlling it well
- Billroth 1 stomach to Duodenum
- Billroth 2: stomach to the Jejunum
- Avoid SMOKING, NSAIDs, chocolate, and fatty foods
IBD -Inflammatory bowel disease
- can be Crohn’s Dx (CD) or Ulcerative Colitis (UC)
- CD – cobblestone (skip) lesions, can be throughout the whole bowel large or small, full thickness of bowel affected,
- UC – continuous lesions, Partial thickness, Rectal bleeding, colonic dilation, colorectal cancer,
- colonoscopy for visualization of the lesions
- Drugs: to decrease inflammation: 5-Aminosalicylates, corticosteroids, immunosuppressants, antidiarrheals.
- treatment: colectomy or Proctocolectomy (colostomy or ileostomy)
- We are looking for dehydration, imbalance in electrolytes, Pain
- inflammation of the liver
- caused by drugs, chem, autoimmune, virus,
- viral – a,b,c,d,e
- s/s: tired, anorexia, nausea, abd pain, jaundice, hepatomegaly, occasional vomiting
- Diagnosis with labs (do not need to know the specific bili and liver levels right now)
- A food born, and poor hygiene
- B sexually transmitted
- C iv drug and contaminated blood transfusion
- proximal obstruction
- accumulation of fluid and gas, this can lead to sepsis
- Small BO
- vomiting, dehydration, high pitched bowel sounds above obstruction, alkalosis, ABD distension.
- Large BO
- vomiting, high pitched bowel sounds above obstruction, ABD distension.
- care: NPO, NG tube on suction, I/O, abd girth, IVF, and electrolytes.
- Risk factors 5 Fs: female forty fat fertile, fare (white)
- ERCP – tube down the esophagus to the common bile educt, to break up and pull out stones
- The stones can block the duct of both the bile and the pancreatic enzymes causing pancreatitis.
Diverticulitis – inflammation of the diverticula, causing a perforation into the peritoneum.
diverticulosis – out pouching of the colon.
- caused by constipation most of the time.
- wory about perforation
- extreme guarding and pain
- surgery asap to clean out the cavity
Anti emetic meds