NRS 220: Ch. 60

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NRS 220: Ch. 60
2012-04-02 15:21:19
ulcerative colitis crohn disease GI bleed appendicitis

Inflammatory Intestinal Disorders
Show Answers:

  1. What is Inflammatory Bowel Disease (IBD)?
    Disorders of the GI tract with no known etiology: ulcerative colitis and crohn's disease.
  2. What is Ulcerative Colitis?
    A widespread inflammation mainly of the rectum and rectosigmoid colon but can extend to the entire colon.
  3. What is tenesmus?
    An unpleasant and urgent sensation to defecate.
  4. What's the description of a patient's stool with Ulcerative colitis?
    10-12 liquid, bloody stools per day
  5. What are some signs/ symptoms of ulcerative colitis?
    loose stools with blood and mucous, lower abdominal colicky pain relieved w/ defecation, malaise, anorexia, and weight loss, gallstones. In severe cases, mild fever, tachycardia, anemia, abdominal pain, elevated C-reactive protein and ESR.
  6. What can happen w/ long term ulcerative colitis?
    Cellular changes can occur that increase the risk for colon cancer.
  7. When are annual colonoscopies recommended for patient's with ulcerative colitis?
    When the patient has had the disease for longer than 10yrs involving the entire colon.
  8. What is the most definitive test for diagnosing ulcerative colitis?
    A colonoscopy.
  9. What shows differences between ulcerative colitis and Crohn's disease?
    Barium enemas with air contrast.
  10. What lab work may be done on patient's with ulcerative colitis and what may be the results?
    Hematocrit and Hgb may be low; WBC, Platelet count, C-reactive protein and Sed Rate will be increased due to the inflammatory disease. Na, K, Cl may be low as a result of frequent diarrhea stools and malabsorption through the diseased bowel.
  11. At what age does ulcerative colitis peak?
    Age 20-40yrs and then again at 55-65yo
  12. At what age does Crohn's disease peak?
    At 15-40yo
  13. What type of drug therapy is used to treat ulcerative colitis?
    Aminosalicylates (used to treat mild/ moderate UC and/ or maintain remission), glucocorticoids, Immunomodulators, and antidiarrheal drugs.
  14. What is appendicits?
    An acute inflammation of the vermiform appendix.
  15. Where is pain usually when a patient is suffering from appendicitis?
    Right lower quadrant
  16. What are some main signs/ symptoms of appendicitis?
    abdominal pain followed by nause and vomiting and rebound tenderness.
  17. What's a major complication of appendicitis?
  18. What is peritonitis?
    a life-threatening, acute inflammation of the visceral/ parietal peritoneum and endothelial lining of the abdominal cavity.
  19. How is peritonitis most often caused?
    By contamination of the peritoneal cavity by bacteria or chemicals.
  20. Why shouldn't heat be applied to the area where the patient with appendicitis is experiencing pain?
    Because this may increase circulation to the appendix and result in increased inflammation and perforation which can then lead to peritonitis.