Lower GI

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Lower GI
2010-02-11 19:20:07
Bowel Grubbs GI

Exam 2
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  1. Common functional bowel disorder with no definire cause where the colon is sensitive and reactive to stress and triggers. Causing spastic contractions of the colon with no inflammation and no increased risk for colo-rectal cancer.
    Irritable Bowel Syndrome
  2. IBS Characteristics
    • Abdominal pain (crampy, bloating discomfort) after eating and relieved with BM.
    • Alterations in bowel patterns. Constipation/Diarrhea/Combination
  3. IBS Stimuli/Triggers
    • *Diet-^fat,spicy foods, caffeine, lactose intolerence
    • *Gas/Distention
    • *Smoking?Alcohol
    • *Infection
    • *Menstrual Cycle (hormones)
  4. IBS Medications-Common
    • Lomotil/Imodium (antidiarrheals)
    • Bulk-forming Laxatives (Metamucil)
    • Simethicone (anti-gas)
    • Bentyl/Dicyclomine (Antispasmatic-Anticholinergic)
    • Pro-Banthine/Propantheline
    • Donnatal
    • Tricyclic Antidepressants-diarrhea/abdominal pain
    • SSRI's-constipation/abdominal pain
  5. Medications Specifically for IBS.
    • Libiprostone(Amitza)-For constipation IBS, for women over 18 y.o. only
    • Lotronex (Alosetron)- for women who have not responded to conventional treatment, for diarrhea-prodomionate IBS. Severe constipation may occur.
  6. Common Causes of Appendicitis
    • Fealith
    • Kinking
    • Edema of Bowel Wall
    • Occulision of Bowel by Adhesions
  7. Clinical Manifestations of Appenticitis
    • vomiting
    • low grade fever
    • generalized or localized RLQ abdominal pain
    • Painat McBurney's point
  8. Therapeutic Management for Appendicitis
  9. Complications of Appendicitis
    • Perforation
    • Peritonitis
  10. Symptoms of Perforation of Appendix
    • Pain that may be relieved then comes back with more intensity.
    • Abdomen may become hardened
  11. Peritonitis
    • Leakage of contents from abdominal organs into the abdominal cavity
    • *This is a medical EMERGENCY
    • Depleats fluids in vascular space leading to hypovolemic shock
  12. #1 cause of death r/t peritonitis
    hypovolemic shock or sepsis
  13. Complications of peritonitis
    • bowel adhesions
    • intestinal destruction