Final Exam Bowel CA and Inflamm

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JChristie20
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82107
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Final Exam Bowel CA and Inflamm
Updated:
2011-04-26 23:14:38
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Bowel CA Inflamm
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Bowel CA and Inflamm
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  1. what are the risk factors for colorectal cancer
    • family hx
    • >50
    • polyps
    • IBD
    • obesity/smoking/alcohol/^ red meat
  2. what is the most common type of colorectal cancer
    adenocarcinoma
  3. the most common sites of metastasis
    • regional lymph nodes
    • liver
    • lungs
    • peritoneum
  4. what are the symptoms of colorectal cancer
    • rectal bleeding
    • changes in bowel habits
    • abdominal pain
    • melena
    • anemia/weight loss
  5. passage of blood thru the rectum
    hematochezia
  6. a pt with colorectal cancer should be on what type of diet
    high calorie, high fat, LOW fiber
  7. inflammation and ulceration of the colon and rectum
    ulcerative colitis
  8. inflammation of segments of the GI tract
    Crohns disease
  9. what are the peak ages on inflammatory bowel disease
    15-25
  10. with this disease inflammation beginning in the rectum and spreading up the colon in a continuous pattern
    ulcerative colitis
  11. with UC ulcerations destroy the mucosal _______ causing _____ and _______
    • epithelium
    • bleeding and diarrhea
  12. this is a chronic, nonspecific inflammatory bowel disorder; can affect any part of GI from mouth to anus; most often in terminal ileum and colon
    crohns disease
  13. these are segments of normal bowel occurring btwn diseased portions
    skip lesions
  14. with this ulcerations penetrate btwn islands of inflamed edematous mucosa, causing classic cobblestone appearance
    crohns disease
  15. with this disease microscopic leaks can allow bowel contents into peritoneal cavity; peritonitis may develop
    crohns disease
  16. the major symptoms for UC are
    • bloody diarrhea
    • abdominal pain
    • tenesmus (feeling like you have to BM)
    • rectal bleeding
  17. main symptoms of crohns disease are
    • diarrhea
    • colicky abdominal pain
    • malabsorption
    • nutritional deficiencies
  18. a complication of UC is toxic megacolon which means
    • dilation and paralysis of the colon
    • associated with perforation
  19. major intestinal complications of crohns is
    • fistulas
    • peritonitis
    • strictures and obstruction from scar tissue
  20. major extraintestinal complications of crohns is
    • thromboembolism
    • arthritis
    • ankylosing spondylitis
    • osteoporosis
    • skin lesions
    • liver disease
  21. drug therapies for inflammatory bowel disease are
    • aminosalicylates (aspirins)
    • antimicrobials
    • corticosteroids
    • immunosuppressants
    • biologic therapy
  22. this is the principle drug used for inflammatory bowel disease; decreases GI inflammation;
    sulfasalazine (azulfidine)
  23. these prevent and treat secondary infections in tx for inflammatory bowel disease
    antimicrobials
  24. with inflammatory bowel disease corticosteroids are used for
    • decreased inflammation
    • used to achieve remission
    • helpful for acute flare-ups
  25. these are mainstays in the tx of UC
    aminosalicylates and corticosteroids
  26. what is the nutritional therapy for a pt with inflammatory bowel disease
    • high calorie
    • high protein
    • low residual diet
    • vitamin and iron supplements
  27. clinical manifestations of pancreatic cancer are
    • pain thats dull and aching
    • freq in upper abd or left hypochondrium
    • often radiates to the back
    • occurs at night
    • anorexia/weight loss

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