-
Stomatitis
s/s & treatment
inflammation of mucous membranes
s/s: pain mouth ulcers
-
Dysphagia
cause, treatment, tests
- Difficulty swallowing
- causes: CVA, esophageal diverticuli, tumors
- Tests: flouroscope to make sure laynx rises
-
Oral Cancer
cause, tests, treatment
- CAUSE: smoking tobacco, alcohol, HPV
- TEST: physical exam, biopsy
- TX: readiation/chemo, airway protection, tube feedings
-
Esophagus Cancer
cause, s/s, tests, Tx, NI
- CAUSE: smoking, alcohol, GERD
- S/S: progressive dysphagia
- foul breath
- feeling of fullness in throat
- regurgitation
- TESTS: barium swallow, EGD
- Tx: prevent GERD, stop smoking/alcohol
- NI: give bland meals, monitor for food leakage in mediastinum
-
S/S of food leakage in mediastinum
What is this associated with?
S/S: pain increased temp dyspnea
Associated with esophagus cancer
-
Hernia
s/s, Tx, NI
- S/S: indigestion
- belching
- epigastric pain that increase
- when lying
- Tx: Wt. reduction, no tight cloths antacids, elevate HOB
NI: remain in upright pos. 2hrs after eating, no heavy lifting, avoid irritating foods (chocolate,alcohol,cafffeine,fatty foods)
-
GERD
(Gastro-esophageal Refulx Disease)
S/S, Tests, Tx, NI
S/S: reflux, dyspepsia, pain, bleching, flatulence, bloating
- TESTS: EGD
- TX: no spicy foods/that relax sphincter
- take (proton pump inhibitors)
- NI: stay upright 2-3hr aftering, no tight cloths, sleep with HOB elevated 4-6
-
Name 3 proton pump inhibitors.
What is Fundoplication?
How are these concepts related?
Nexium, prilosec,pepsid
fundoplication: surgery where the fundus of stomach is removed
Drug therapy and possible treatment for GERD.
-
Barrett's esophagus...
Acid reflux...
disorder that devolps d/t continued irritation of GERD/percancerous lesions develp in esophagus/can develop into esophagus cancer
cause ulcers and dental caries
-
Gastroenteritis
causes, s/s, Tx
inflammation of stommach and sm. intestine
CAUSE: contaminated food/water (viral, bacteria,parasites)
S/S: nausea,diarrhea,abd cramping/distention, gever, elevated WBC, blood/mucous in stool
-
Gastritis
cause, s/s, Tx
inflammation of the mucosus memebran of the stomach that can cause GI hemorrhage
CAUSE: H-pyloric bacteria, alcohol, NSAID, steroids, asprin
S/S: anorexia, nausea, comiting, pain, tenderness, may vomit blood (sudden hemorrhage)
Tx: NPO, antispasmotics, no spicy foods
-
Peptic Ulcers
cause (#1), common site, S/S
- CAUSE: H-pylori(#1)
- prolonged stress (stimulates vagus nerve and decreaseperfusion of stomach)
- NSAIDS/TYLENOL (GI bleeding)
- -max 2gm/day
- COMMON SITE: duodenum
- S/S: epi pain, burning, gnawing, increased before meals/ @bedtime
-
GI Bleeding
S/S, NI, Tests, Tx
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