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Final Exam Bowel CA and Inflamm
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what are the risk factors for colorectal cancer
family hx
>50
polyps
IBD
obesity/smoking/alcohol/^ red meat
what is the most common type of colorectal cancer
adenocarcinoma
the most common sites of metastasis
regional lymph nodes
liver
lungs
peritoneum
what are the symptoms of colorectal cancer
rectal bleeding
changes in bowel habits
abdominal pain
melena
anemia/weight loss
passage of blood thru the rectum
hematochezia
a pt with colorectal cancer should be on what type of diet
high calorie, high fat, LOW fiber
inflammation and ulceration of the colon and rectum
ulcerative colitis
inflammation of segments of the GI tract
Crohns disease
what are the peak ages on inflammatory bowel disease
15-25
with this disease inflammation beginning in the rectum and spreading up the colon in a continuous pattern
ulcerative colitis
with UC ulcerations destroy the mucosal _______ causing _____ and _______
epithelium
bleeding and diarrhea
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
these are segments of normal bowel occurring btwn diseased portions
skip lesions
with this ulcerations penetrate btwn islands of inflamed edematous mucosa, causing classic cobblestone appearance
crohns disease
with this disease microscopic leaks can allow bowel contents into peritoneal cavity; peritonitis may develop
crohns disease
the major symptoms for UC are
bloody diarrhea
abdominal pain
tenesmus (feeling like you have to BM)
rectal bleeding
main symptoms of crohns disease are
diarrhea
colicky abdominal pain
malabsorption
nutritional deficiencies
a complication of UC is toxic megacolon which means
dilation and paralysis of the colon
associated with perforation
major intestinal complications of crohns is
fistulas
peritonitis
strictures and obstruction from scar tissue
major extraintestinal complications of crohns is
thromboembolism
arthritis
ankylosing spondylitis
osteoporosis
skin lesions
liver disease
drug therapies for inflammatory bowel disease are
aminosalicylates (aspirins)
antimicrobials
corticosteroids
immunosuppressants
biologic therapy
this is the principle drug used for inflammatory bowel disease; decreases GI inflammation;
sulfasalazine (azulfidine)
these prevent and treat secondary infections in tx for inflammatory bowel disease
antimicrobials
with inflammatory bowel disease corticosteroids are used for
decreased inflammation
used to achieve remission
helpful for acute flare-ups
these are mainstays in the tx of UC
aminosalicylates and corticosteroids
what is the nutritional therapy for a pt with inflammatory bowel disease
high calorie
high protein
low residual diet
vitamin and iron supplements
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
Author
JChristie20
ID
82107
Card Set
Final Exam Bowel CA and Inflamm
Description
Bowel CA and Inflamm
Updated
2011-04-27T03:14:38Z
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