Chapter 32 - Chapter 32 Gastroenterology Gastrointestinal...

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Chapter 32: Gastroenterology Gastrointestinal Disease Risk Factors Excessive alcohol consumption Excessive smoking Increased stress Ingestion of caustic substances Poor bowel habits Types of Gastrointestinal Pain Visceral - dull, poorly located pain that originates in the walls of hollow organs. Somatic - sharp, localized pain that originates in walls of the body such as skeletal muscles. o Peritonitis - inflammation of the peritoneum, which lines the abdominal cavity. Referred - pain that originates in a region other than where it is felt. General Assessment o Scene Size-Up o History Taking O nset of problem P rovocation/ P alpation Q uality R egion/radiation S everity T ime A ssociated S ymptoms P ertinent N egatives o Physical Exam S igns/ S ymptoms A llergies M edications P ast Medical History L ast Oral intake E vents leading up to illness/injury o Signs of fluid loss/Internal hemorrhage Cullen’s sign - Ecchymosis in the periumbilical area. Grey-Turner’s Sign - Ecchymosis in the flank.
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