UPPER+GI+stu+Fall+_11

UPPER+GI+stu+Fall+_11 - Diseases/Disorders of the Upper...

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Diseases/Disorders of the Upper Gastrointestinal Tract 1 Developed by Gail P. A. Kauwell, PhD, RD, LDN Updated by Gail P. A. Kauwell, PhD, RD, LDN & Anne Mathews, PhD, RD HUN 4446 - Fall 2011 Diseases & Disorders of the Upper Gastrointestinal Tract • Compare normal gastrointestinal (GI) structure and function to the changes that occur in diseases/disorders of the upper GI tract. • Describe the etiology, symptoms, clinical findings and pathophysiology associated with diseases/disorders of the upper GI tract. Objectives • Describe the diagnostic tests/procedures and intervention strategies (i.e., medical, surgical, pharmacologic, nutritional) used to treat/manage diseases/disorders of the upper GI tract. • Differentiate among diseases/disorders of the upper GI tract based on risk factors, etiology, symptoms, clinical findings, laboratory data, diagnostic tests, pathophysiology and medical/surgical, pharmacological and nutritional management. • Relate the signs, symptoms, clinical findings, laboratory data, diagnostic tests, and medical, surgical, pharmacologic and nutritional interventions to the underlying pathophysiology of diseases/disorders of the upper GI tract. Interpret the results of laboratory/diagnostic tests Objectives Interpret the results of laboratory/diagnostic tests. • Recommend appropriate nutritional management for patients with diseases/disorders of the upper GI tract based on information presented in case studies. • Select appropriate medical, pharmacologic and/or surgical interventions for patients with diseases/disorders of the upper GI tract based on information presented in case studies.
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Diseases/Disorders of the Upper Gastrointestinal Tract 2 Developed by Gail P. A. Kauwell, PhD, RD, LDN Updated by Gail P. A. Kauwell, PhD, RD, LDN & Anne Mathews, PhD, RD HUN 4446 - Fall 2011 • motility Functions of the GI Tract Primary functions of GI tract: • secretion • digestion • absorption Swallowing http://www.nlm.nih.gov/medlineplus/ency/imagepages/1118.htm An 81 YOWF is admitted to the hospital with advanced stage Parkinson’s disease. She states that every time she eats she experiences coughing and choking episodes and it feels like foods are sticking in her chest/throat. She has lost 12 lbs in 4 mos (unintentional). Case Study Clinical findings include cheilosis, koilonychia, dry mucous membranes and skin, poor skin turgor and slight tremor in her hands. Esophageal manometry, endoscopy and videofluorscopy are performed. Results reveal moderate impairment of the pharyngeal phase of swallowing and reduced esophageal peristalsis with intact oral phase abilities.
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Diseases/Disorders of the Upper Gastrointestinal Tract 3 Developed by Gail P. A. Kauwell, PhD, RD, LDN Updated by Gail P. A. Kauwell, PhD, RD, LDN & Anne Mathews, PhD, RD HUN 4446 - Fall 2011 Dysphagia categories of dysphagia oral • preparatory • transit • pharyngeal • esophageal Oral Dysphagia Common causes of oral dysphagia: • neurodegenerative disorders • neuromuscular disorders cerebrovascula acciden • cerebrovascular accident
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This note was uploaded on 11/21/2011 for the course HUN 4446 taught by Professor Mathews during the Fall '09 term at University of Florida.

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UPPER+GI+stu+Fall+_11 - Diseases/Disorders of the Upper...

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