chap 34 disease chart

chap 34 disease chart - Clinical Manifestations of...

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Unformatted text preview: Clinical Manifestations of Gatrointestinal Dysfunction Anorexia: a lack of desire to eat despite physiologic stimuli that would normally produce hunger (different than anorexia) Vomitting : the forceful emptying of the stomach and intestinal contents through the mouth; several different types of stimuli initiate the vomiting reflex Nausea: a SUBJECTIVE experience that is associated with a number of conditions; the common symptoms of vomiting are hypersalivation and tachycardia; patient may get dipheretic(sweating), respiratory rate speeds up Projectile vomiting: spontaneous vomiting that does not follow nausua or retching Conspitation: infrequent or difficult defecation Pathophysiology: neurogenic disorders, functional or mechanical conditions, low-residue diet, sedentary lifestyle, excessive use of antacids, change in bowel habits, surgery, anathesia, pain meds Constipation unrelieved leads to impaction: lack of bowel sounds, distended bowel, can have diarrhea around impaction Diarrhea: increased frequency of bowel movements; increased volume, fluidity, weight of the feces Major mechanisms osmotic diarrhea : nonabsorbable substance in intestine draws water into intestine increases weight and volume (Causes: lactase and pancreatic enzyme deficiency, excessive ingestion of nonabsorbale sugars) secretory diarrhea : excessive mucosal secretions; like when you have over abundance of something like e.coli or c.diff (smells horrible) motility diarrhea :food not mixed properly, digestion impaired, motility increased; stress related (causes: fistula formation between loops of intestine or diabetic neuropathy) abdominal pain: symptom of a number of gastrointestinal disorders; generalized symptom parietal pain: arises from parietal peritoneum; more localized and intense visceral pain : arises from organ itself; stimulus acting on organ; more localized with radiating pattern; diffuse and vague female kind of pain in ovary (organ pain) *if stomach pain: females go to gyn room bc reproductive issues are pretty common referred pain : visceral pain felt at some distance from diseased or affected organ; well localized and felt in skin or deep tissues that share afferent pathway with infected organ gastrointestinal bleeding: frequent visits to hospital upper gastrointestinal bleeding esophagus, stomach, or abdomen use an endoscopy to check; used to have to irrigate with ice water vomiting blood (esophagus-Bright red; common in alcoholics) (stomach-coffee ground) lower gastrointestinal bleeding below the ligament of treitz, or bleeding from the jejunum, ileum, colon, or rectum test from bottom up (colonoscopy, but not right away) black tarry stools, pure clots of blood (SMELLS AWFUL) if no black tarry stools then assess: blood pressure, heart rate, platelet count, hemoglobin and Hematocrit (H & H) cardiovascular disease- gives you blood thinner if you have cardiac stint, so bleeding can result in GI tract...
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This note was uploaded on 12/14/2011 for the course AC 100 taught by Professor Strickland during the Spring '11 term at Alabama.

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chap 34 disease chart - Clinical Manifestations of...

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