May result later as scar tissue develops signs

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may result later as scar tissue develops Signs & Symptoms: Epigastic burning or localized pain usually following stomach
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emptying Stress Ulcers Associated with sever trauma or systemic problems Burns, head injury Hemorrhage or sepsis Rapid Onset Multiple ulcers (usually gastric) may form within hours of precipitating even First indicator- hemorrhage and severe pain -Symptoms seen of peptic/gastric/duodenal ulcers : epigastric burning or localized pain usually following stomach emptying -If you have a gastric ulcer that eats through the stomach they symptoms are hemorrhaging, and pain The biggest issues about GERD : reflux Dumping Syndrome Control of the gastric emptying is lost and gastric contents are “dumped” into the duodenum without complete digestion May follow gastric resection Hyperosmolar chyme draws fluid from vascular compartment into the intestine- This creates: intestinal distension, increased intestinal motility, and decreased blood pressure that leads to anxiety and syncope Occurs during or shortly after meals S/S: Abdominal cramps, nausea, and diarrhea Hypoglycemia 2 to 3 hours after meals- The high blood glucose levels in chyme stimulate increased insulin secretions which drop in blood glucose levels May be resolved with dietary changes (Ex: frequent small meals, high in protein and low in simple carbohydrates) Often resolves over time What is the cause of jaundice ? Liver usually the billirubin What is seen with jaundice ? Light colored stools due to absence of bile Gallstones: can cause an obstruction, jaundice, pain, and sometimes infection After gallbladder is removed the bile flow will be removed with food intake the client will have fat intolerance Hepatitis A - transmitted by fecal-oral route in areas of inadequate sanitation or hygiene (often contaminated water or shellfish) Hepatitis B - transmitted by infected blood, tattooing and body piercings may transmit the virus Hepatitis C - transmitted by blood Vaccines for A and B only B & C can cause cancer- C is the highest risk-it’ll only become cancerous if in chronic state
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Cirrhosis: hepatic encepalophy in the brain (confusion) Jaundice on the skin, bruising and bleeding Vascular spaces: the fluid leaves them causing edema thus causing blood pressure to drop Hepto renal failure: inadequate perfusion of the kidneys Development of ascites, an accumulation of fluid in the peritoneal cavity causing abdominal distension and pressure The esophageal varices hemorrhage Cirrhosis: Progressive destruction of the liver Causes: Alcoholic liver disease Biliary cirrhosis : associated with immune disorders Postneocrotic cirrhosis: linked with chronic hepatitis or long-term exposure to toxic materials Metabolic: usually caused by genetic metabolic storage Extensive diffuse fibrosis: interferes with the blood supply and bile may back up Loss of lobular organization Degenerative changes may be asymptomatic until disease is well advanced Liver biopsy and serologic test to determine cause and extent of the damage Functional losses with Cirrhosis Decreased removal and conjugation of billirubin Decreased production of bile Impaired digestion and absorption of nutrients
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