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NURS 319: L. Intest.
NURS 319: Chapter 30 Common Disorders of Large Intestine
| Question | Answer |
|---|---|
| 2 types of movements in the larger intestine | haustral contraction mass movement |
| RLQ pain, what do you expect? | appendicitis |
| LLQ pain, what do you expect? | diverticulitis |
| RUQ pain, what do you expect? | hepatitis/ duodenal ulcer |
| LUQ pain, what do you expect? | ruptured spleen/ aortic aneurysm |
| what can severe constipation result in? | fecal impaction and obstipation |
| what is obstipation? | sensation to defecate with no passage of stool |
| crohn's disease causes/ risk factors | inflammation, infection, genetics |
| ulcerative colitis causes/ risk factors | autoimmune, infection, genetic component |
| crohn's disease impacted area | mouth to anus (terminal ileum) |
| ulcerative colitis impacted area | large intestine |
| crohn's disease common lesions | skip lesions, cobblestone, toxic megacolon |
| ulcerative colitis common lesions | pseudopolyps |
| crohn's disease impacted layer | mucosa, submucosa, transmural |
| ulcerative colitis impacted layer | mucosa, submucosa |
| crohn's disease patho | infection/ invasion everywhere from mouth to anus |
| ulcerative colitis patho | begins in rectum and moves upward |
| crohn's disease symptoms | diarrhea, abdominal pain, bowel sounds, malabsorption, dehydration, anemia |
| ulcerative colitis symptoms | similar to crohn's disease |
| crohn's disease complications | toxic megacolon |
| ulcerative colitis complications | increased risk of colon cancer |
| what are symptoms of a large bowel obstruction | crampy abdominal pain, appetite loss, constipation, vomiting, abdominal swelling |
| would you expect bowel sounds or a bowel movement with a complete LBO? | no |
| would you expect bowel sounds or a bowel movement with a partial LBO? | yes |
| appendicitis | inflammation of the pouch like area that protrudes from the cecum |
| appendicitis can lead to this if untreated | peritonitis |
| pathophysiology of appendicitis | becomes infected and inflamed |
| appendicitis symptoms | abdominal pain in umbilical region, moves to RLQ, abdominal distention, rebound tenderness |
| psoas' sign | pull leg backwards, pain |
| rovsing's sign | touch LLQ, pain in RLQ |
| obturator's sign | leg at 90 degree angle, pain |
| rebound tenderness | pain when releasing pressure |
| IBS | irritational bowel syndrome |
| what does IBS entail | difficult digestion, painful bloating and bowel movements |
| diverticula | small outpouchings formed |
| diverticulosis | bowel wall has weakened areas |
| diverticulitis | diverticula inflammation |
| diverticular disease | altered bowel habits, LLQ/RLQ pain |
| volvulus | twisting of large intestine |
| volvulus results in | obstruction and ischemia |
| dilated, swollen vessels in the perianal region | caput medusa |
| caput medusa can be | internal or external |
| caput medusa risk factors | hepatitis b, hepatitis c, alcohol-related liver disease, fatty liver disease, hemochromatosis |
Created by:
lcorlew1
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