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IBD chpt 43

crohn's, U.C, & diverticulosis

QuestionAnswer
ulcerative colitis: inflammation and ulceration of the _____________ begins in the recum and spread up the colon in a continuous manner mucousal layer
croh's dz description: chronic inflammatory dz which causes stomach pain, diarrhea and wt loss w/periods of activity & remission (skip lesions)
IBD is an ______________ dz. autoimmune
crohs dz effects __________ layers of the mucousa, from the __________ to __________ and has a __________ apearance all, mouth, anus, cobblestone
U.C. spreadsin a _______ pattern in the _________ and _____________ continuous, mucousa and submucousa
inflammed mucousa form_____________-, tongue-like projections pseudopolyps
s/s of U.C. abdominal pain, bloody diarrhea & tenesmus, and rectal bleeding
what is tenesmus feeling of incomplete defecation
where in the anatomy does crohn's dz occur? terminal ileum and colon
what are skip lesions? segments of normal bowel between diseased portions
crohn's dz causes increased risk for _____ CA small bowel CA
crohn's dz causes absesses and fistula tracts, peritonitis may develope, narrowing of the lumen w/stricture--> bowelobstruction
s/s for crohn's diarrhea, colicky abdominal pain, malabsorption, nutritional deficiencies
complications of IBD hemorrhage, strictures, perforation, toxic megacolon (life threatening, dilation & paralysis-- decompress bowel to prevent swallowed air or surgery)
Dx for IBD stool culture, CBC, lyte & protein levels
Drugs for IBD AMINOSALICYLATES, CORTICOSTEROIDS, antimicrobials, immunosuppressants & biologic therapy
Ileostomy post-op output as 1500-2000/day, observe for hemorrhage, abd absess, obstruction, dehydrationperianal skin care, avoid high-fiber foods?????
gerontologic differences crohn's- colon rather than small intestine; U.C. -distal colon
Created by: arsho453
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