Liver
What are the classic symptoms of hepatitis
Asymptomatic, malaise, fatigue, N/V, fever, anorexia, RUQ discomfort, jaundice, dark urine
What are PT implications for acute pancreatitis?
early presentation is back pain, residual scarring reduces mechanical motion, positioning (decreased spinal extension; prefered positioning, leaning forward, sitting up, left side lying), DO NOT GIVE pt FOOD OR DRINK, EVEN ICE CHIPS
What are the 2 main types of cholelithiasis/gallstone disease?
cholesterol gall stones: most common; undigested cholesterol
pigment gallstones: bile contains too much bilirubin
Where does a hiatal hernia occur?
Lower esophageal sphincter
What are symptoms and treat for Celiac disease?
sxs: severe diarrhea, bloating, indigestion, flatulence, abd cramping, wt loss
Rx: gluten free diet
What are causes of hepatitis?
virus, chemical, drug reaction, ETOH abuse
What are the most common symptoms for chronic pancreatitis?
epigastric pain radiates to back
diarrhea, steatorrhea
What is the most common complication of gallstone disease?
Acute cholecystitis
What is gastroesophageal reflux disease?
reflux of acid and food contents from stomach into esophagus 30-60 mins after a large meal
What are the differences between Crohn's disease and Ulcerative Colitis?
Crohn's: chronic, lifelong inflammatory disorder affecting all layers of intestinal wall
Ulcerative Colitis: chronic inflammatory disorder of the mucosa of the colon
What are PT implications for viral hepatitis?
Use of proper safety when handling body fluids or blood, PPE, wash hands, proper disposal of needles, if direct contact occurs - immunoglobulin administration, balance of activity and rest is important, monitor tolerance to exercise
stage 1: resectable
stage 2: locally advanced - XRT and chemo
stage 3: metastatic - XRT and chemo
What are PT implications for cholelithiasis/gallstone disease?
exercise can prevent symptomatic gallstones, pain can refer to shoulder and thoracic spine, post-surgical care
What is the cause for most stomach ulcers?
90% from H. pylori infection, NSAIDs, ASA
What is the main PT implication for Crohn's disease/ulcerative colitis?
25% have arthralgia and arthritis
What is Cirrhosis and what are PT implications for it?
chronic, progressive inflammation of the liver,
PT: activity as tolerated, watch for bruising, fluid accumulation
What are PT implications for pancreatic cancer?
vague back pain is often the first symptom, trousers sign: palpation of supraclavicular lymph node (Virchow node)
What are symptoms of cholelithiasis/gallstone disease
Pain in RUQ often radiates to right shoulder and upper or mid back
jaundice, fever, N/V, heartburn, intolerance to fatty foods
referred pain: back pain, RUQ including right shoulder, ask about other sxs, educate about NSAIDs, exercise 3 X/ week reduces risk of GI bleeding
What are the categories of IBS?
IBS with constipation, IBS with diarrhea, Mixed IBS, and Unsubtyped IBS
Which types of viral hepatitis account for 95% of cases and which of these have no vaccine?
A, B, C, D, E
no vaccine for C
What is the largest cause of chronic pancreatitis?
chronic alcohol consumption (>50%)
What are PT implications for Acute cholecystitis?
looks the same as cholelithiasis (pain: mid-upper back, scapular pain, right shoulder pain), lack of results and/or progression of symptoms requires further follow up
What are the subtypes of peptic ulcer disease?
gastric or duodenal, stress ulcers
What are the classic symptoms of appendicitis?
abdominal pain (epigastric, periumbilical, RLQ), anorexia, N/V, fever