Hiatal Hernia
The definition of Hiatal Hernia.
A condition where part of the stomach pushes upward through the diaphragm into the chest cavity through the esophageal hiatus.
This type of ulcer typically causes pain 30–60 minutes after eating, is worsened by food, and often leads to weight loss because patients avoid meals.
What is a gastric ulcer?
Surgery to treat Appendicitis.
What is appendectomy?
Clinical Manifestations of Peritonitis
What is rigid, board-like abdomen, fever, reduced peristalsis, N/V.
What are no symptoms, and LLQ pain along with cramping, fever.
Patients with hiatal hernia are taught to avoid these types of foods because they worsen reflux by relaxing the LES and increasing gastric irritation.
What are fatty, spicy, caffeinated, chocolate, citrus, and tomato-based foods?
These two factors are the most common causes of peptic ulcer disease, responsible for the majority of both gastric and duodenal ulcers.
What are H. Pylori and NSAID use?
Complication from perforated appendicitis.
What is peritonitis (sepsis & death).
Causes of Peritonitis.
What are bowel perforation, appendix rupture, peptic ulcer disease, peritoneal dialysis.
The difference between diverticulosis and diverticulitis.
What is diverticulosis is having multiple diverticula (out-pouching sacs). Diverticulitis is more severe causing inflammation of the sacs.
This imaging test, often performed with contrast, is the most common diagnostic tool used to visualize a hiatal hernia.
What is a barium swallow (upper GI series)?
This is the recommended therapy when a peptic ulcer is caused by H. pylori.
What is triple therapy (PPI + clarithromycin + amoxicillin or metronidazole)? or Quadruple therapy (Bismuth salts)
Pressing on the LLQ and pain is caused in the RLQ & pain worsens when pressure is released.
What is Rovsing's sign and Rebound Tenderness?-
Diagnostics you would anticipate ordering for peritonitis.
CBC, X-ray, CT scan.
The diagnostic test to determine diverticular disease.
What are X-rays or CT scan.
Nurses teach patients with hiatal hernia regarding diet modifications.
What is remains upright after meals and eat 6 small meals per day instead of large meals.
Sudden severe abdominal pain, a rigid board-like abdomen, and absent bowel sounds may indicate this life-threatening emergency complication of PUD.
What is a perforated ulcer leading to peritonitis?
The cause of Appendicitis.
What is fecalith, swollen lymph tissue, or obstruction caused by a foreign object.
Treatment for peritonitis.
What is IV fluids, Antibiotics, Surgery if perforation present, drain placement.
The Medical management of diverticular disease.
What is NPO, IVF, NGT, ABx, Pain relief for complicated. Rest, Clear liquid diet followed by a high fiber and high fat diet.
These two main medication classes are used to reduce the symptoms of hiatal hernia by decreasing gastric acid secretion. DJ-if you can name the medications and SE.
What are proton pump inhibitors (PPIs) and H2 receptor blockers? Omeprazole & Cimetidine.
Osteoporosis, Pneumonia, C-diff, Dementia.
Confusion, drowsiness, hallucinations, and gynecomastia.
This type of ulcer causes pain 1.5–3 hours after meals, is often relieved by food, and may even awaken the patient at night.
Nurse managment status post appendectomy.
What are monitoring bowel sounds, incentive spirometer, ambulation, pain management, no heavy lifting, monitoring for infection.
Complication of Peritonitis.
Sepsis & DEATH.
Complications of Diverticular Disease.
What are Peritonitis, Perforation, Bowel Obstruction.