GI Disorders
Risk factors include coffee, peppermint, spicy food, alcohol, and fatty food.
Diagnosed via EGD and sypmtoms.
What is GERD?
Increased in AST/ALT, PT/INR.
Increased bilirubin.
Decreased albumin.
What is acute liver failure?
H/H- 8/25, pale conjunctiva, SP02- 97%RA, BP: 105/68, HR 92 BPM, RR 20.
PICA.
What is iron deficient anemia?
Lingering fatigue, hair loss, skins changes (redness) and extreme fatigue
What is radiation?
measurement of how long it takes for blood to clot. Normal range for a patient on warfarin is 2-3.
What is PT/INR?
common causes include NSAID use or steroid use, h. pylori.
What is peptic ulcer disease?
(gastric vs duodenal)
RUQ pain radiating towards right shoulder, especially after high fat food.
Jaundice.
Clay colored stool.
What is Cholecystitis?
VS- 30 minutes before, 15 min after, q 1 hour, 30 min post
What is a blood transfusion?
Absence of intrinsic factor b-12, patients feel lightheaded, pale skin, numbness and tingling
What is pernicious anemia?
RR- 20
HR- 80-140
SBP- 70-100
What are normal vitals of a 1 year old?
Persistent diarrhea, RLQ abd pain, weight loss.
Complications: strictures, perforation, fistulas.
vs.
bloody mucoid, abd pain
complications: Toxic megacolon
What is Chron's disease vs Ulcerative colitis?
What is IBD?
S/S: fatigue, N/V, anorexia, jaundice. Asymptomatic for years.
Complications include cirrhosis.
What is hepatitis A, B, C?
Crackles in lung bases, dyspnea, cough, tachypnea, tachycardia, hypertension, jugular vein distension, and headache.
What is TACO?
key measures include frequent hand washing, avoiding crowded places, wearing masks, limiting visitors, avoiding sick individuals, and maintaining a strict diet to prevent foodborne illness
What are bone marrow precautions?
Allowing a child to pick from green toy or red toy.
What is Erickson stage: Autonomy vs Shame and Doubt?
Severe RLQ abdominal pain that gets relief, then suddenly the pain becomes worse with fever.
What is ruptured appendicitis?
deep mid epigastric pain 24-48hours after a heavy meal or alcohol.
Steatorrhea, clay colored stool
Jaundice
What is pancreatitis?
impaired blood coagulation, excessive bleeding, and hemarthrosis
What is hemophilia A?
painless swelling of the lymph nodes, neck, fever, night sweats
What is Hodgkin's Disease/lymphoma?
helps to reduce stomach acid production to treat GERD or ulcers
What are PPI's?
high pitched bowel sounds that turn to silent.
constipation with failure to pass flatus.
Distention of bowel
What is intestinal obstruction?
Abdomen pain, liver tenderness, jaundice, spider-like blood vessels
What is Cirrhosis?
patient with hgb-s with fever tachypnea, cough, and infiltrates.
What is acute chest sydrome?
Clinical Manifestations (C.R.A.B.)
hyperCalcemia
Renal dysfunction
Anemia
Bone destruction and pain
What is multiple myeloma?
infants weight or the rate of weight is significantly below the appropriate standards.
What is failure to thrive?