Clinical Manifestations
Definitions
Hernias
Random
Stool consistency location ostomy care
100

Heartburn, regurgitation, chest pain, dysphagia, belching (eructation)

What is type 1 hiatal hernia?




Page 1282

100

Odynophagia

painful swallowing



page 1287

100
Also known as congenital hernias, indirect inguinal hernias develop in the womb.

What is indirect inguinal hernia?



Page 1332

100
While the inflammatory process progresses, and pain is shifted to the right lower quadrant of the abdomen and becomes more severe and steady in the area of?


This is for appednicitis

What is McBurney's point?



Page 1353

100

liquid to semiliquid

what is Ileostomy?


Page 1362

200

Feeling full after eating, feeling breathless after eating, feeling of suffocation, chest pain that feels like angina, increased symptoms when lying flat

What is Type 2 (rolling type) Hernia or paraesophageal?



Page 1282

200

Dyspepsia

What is heartburn?



Page 1287

200

This type of hernia occurs only in males and it is due to connective tissue degeneration that causes weakened muscles in adulthood.

What is direct inguinal hernia?



Page 1332

200

Sign of appendicitis which presents when palpation of the left lower quadrant of the abdomen elicits pain in the right lower quadrant.

What is Rovsing's sign?


Page 1353

200

Semiliquid

ascending colostomy

300

Heartburn, severe atypical chest pain, painful swallowing, hemorrhage, dental caries, aspiration pneumonia, chronic cough, morning hoarseness, adult onset asthma, laryngitis, pharyngitis, bronchitis, regurgitation

What is GERD?



Page 1287

300

Eructation

What is belching?




Page 1284

300

Form from a previous abdominal surgical incision.

What is Ventral or incisional hernia?



Page 1332

300

If patient has had severe pain from appendicitis and pain goes away what is the cause?

What is ruptured appendicitis?

This is a medical emergency.



300

semiliquid to semiformed

Transverse colostomy

400

Oral bleeding, raised area on the lip or in the mouth, oral ulcer iwth poorly defined margins, mucosal lesion/nodule, white and/or red patches in the oral cavity, increasing pain that radiates to the ear and neck, dysarthria, dysphagia, difficulty chewing, oral fetor, regional lymph node involvement, weight loss, poor fitting dentures.

What is Oral Cancer?



Page 1291

400

Hematemesis

What is the vomiting of blood?




Page 1323

400

Occur more frequently in women than men and are due to increased abdominal pressure, usually related to obesity or giving birth to more than on child.

What is Umbilical hernia?

400

Gold standard for colorectal cancer screening?

Colonoscopy



Page 1358

400

semiformed

Descending colostomy

500

Increased respiratory rate, strider, SOB, decreased O2, hypercarbia, elevated heart rate, change in LOC, oral bleeding, swelling and edema, loss of teeth, pain

What is oral trauma?



Page 1295

500

Xerostomia

What is dry mouth?



Page 1279

500

More common in females than males.  Fat in the femoral canal enlarges and pulls contents from the peritoneum into the hernia sac.

What is Femoral hernia?

500

What is ABCDE pattern?

Airway, Breathing, Circulation, Disability (Neurological status), and exposure

500

formed

sigmoid colostomy

600

Indigestion, abdominal pain/discomfort, initially relieved by antacids or nutrition changes, feeling of fullness, epigastric pain, back pain, retrosternal pain, anorexia

What are early signs of gastric cancer?



Page 1326

600

Trismus

What is difficulty opening the mouth?



Page 1293

600

The pt with a ______ hernia may present with clinical manifestations of an intestinal obstruction.  This is an emergency and pt must be prepared for immediate surgery to prevent gangrene from developing.

What is strangulated?



Page 1333

600

Usually occurs as the result of viral, bacterial, or fungal infections in patients with suppressed immune systems, often secondary to radiotherapy and/or chemotherapy

What is Secondary stomatitis?



page 1278

600

The stoma should have what appearance

reddish pink and moist