Inflammatory Disorders of the GI Tract

Question 1

two types of inflammatory bowel diseases

Answer 1

chrons disease
ulcerative colitis

Question 2

what is the cause of inflammatory bowel disease

Answer 2

unknown

Question 3

chrons disease apperence in the bowel

Answer 3

cobblestone

Question 4

why will chrons disease have bowel obstructions

Answer 4

due to lumen narrowing

Question 5

chrons disease
- definition

Answer 5

subacute and chronic inflammation of GI tract extending though all layers

Question 6

is chrons disease the same or does it vary

Answer 6

it varies through remissions and exacerbations

Question 7

chrons disease
- where will it affect

Answer 7

any part of GI tract (from mouth to anus)

Question 8

chrons disease
- fast or slow progressive

Answer 8

slowly progressing

Question 9

is chrons disease diasabiling

Answer 9

yes

Question 10

chrons disease
- clinical manifestions
- systemic

Answer 10

low grade fever
weight loss

Question 11

chrons disease
- clinical manifestations
- GI related

Answer 11

diarrhea (multiple episoides)
abdominal pain
steatorrhea
abcess and fistulas

Question 12

chrons disease
where is the abdominal pain

Answer 12

right lower quadrant

Question 13

chrons disease
abdominal pain and relief with eating

Answer 13

crampy pain after eating

Question 14

chrons disease
weight loss is secondary to pain associated with

Answer 14

eating

Question 15

chrons disease
- steatorrhea

Answer 15

fatty stools

Question 16

complications of chrons disease

Answer 16

colon cancer
intestinal obstruction

Question 17

chrons disease
- diagnostics

Answer 17

CT scan
MRI
CBC
Albumin
Protein levels
C reactive protein

Question 18

what does C reactive protein

Answer 18

inflamattory marker
chronic inflammation

Question 19

chrons disease
medical management

Answer 19

steroids

Question 20

chrons disease
why do we need to be careful with steroids

Answer 20

develop gastritis

Question 21

ulcerative colitis

Answer 21

chronic ulcerative and inflammatory condition of the colon

Question 22

ulcerative colitis
- why do they have blood

Answer 22

the intestine is shedding the lining

Question 23

does ulcerative colitis stay the same or get better

Answer 23

exacerbations and remissions

Question 24

ulcerative colitis
- type of diarrhea

Answer 24

crampy
6 or more bloody stools per day

Question 25

why might ulcerative colitis have anemia/fluid/electrolyte issues

Answer 25

loosing blood and loosing fluids through diarrhea

Question 26

ulcerative colitis
- complications

Answer 26

perforation/peritonitis
bleeding
osteoporosis (decrease bone mass and steroid use)

Question 27

ulcerative colitis
- medical management

Answer 27

aimed at reducing inflammation and immune response, resting bowel and improved quality of life

Question 28

medical management of IBD

Answer 28

surgery
- colectomy
- ileostomy

Question 29

pre op IBD

Answer 29

pre surgery antibiotics (reduce bacterial load)
WOC consult
bowel prep
emotional support
pain and nutritional management

Question 30

post op IBD

Answer 30

nutrition
Mobilize
incentive spirometer
surgical site and abdominal assessment
stony assessment and care
supporting positive body image

Question 31

how should the stoma look

Answer 31

beefy red moist