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My Packs: HOSA (Pathophysiology)(Diagnosis and Treatment) > Digestive > Flashcards

Digestive Flashcards

1
Q

Missing Teeth

A

Diagnosis: Oral exam, radiography(absent or impacted)
Treatment: Permanent or removable prosthesis, orthodontics(dental implants)

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2
Q

Impacted Third Molar

A

Diagnosis: Radiography(determine position of tooth), visual inspection of infection
Treatment: Antibiotics(penicillin, amoxicillin), analgesic(Vicodin), extraction

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3
Q

Pericoronitis

A

Diagnosis: Visual inspection
Treatment: Antibiotics(penicillin, amoxicillin), analgesic(Vicodin)

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4
Q

Dental Caries

A

Diagnosis: Visual inspection, radiography(extent)
Treatment: Remove diseased part of the tooth(fill with dental amalgam, composite material or porcelain), root canal(if pulp decay), tooth extraction, dental implant

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5
Q

Discolored Teeth

A

Diagnosis: Oral examination
Treatment: Superficial(removed/reduced by polishing by rotary polishing), Deep(bleaching, capping, crowning), cosmetic whitening

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6
Q

Gingivitis

A

Diagnosis: Dental confirmation
Treatment: Removal of plaque/calculus, antibacterial mouthwash, local anesthesia, oral antibiotics, treatment for loosened teeth or bone destruction

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7
Q

Periodontitis(Periodontal Disease)

A

Diagnosis: Measure depth of pockets, radiography(condition of underlying bone)
Treatment: Conservative(cleaning root surfaces of teeth), antibiotics, periodontal surgery, bone/gum tissue draft

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8
Q

Oral Tumors

A

Diagnosis: Evaluation by oral surgeon/physician, biopsy(to determine malignancy)
Treatment: Benign(Observe to ensure malignancy doesn’t occur), excised if easily irritated

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9
Q

Malocclusion

A

Diagnosis: Visual exam, radiography
Treatment: Braces, extraction, surgical removal of portions of jaw, combining crowns or bridges to replace missing teeth

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10
Q

Temporomandibular Joint(TMJ) Syndrome

A

Diagnosis: Oral exam, visual inspection(infection), biopsy(neoplasm)
Treatment: Inflammatory causes(NSAIDs), anti-grinding devices, plastic bite plate, injections of hydrocortisone(rheumatoid/degenerative arthritis), worn teeth restorations, physical therapy, stress counselling, muscle relaxants, joint restructuring/replacement

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11
Q

Tooth Abscesses

A

Diagnosis: See dentist ASAP
Treatment: Antibiotics(relieve pain and swelling), root canal, dental crown/filling, apicectomy, extraction

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12
Q

Mouth Ulcers

A

Diagnosis: Blood tests, biopsy
Treatment: Antiseptic mouthwash, rinsing with warm salt water, avoid salty and spicy foods, topical analgesics, steroid mouthwash, antiviral creams/oral agent

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13
Q

Herpes Simplex(Cold Sores)

A

Diagnosis: Oral exam, isolating virus from lesions
Treatment: No known cure, mild(no treatment necessary), severe(immediate medical attention), antiviral ointment/medication

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14
Q

Thrush

A

Diagnosis: Oral exam, blood tests(to rule out underlying conditions)
Treatment: Antifungal medications for 14 days, soak prostheses in water with bleach or denture cleaner for a few hours

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15
Q

Necrotizing Periodontal Disease

A

Diagnosis: Oral exam ASAP, throat cultures, blood work(to rule out serious illnesses)
Treatment: Antibiotics, hydrogen peroxide mouthwash(relieves pain and inflammation), professional cleaning of teeth/gums, gingivectomy(minor surgery)

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16
Q

Oral Leukoplakia

A

Diagnosis: Oral exam, biopsy(if doesn’t clear in 2-3 weeks, as it could be oral cancer)
Treatment: Eliminate irritation

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17
Q

Oral Cancer

A

Diagnosis: Often delayed because painless, brush/excisional biopsy, classified and staged according to TNM, CT/MRI/PET, serum alkaline phosphatase, liver function test
Treatment: Early(surgery with or without radiotherapy), neck dissection(nodal metastasis), Advanced(irradiation), regular follow up, speech and swallowing rehabilitation

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18
Q

Gastroesophageal Reflux Disease(GERD)

A

Diagnosis: History, clinical evidence, barium swallow(strictures, ulcerations), esophagoscopy, biopsies, pH monitoring, scanning tests
Treatment: Mild(Eliminate reflux by elevating head, light evening meal, antacids), weight loss if obese, limiting alcohol, stop cigarette smoking, H-2 receptor antagonist, proton pump inhibitor, anti-reflux surgery

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19
Q

Esophageal Varices

A

Diagnosis: Clinical picture, history or hepatic disease, radiography to study blood flow obstruction, endoscopic examination
Treatment: Replace blood volume, maintain fluid and electrolytes, endoscopic sclerotherapy, ligation of bleeding varices to stop bleeding, emergency portal decompression(if variceal bleeding can’t be controlled)

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20
Q

Esophagitis

A

Diagnosis: History, radiography(upper GI, esophagus, to determine extent of inflammation/damage)
Treatment: Mild(bland diet, antacids), address underlying causes, medications to reduce gastric acid production, discomfort relief, small and frequent meals, avoid alcohol, perforation requires surgery

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21
Q

Esophageal Cancer

A

Diagnosis: Physical evaluation, screening high-risk individuals, barium study, biopsy, CT scan, endoscopic ultrasonography
Treatment: Localized(chemoradiotherapy, surgery), Advanced(maintain ability to swallow), radiation, chemotherapy

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22
Q

Gastric and Duodenal Peptic Ulcers

A

Diagnosis: Based on the way pain is described, history, physical exam, barium radiography, upper IG endoscopy, assess acidity of gastric contents, check stool for blood, biopsy(to rule out cancer), abdominal radiography(to eliminate perforation)
Treatment: Rest, medication, change in diet, lifestyle adjustments, surgery if severe, eliminate known cause, drug therapy(histamine receptor blocker, reduce gastric activity, protect mucosa, proton pump inhibitor, suppress acid production), small frequent meals of soft, bland foods

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23
Q

Gastritis

A

Diagnosis: Gastroscopy, radiography(to rule out structural abnormalities), biopsy(cause and extent), blood count/serum tests, fecal occult blood tests
Treatment: Antibiotics(H. pylori), eliminate sources of irritation, antacids(for gastric discomfort), medications(constrict blood vessels), antiemetics(nausea, vomiting), bland diet, vitamin/mineral supplements as needed(E.x. B12)

24
Q

Gastric Cancer

A

Diagnosis: Upper gastrointestinal endoscopy, biopsy of suspicious lesions, physical exam, CT(chest, abdomen, pelvis), laparoscopy(deep tumors, to visualize liver surface, peritoneum, lymph nodes for metastasis)
Treatment: Gastric resection, chemotherapy, gastectomy(proximal lesions), subtotal gastrectomy(distal lesions), palliation

25
Acute Appendicitis
Diagnosis: Differential diagnosis to rule out other causes of right lower abdominal pain, physical exam(maximal tenderness at McBurney's point, rebound tenderness on opposite side), complete blood count/urinalysis, lab findings of elevated WBC, usual signs/symptoms diminished in elderly Treatment: Surgical removal of appendix, antibiotics before surgery
26
Hiatal Hernia
Diagnosis: Chest radiography, barium radiographic studies, endoscopy, measurement of reflux pH/contents for blood Treatment: Relieve symptoms to prevent complications(modify diet), minimize activities that increases intra abdominal pressure, weight loss, antacids, drugs(cholinergic agents), avoid lying down 4 hours after meal, elevate head when lying, surgical repair
27
Abdominal Hernia
Diagnosis: Palpation for size, inspected standing up or lying down, auscultation(bowel sounds), inguinal hernia in males(Valsalva maneuver), radiography, WBC count Treatment: Depends on type, age, physical condition, uncomplicated and can be reduced(wear a truss), surgical repair
28
Crohn's Disease(Regional Enteritis)
Diagnosis: Symptomatic, radiography(intestines), colonoscopy, blood tests(anemia, leukocytosis), electrolyte abnormalities(diarrhea), differential diagnosis(small bowel obstruction, ulcerative colitis, irritable bowel syndrome, malabsorption syndrome, infectious/ischemic colitits, neoplasia hemorrhoids, diverticular disease Treatment: Medically incurable, therapy(treat acute disease flare up, maintain remission), nutritional support(vitamin, mineral, protein), control inflammation(corticosteroids, immunosuppresive), intravenous nutrition, anticholinergics and narcotics, antibiotics, antibodies(TNF), find site of bleeding and stop it, surgery(bowel obstruction, uncontrolled GI hemorrhage, perforation), drain abscesses, poorly controlled disease or surgery requires surgery
29
Ulcerative Colitis
Diagnosis: Stool examination of blood, electrolyte abnormalities, colonoscopy to visualize inflammation Treatment: Well-balanced diet(low in fat, high in protein/calories/vitamins), avoid irritating foods, anticholinergic drugs, antidiarrheal drugs, corticosteroids, anti-TNF, surgical removal if severe hemorrhage/perforation
30
Gastroenteritis
Diagnosis: Lab analysis, culture of stool, blood studies(causative organisms, antibodies, abnormal blood counts, electrolytes), endoscopy Treatment: Varies with cause, severity, health, control symptoms, maintain normal fluid/electrolytes, antiemetics, antibiotics, antacids, rest and eat as tolerated, no anti-diarrheal
31
Intestinal Obstruction
Diagnosis: Radiography(with barium or gastrografin contrast), elevated WBC, electrolyte imbalances, acid-base disturbances Treatment: If mechanical and doesn't resolve with conservative measures(surgery), resection of diseased bowel, ostomy, fed IV until peristalsis returns, NG tube to relieve distention/vomiting, manual disimpaction/enemas
32
Diverticulosis(Diverticular Disease)
Diagnosis: Clinical picture, air-contrast barium enema radiography, colonoscopy Treatment: Diet with adequate fluids and roughage, to produce soft, formed stool, fibre supplements and stool softeners
33
Diverticulitis
Diagnosis: Physical exam, blood tests(leukocytosis, low hemoglobin, low hematocrit, CT, colonoscopy, barium enema Treatment: Antibiotics, stool softeners, encourage liquid diet, hospitalization if severe, surgical removal, IV antibiotics, nutritional support, percutaneous drainage
34
Colorectal Cancer
Diagnosis: Screening(fecal occult), colonscopy, staging(TNM), lungs and liver are common sites of metastasis Treatment: Surgical resection of colon and lymph nodes, colostomy, palliation of symptoms
35
Pseudomembranous Enterocolitis
Diagnosis: C. difficile in stoop, rectal biopsy, WBC elevated, blood protein levels low, serum electrolyte abnormal, radiography(distended colon) Treatment: Discontinuing antibiotics(substitute with metronidazole or vanmyocin), cholestyramine resin(to bind toxins), monitor fluid and electrolytes, surgery(rarely necessary), careful handwashing with soap and water
36
Short Bowel Syndrome
Diagnosis: Initially may indicate bowel disease, abnormal electrolyte levels, pH disturbances, anemia, increased fat in stool Treatment: Drugs of infection, diarrhea, vitamin and mineral deficiency, pain relief, surgery(to correct condition or reconstruct the bowel), postsurgical parenteral hyperalimentation
37
Irritable Bowel Syndrome
Diagnosis: History physical exam, tests to exclude organic disease, clinical tests show no abnormalities, based on abnormal GI motility, older patients(>50) with recent onset of symptoms require colonoscopy Treatment: Symptomatic(adjustment of medications), fibre supplements, stool softeners, laxatives, antispasmodic drugs, antidepressants, relaxation therapy, CBT, psychotherapy, dietary modifications
38
Peritonitis
Diagnosis: Elevated WBC, abnormal serum electroytes, radiography(Distention of bowel or perforation) Treatment: Antibiotics, analgesics, antiemetics, NPO, fluid/electrolyte replacement parentally, surgery
39
Hemorrhoids
Diagnosis: Visual inspection of anal area, proctoscopy(to visualize internal hemorrhoids on rectum), hemoglobin, RBC low Treatment: Conservative(correct constipation, prevent straining), stool softeners, high fruit diet, sitz bath, topical anesthetic ointment, anti-inflammatory ointment, band ligation and cryosurgery, photocoagulation, electrocoagulation, stapled hemorrhoidectomy
40
Liver Cirrhosis
Diagnosis: Liver enlarged and firm on physical exam, radiography(enlargement), elevated liver enzymes and bilirubin, liver CT, ultrasound, needle biopsy(type/extent of fibrosis) Treatment: Prevent further damage, stop alcohol intake, prevent malnutrition, adequate rest, vitamin/mineral supplements, diuretics, liver transplantation
41
Viral Hepatitis
Diagnosis: Abnormal findings in blood/urine tests, use these to differentiate between A/B/C
42
Hepatitis A
Diagnosis: Look at antibody/antigen markers, liver function studies, elevated alanine transaminase and aspartate transaminase, prothrombin time prolonged, serum bilirubin elevated, bilirubinaria Treatment: Rest and symptoms control, IM administration of immune globulin, isolation, medication to control nausea and pain, low-fat, high carbohydrate diet, restriction of physical activity, avoid alcohol
43
Hepatitis B(Serum Hepatitis)
Diagnosis: Detection of hepatitis B surface antigen Treatment: Some cases are self limiting, medications similar to HAV, oral antivirals(chronic cases), Hepatitis B immune globulin, liver transplant(may be needed)
44
Hepatitis C
Diagnosis: Abnormal lab findings(elevated liver enzymes, bilirubin), positive blood test for anti-HCV antibodies, liver enlarged(sometimes), ultrasound to rule out the liver diseases, liver biopsy Treatment: No cure, control symptoms and improve long-term liver function, drugs(gamma globulin, interferon alfa, anti-inflammatory), rest, well balanced diet, liver transplant
45
Liver Cancer
Diagnosis: Elevated bilirubin, low albumin, thrombocytopenia, electrolyte abnormalities, cirrhosis patient deteriorates, ultrasound/CT/MRI, biopsy, metastatic spread to the bone, lungs, brain, peritoneum, adrenal glands Treatment: Surgical resection, liver transplantation, radiofrequency ablation, percutaneous, ethanol injection
46
Cholelithiasis(Gallstones)
Diagnosis: Elevated bilirubin, alkaline phosphate, AST, ALT, ultrasonography Treatment: Asymptomatic(left alone), healthy diet with low fat intake, surgical removal, bile acids to dissolve gallstones(cholesterol gallstones), extracorporeal shock wave lithotripsy
47
Cholecystitis
Diagnosis: Ultrasonography of gallbaldder and bile ducts, radioisotope gallbladder study(indicates non visualized bladder), elevated WBC and bilirubin Treatment: Uncomplicated cases(dietary modification, no fatty foods), acute case with persistent vomiting(NPO, NG tube, IV to replace electrolytes and fluids), surgery(remove gallbladder), antibiotics, analgesics, antiemetics
48
Pancreatitis
Diagnosis: Elevated amylase, lipase, WBC count and hematocrit elevated, glucose levels high indicating hyperglycemia, radiography and ultrasonography shows stones Treatment: Supportive care as most cases are mild and without complications, Acute(emergency treatment, IV fluid and electrolytes, NPO, NG tube), pain medication, monitoring of blood serum levels, Chronic(monitor for malabsorption, steatorrhea, imparied glucose tolerance indicating diabetes mellitus), surgery to remove obstruction
49
Pancreatic Cancer
Diagnosis: Radiography, histology, abdominal ultrasound, CT, dilated bile ducts, mass in pancreas, serum tumour marker, endoscopic ultrasound guided fine needle aspiration biopsy, staging laparoscopy Treatment: Surgical resection, Palliative treatment(chemotherapy, with or without radiation), stent to relieve obstruction, control of pain and treatment of depression, pancreatic enzyme replacement
50
Malnutrition
Diagnosis: Physical exam, mineral deficiency, anemia, abnormal protein metabolism, other changes in metabolism Treatment: Nutritional supplements, and replacements based on need, may need NG tube, medications for diarrhea and infections, surgery if lesions cause malnutrition, community programs to make nutrition available
51
Malabsoption Syndrome
Diagnosis: Stool sample analysis, biopsy and small bowel to reveal primary condition, blood test Treatment: Discover underlying cause entreat, control diet(high-protein, high-calorie), mineral and vitamin supplements if not being absorbed
52
Celiac Disease(Gluten Enteropathy)
Diagnosis: Positive serologic testing, biopsy of SI(showing changes or destruction of mucosal lining), improvement while on a gluten free diet, blood test, glucose tolerance test, radiography of upper GI and small bowel Treatment: Strict gluten-free diet
53
Food Poisoning
Diagnosis: History, may perform endoscopy, stool or blood culture reviews presence of pesticides or bacteria Treatment: Symptoms usually disappear within 24-48 hours, bed rest, minimize fluid and electrolyte, imbalances, nutritional support in fluid replacement, antidiarrheal and antiemetic agents
54
Anorexia Nervosa
Diagnosis: Significant weight loss(at least 15% of the body weight), intense fear of weight gain, amenorrhea, lab tests, blood tests, urinalysis, ECG, rule out organic causes of wasting Treatment: Promote normal weight, restore nutrition, psychotherapy, behavior modification, counselling, fluid and electrolyte replacement, controlled environment, support groups
55
Bulimia
Diagnosis: Similar to anorexia, lab tests Treatment: Similar to anorexia, multidimensional approach, antidepressant drugs, support group, education on proper diet, balanced diet

My Packs: HOSA (Pathophysiology)(Diagnosis and Treatment) (10 decks)

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