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Exam (elaborations)

SLCC Pathophysiology Exam 4 Questions With Complete Solutions

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SLCC Pathophysiology Exam 4 Questions With Complete Solutions Hiatal Hernia Expansion of esophagus diaphragm pre-spincter that can become filled with stomach acid. Px Hiatal Hernia Risk Factors Pregnancy Age Weightlifting while holding breath habitual vomiting

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  • October 13, 2024
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SLCC Pathophysiology Exam 4 Questions
With Complete Solutions

Hiatal Hernia Expansion of esophagus diaphragm pre-spincter that can become filled with

stomach acid. Px




Hiatal Hernia Risk Factors Pregnancy


Age

Weightlifting while holding breath

habitual vomiting




PUD Peptic Ulcer Disease


Px epigastric

H. pylori bacteria (specific for ulcers)

Px starts 2 hrs. after eating (PUD not gallbladder)

Cured ABX and Proton Pump Inhibitor (PPI)




H. Pylori common bacteria found in ulcers

, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions
Upper Gastric Internal Bleeding (UGIB) Hematemesis-Frank bleed


Black "coffee grounds" vomitus -ulcer gastric bleeding




Lower Gastric Internal Bleed (LGIB) Occult Blood- hidden blood (Fecal chemical paper

change)

Melena- Larger amount of digested blood + smell

Hematochezia-Frank Bleed-hemroids




Irritable Bowel Syndrome (IBS) *NO DAMAGE* to intestine -->Px


abnormalities:

psychosocial

Motility

sensory

CNS processing




Inflammatory Bowel Disease Crohns-Anywhere intestines. Skip lesions involve all layers


Ulcerative Colitis-Erosion of lining of large colon and rectum in the mucosal layer-->Toxic

Megacolon

, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions

S/S Crohns Abdominal Px


Tenderness

Nausea/Vomiting

Severe Diarrhea

Low Grade fever

Bloody Stools -->Anemia

Severe malabsorption-->Weight Loss

Dehydration-->Electrolyte imbalance




Fistulas tunneling into different areas




Cirrhosis of the Liver clogged hepatic portal vein can cause back in the veins leading to

portal hypertension-->organ engorgement, splenomegaly, ascites esophageal varices--

>hematemesis

Protein Loss-->low osmotic pressure




Esophageal Varices enlarged and swollen veins at the lower end of the esophagus

, SLCC Pathophysiology Exam 4 Questions
With Complete Solutions

S/S Cirrhosis of the Liver Ascites


Gynecomastia

Caput medusa

Umbilical hernia

Dependent Edema




Gynecomastia Abnormal development of breast tissue in males




Hepatic Encephalopathy ↑ serum ammonia (Poison)-->LOC


Asterixis Factoid (Flap Liver...hand clap)

Hyperreflexia




Asterixis Factoid Flap Liver...hand clap the more movement the more of a problem in the

liver




Bilirubin by product of partial protein catabolism. If not fully broken down can cause

Jaundice

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