What is ulcerative colitis (UC)?
- Correct Answer - Chronic inflammation of the digestive tract
and located in the lining of the large intestine and rectum
What are some signs and symptoms of UC?
- Correct Answer - Diarrhea
Abdominal pain
Rectal pain and bleeding
Urgency to defeat and the inability despite the urgency
Weight loss
Fatigue
Fever
Failure to thrive (FTT)
What are the diagnostics for UC?
- Correct Answer - Perinuclear anti-neutrophil cytoplasmic
antibody test for pANCA
,Colonoscopy
Flexible Sigmoidoscopy
CT to visualize how much of the colon is inflamed
What type of medications are used to treat UC?
- Correct Answer - Anti-inflammatories
Corticosteroids
Immune System Suppressors
Antidiarrheals
Antispasmodics
Iron Supplements
What blood tests will show inflammation?
- Correct Answer - ESR
CRP
What BP reading is considered HTN?
- Correct Answer - Systolic over 130 or Diastolic over 80
What is the best way to eliminate masked HTN and white coat
syndrome?
- Correct Answer - Ambulation blood pressure measurement.
Involves wearing a portable device for 24 to 48 hours
,How is hypertension created in the body?
- Correct Answer - Sodium absorption resulting in volume
expansion
Impaired response to the RAAS
Increased activation of the sympathetic nervous system
How is HTN diagnosed?
- Correct Answer - You must measure BP with 2 separate
readings on 2 separate occasions.
What are some assessment findings associated with HTN?
- Correct Answer - Increased BP and pedal edema
Aortic Valve disease - S4 heart sound may be heard
Renal Vascular Disease (renal bruit, carotid bruit)
Hypercortisolism - think skin, easy bruising and hyperglycemia
Thyroid Disorders - palpable thyroid and thyroid may even cause
pain.
What are the stages of HTN? (Stages alone)
- Correct Answer - Normal
Elevated
Stage 1 HTN
, Stage 2 HTN
Hypertensive Crisis
What is considered normal in HTN staging?
- Correct Answer - SBP under 120 and DBP under 80mmhg
What is considered elevated in HTN staging?
- Correct Answer - SBP 120-129 AND DBP less than 80
What is considered stage 1 in HTN staging?
- Correct Answer - SBP 130-139 AND DBP 80-89
What is considered stage 2 in HTN staging?
- Correct Answer - SBP above 140 but below 180 AND DBP
greater than 90 but less than 120
What is considered a hypertensive crisis in the HTN staging?
- Correct Answer - SBP over 180 AND/OR DBP over 120
What are the blood pressure medications and their prototype
medication? - Correct Answer - ACE Inhibitors - end in PRIL -
Lisinopril
ARBs - end in SARTAN - Losartan
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