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SLCC Pathophysiology Exam 4 Questions and Answers
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SLCC Pathophysiology Exam 4 Questions and Answers
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SLCC Pathophysiology Exam 4Questions and Answers
Azotemia ii- iiAnswers ii-presence iiof iiurea iior iiother iinitrogenous iicompounds iiin iithe
iiblood
Gastroesophageal iiReflux iiDisease ii(GERD) ii- iiAnswers ii-backflow iiof iigastric iijuices
iifrom iithe iistomach iito iienter iithe iiesophagus. iiDO iiNOT iiIGNORE iiHEARTBURN ii- iiit
iican iilead iito iithroat iicancer
S/S iiGastroesophageal iiReflux iiDisease ii(GERD) ii- iiAnswers ii-Pain iiis iiworse iiwhen
iilying iidown iior iibending iiover. iiPatients iiwill iicomplain iiof iihaving iito iisleep iiin iia iirecliner
iior iiwith iithe iihead iiof iithe iibed iielevated iito iirelieve iithe iipain.
NOTE: iiGastroesophageal iiReflux iiDisease ii- iiAnswers ii-This iipain iican iimimic iia iiheart
iiattack iibecause iithe iistomach iiis iiso iiclose iito iithe iiheart ii- iior ii- iipatients iiwith iiheart
iiproblems iitell iithemselves iithey iiare iijust ii"having iiheartburn" iiand iidelay iigoing iito iithe
iiER iifor iia iicardiac iiworkup. iiTeach iipatients iinot iito iiassume iitheir iichest iipain iiis
iiheartburn!
Rx iiGastroesophageal iiReflux iiDisease ii(GERD) ii- iiAnswers ii-Stop iiSmoking iiand iiavoid
ii2nd iihand iismoke ii(increases iigastric iiirritation iiand iicauses iivasoconstriction iiwhich
iidecreases iihealing); iistop iicaffeine; iicheck iifor iigluten iiintolerance; iiAcid-suppressing
iimedications. ii
cardiac iicocktail
pain iiis iiworse iiwhen iithe iipatient iilies iidown
Hiatal iiHernia ii- iiAnswers ii-Expansion iiof iiesophagus iidiaphragm iipre-spincter iithat iican
iibecome iifilled iiwith iistomach iiacid. iiPx
Hiatal iiHernia iiRisk iiFactors ii- iiAnswers ii-Pregnancy ii
Age
Weightlifting iiwhile iiholding iibreath ii
habitual iivomiting
PUD ii- iiAnswers ii-Peptic iiUlcer iiDisease ii
Px iiepigastric
,H. iipylori iibacteria ii(specific iifor iiulcers)
Px iistarts ii2 iihrs. iiafter iieating ii(PUD iinot iigallbladder)
Cured iiABX iiand iiProton iiPump iiInhibitor ii(PPI)
H. iiPylori ii- iiAnswers ii-common iibacteria iifound iiin iiulcers
Upper iiGastric iiInternal iiBleeding ii(UGIB) ii- iiAnswers ii-Hematemesis-Frank iibleed
Black ii"coffee iigrounds" iivomitus ii-ulcer iigastric iibleeding
Lower iiGastric iiInternal iiBleed ii(LGIB) ii- iiAnswers ii-Occult iiBlood- iihidden iiblood ii(Fecal
iichemical iipaper iichange)
Melena- iiLarger iiamount iiof iidigested iiblood ii+ iismell
Hematochezia-Frank iiBleed-hemroids
Irritable iiBowel iiSyndrome ii(IBS) ii- iiAnswers ii-*NO iiDAMAGE* iito iiintestine ii-->Px
abnormalities:
psychosocial ii
Motility ii
sensory
CNS iiprocessing
Inflammatory iiBowel iiDisease ii- iiAnswers ii-Crohns-Anywhere iiintestines. iiSkip iilesions
iiinvolve iiall iilayers
Ulcerative iiColitis-Erosion iiof iilining iiof iilarge iicolon iiand iirectum iiin iithe iimucosal iilayer--
>Toxic iiMegacolon
S/S iiCrohns ii- iiAnswers ii-Abdominal iiPx
Tenderness
Nausea/Vomiting
Severe iiDiarrhea ii
Low iiGrade iifever
Bloody iiStools ii-->Anemia
Severe iimalabsorption-->Weight iiLoss
Dehydration-->Electrolyte iiimbalance
Fistulas ii- iiAnswers ii-tunneling iiinto iidifferent iiareas
Cirrhosis iiof iithe iiLiver ii- iiAnswers ii-clogged iihepatic iiportal iivein iican iicause iiback iiin
iithe iiveins iileading iito iiportal iihypertension-->organ iiengorgement, iisplenomegaly,
iiascites iiesophageal iivarices-->hematemesis
Protein iiLoss-->low iiosmotic iipressure
Esophageal iiVarices ii- iiAnswers ii-enlarged iiand iiswollen iiveins iiat iithe iilower iiend iiof
iithe iiesophagus
S/S iiCirrhosis iiof iithe iiLiver ii- iiAnswers ii-Ascites
, Gynecomastia
Caput iimedusa
Umbilical iihernia
Dependent iiEdema
Gynecomastia ii- iiAnswers ii-Abnormal iidevelopment iiof iibreast iitissue iiin iimales
Hepatic iiEncephalopathy ii- iiAnswers ii-↑ iiserum iiammonia ii(Poison)-->LOC
Asterixis iiFactoid ii(Flap iiLiver...hand iiclap)
Hyperreflexia
Asterixis iiFactoid ii- iiAnswers ii-Flap iiLiver...hand iiclap iithe iimore iimovement iithe iimore
iiof iia iiproblem iiin iithe iiliver
Bilirubin ii- iiAnswers ii-by iiproduct iiof iipartial iiprotein iicatabolism. iiIf iinot iifully iibroken
iidown iican iicause iiJaundice
Memorize iiChart ii- iiAnswers ii-Pathophysiology ii| iiManifestation
Hepatorenal iiSyndrome ii- iiAnswers ii-Poor iiKidney iiPerfusion-->low iiBP iidue iito iiblood
iibacking iiup iiin iithe iiliver iiand iinot iibeing iiable iito iicome iiout iiof iithe iiliver iiand
iisuffocating iithe iikidney-->Triggers iiRAAS--> iiincrease iiBP--> iimore iiblood iibacks iiup--
>Kidney iifailure-->poor iiDx iiw/o iiliver iitransplant
S/S iiHepatitis ii- iiAnswers ii-Can iibe iieither iiacute/chronic
Fatigue, iiweakness, iiloss iiof iistamina
Nausea, iivomiting, iidiarrhea, iiAnorexia
Fever iiflu-like iisymptoms
Dark iiColored iiUrine
*Jaundice iiof iiskin iiand iisclera*
*Intense iiPurities iidue iito iiIcterus*
Hepatitis iiA ii- iiAnswers ii-Fecal-->oral
Immune iisystem iican iicombat ii
Vaccine
Hepatitis iiB ii- iiAnswers ii-Vaccine iiis iiavailable ii
Blood
body iifluids
unprotected iisex
mom-to-baby
Hepatitis iiC ii- iiAnswers ii-*NO iiVACCINE*
inflammation iiof iithe iiliver iicaused iiby iithe iihepatitis iiC iivirus ii(HCV), iiwhich iiis
iitransmitted iiby iiexposure iito iiinfected iiblood; iithis iistrain iiis iirarely iicontracted iisexually,
iican iibe iicontracted iithrough iiblood iitransfusions iior iineedles iisticks iiie iidrug iiusers
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