Elevate the head of the bed – gravity reduces reflux.
Metaplastic change of esophageal lining.
GERD due to weakened LES.
NSAID use damages gastric mucosa.
Vitamin B12 deficiency (pernicious anemia).
Pain relieved by food.
Weakens gastric mucosal defenses.
Perforation.
Proton pump inhibitor (PPI).
Functional GI disorder.
Pain at McBurney’s point.
RLQ pain when LLQ palpated.
Keep patient NPO.
Rigid, board-like abdomen.
Intestinal perforation.
Transmural inflammation.
Bloody diarrhea.
Inflammation is transmural.
Ulcerative colitis.
Immunosuppressants.
Adhesions.
Absent bowel sounds.
Loss of peristalsis.
Ischemia.