Targeted GI

Question 1

1.Crohns expected findings

Answer 1

1. Fatty, diarrheal stools
2. Hypokalemia
3. weight loss
4. Right lower quadrant pain

Question 2

what is the blood test carcinoembryonic antigen (CEA) indicate

Answer 2

determines the efficacy of chemotherapy

Question 3

how is colon cancer staged

Answer 3

colonoscopy

Question 4

indications of gastric dilation

Answer 4

1. Hiccups
2. Hypotension
3. Tachycardia
4. epigastric pain

Question 5

finding for subcutaneous intraperitoneal hemorrhage

Answer 5

1.Periumbilical cyanosis

Question 6

What would the abdomen of a patient with peritonitis feel like

Answer 6

board like and diminished bowel sounds

Question 7

Finding for hepatitis B

Answer 7

1.Joint pain

Question 8

Expected findings for appendicitis

Answer 8

1. Fever with WBC elevation
2. n/v
3. right lower quadrant pain
4. rebounding tenderness

Question 9

what does bloody diarrhea indicate

Answer 9

colorectal cancer

Question 10

what is a major concern for cirrhosis

Answer 10

bleeding

Question 11

where is the pain of a duodenal ulcer

Answer 11

midline between umbilicus and xiphoid

Question 12

why do patients with ileostomys complain of burning sensation during bowel elimination

Answer 12

-decreased absorption of gastric acid in the ileum

Question 13

ileostomy teaching

Answer 13

1. decrease or eliminate high fiber foods if intolerance occurs
2. liquid stools are expected
3. report dark purple stoma

Question 14

what food can reduce the odor from an colostomy

Answer 14

yogurt

Question 15

normal albumin
direct/conjugated Bilirubin
Ammonia

Answer 15

1. 3.5-5.5 g/dL
2. 0-0.3 mg/dL
3. 15-45mcg/dL

Question 16

what is conjugated bilirubin

why is it elevated in liver neuropathies

Answer 16

bilirubin that is attached to glucuronyl
When RBCs lyse (such as in bleeding) the heme group is metabolized into unconjugated(not attached to anything) bilirubin. it then binds to albumin and is transfered to the liver where it binds with glucuronyl to become conjugated.

Question 17

Ulcerative Colitis

Answer 17

1. should restrict dietary fiber as it can lead it diarrhea and cramping
2. avoid diary products
3. reduce stress
4. avoid GI stimulates such as caffeine drinks, nuts, pepper, and smoking
5. LLQ pain is common
6. refrain from any activity that increases intra-abdominal pressure (bending, gardening)
7. avoid laxatives as they increase intestinal motility and can make symptoms worse

Question 18

colonoscopy prep instructions

Answer 18

1. switch to clear liquid diet 24 hours prior to procedure then NPO 6 hours prior to procedure
2. drink the liquid quickly to prevent nausea

Question 19

what food can reduce the risk of dumping syndrome (complication of gastrectomy)

Answer 19

eggs or anything with high protein, try to avoid carbs.