NR 511 midterm exam study guide
NR511 Midterm Study Guide Worksheet
Disease Risk Subjective
Finding
Objective
Findings
Diagnostics Treatment
... [Show More] Education
GI DISORDERS
Appendicitis Older adults Colick,
epigastric,
periumbilical,
RLQ pain,
worsens with
walk or
coughing
Htn, tachy,
flexing right
knee relieves
pain, pressure
on abd,
No lab,
leukocytosis, UA,
hematuria
Sx, fluids,
electrolytes, IV
abx, no narcs,
perforationcephalosporin
No heavy lifting
Celiac disease White northern
Europeans,
family hx, Down’s
syndrome, HLA-DQ2
or HLA-DQ8, Turner’s
syndrome, or type 1
diabetes and
thyroiditis.
Asymptomatic
, may
complain of
diarrhea,
weight loss,
dyspepsia,
and flatulence
muscle wasting,
anemia,
reduced fat,
ataxia,
peripheral
neuropathy
Dermatitis
herpetiformis
10% ppl
anti-tTG IgA
antibodies.
Try a gluten free
diet and see
strict gluten-free
diet consult
dietician and
nutritionist
Gluten free
Cholelithiasisinflamed
gallbladder
wall
American Indian
women,
fat, female, 40 age,
flatulent, fertile, and
fat-intolerant.
indigestion,
nausea, and
vomiting,
after fatty
meal, RUQ or
epigastrium
pain, pain
radiate to
middle back,
positive
Murphy’s sign
with deep
breath, mild
jaundice
possible,
Mild elevation
WBC 15000/mL,
Serum
transaminases
increase,
aspartate
aminotransferas
e , alanine
aminotransferas
avoid foods high in
fat and surgery,
nonsurgery
ursodiol and
methyl tertuarty
butyl ether for
cholesterol stones,
if no surgery
possible
Avoid fatty food
NR511 Midterm Study Guide Worksheet
right shoulder e, alkaline
phosphatase,
bilirubin,
ultrasound cystic
duct block,
extracorporeal
shock wave
lithotripsy
Crohn’s Smoking, age 10-40,
chrom 7, 10, 16
abdominal
cramping and
tenderness,
fever,
anorexia,
weight loss,
spasm,
flatulence,
and right
lower
quadrant
(RLQ) pain or
mass.poor
tolerance to
fat and spicy
tubular, tender
mass in the
RLQ, anal
fissures,
perianal
fissures,
edematous,
pale skin tags,
obstruction,
fibrosis, and
stenotic
changes within
the bowel, ,
constipation,
and vomiting;
diffuse
jejunoileitis
,abdominal
fistulas and
abscesses,
bile salt
deficiency,
elevated WBC
count and
sedimentation
rate, prolong
PTT,
malabsorption
and vitamin and
mineral
deficiencies,
minor erosions
or deep
longitudinal
fissures
Sulfasalazine,
Glucocorticoids,
Oral prednisone,
TNF-alpha
blockers (Humira
and remicade),
Stress
management,diet,
lifestyle, avoid all
foods high in fiber,
including whole grain
breads and cereals,
all fresh fruits and
vegetables, and
seeds and nuts.
Diverticulitispouchlike
protursions
sigmoid
segment
60 + age, developed
countries, low fiber
diet, obesity,
Pain LLQ of
abs, fever,
chills, and
tachycardia,
dysuria,
pneumaturia ,
fecaluria
tenderness in
the LLQ of the
abdomen,
mild to moderate
leukocytosis,
obstruction, air
seen in x rays,
high-fiber diet,
antibiotics long
term not
recommended,
surgery in rare
cases
Change diet, avoid
constipation and
straining during
bowel movements,
drink water
NR511 Midterm Study Guide Worksheet
GERD age Heartburn,
regurgitation,
water brash,
dysphagia, sour
taste in the
morning,
odynophagia,
belching,
coughing,
hoarseness, or
wheezing, chest
pain, made
worse by
certain foods
and or heavy
lifting
stool positive
for occult blood
on rectal exam
resulting from
microhemorrha
ges in the
irritated
esophageal
epithelium.
Otherwise
normal physical
exam
Hx, EGD PPI, head
elevation, weight
loss,
instructing them on
appropriate lifestyle
modifications, eat
small, frequent
meals, with the main
meal at midday.
Giardiaprotozoal
pathogen
transmitted via oral–
anal intercourse
Bloating,
gassy, nausea,
watery
diarrhea,
weight loss,
anorexia,
Stool exam,
small bowel bx,
positive for
trophozites
Metronidazole,
quinacrine
hydrochlorida
H. Pylori
Infection
30-55 years
Same as peptic ulcer
Irritable bowel
syndrome
Women>men, late
adolescence to early
adult
Abd pain,
diarrhea and
constipation
alteration, LLQ
pain, relief wit
Tender on LLQ,
hx
Physical exam Diet, antidiarrheal,
laxative
High fiber, avoid
triggers
NR511 Midterm Study Guide Worksheet
bm
Peptic ulcer Age 30-70, NSAIDS,
asprin, H. Pylori,
Genetics, blood type,
personality type, and
smoking
Burning or
gnawing pain
in epigastric,
reduction in
pain after
eating or
increase
detect H. pylori:
fecal antigen
assay, urea
breath test,
biopsy
,serological
antibody test
Pharm treatment
PPI, H2 receptor
antagonists,
bismuth,
antacids,misoprost
ol, sucralfate
change in fecal color
when taking bismuth
preparations,
sucralfate not with
other meds or
digoxin, ciprofloxacin,
or phenytoin
Pancreatitis Biliary tract dz and
alchol
Deep
epigastric
pain,
aggravated by
lying down
coughing,
nausea,
vomiting,
sweating and
weakness
Ab tenderness
over epigastric,
tachycardic ,
shallow
respiration, mild
jaundice and
scleral icterus
Increase serum
amylase and
lipase, decrease
serum calcium,
Demerol,
antiinflamm,
symptoms
management
cholecystectomy,abst
ain from alcohol,
decrease fat
Salmonella Ingesting raw chicken,
eggs and livestock
Nausea
vomiting,
colicky ab pain,
diarrhea, fever,
headache, stool
smells bad,
Stool exam No txt, unless
fever and systemic
dz,
Bactrim Ds,
quinoline,
norfloxacin
Stress proper
handling of food,
thorough cooking,
and good hand
washing.
Shigella poor hygiene and
overcrowding, it is
Watery
diarrhea, high
Isolate in stool or
rectal swab,
Bactrim DS [Show Less]