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Diffculty swallowing relating to nerve; narrowing could be from Hiatal Hernia or brain tumor
Pouch in esophagus that goes into pathway and can collect food; as gets full you may have choking sensation or vomit after eating
Gastroesophageal Reflex (GERD)
backward movement of GASTRIC contents (ACID) into esophagus; PYROSIS aka heartbur; caused by weak esophageal sphincter; may be caused by obesity; pain 30-60 mins after eating; MUCOSAL tissue injury; CANCER RISK: constant esoph burning causes DYSPLASI; complication of Barrett Esophagus (Genetic)
Cancer of the Esophagus
Males 2:1, older than 50; Squamos cell cancer (ETOH or smoking); ADENOCARCINOMA- Barretts Esophagus/Upper Stomach; Symptoms: Dysphagia, WEIGHT LOSS, fatigue, pain w/ swallowing; POOR PROGNOSIS b/c usually found late/lots of room to grow (long hollow tube) and can spread
Transient inflammation of mucosal lining (very quick progression) 5 hours after consump of bactera, alcohol binge, caffeince, ASA; EX: food poisoning
Inflammation of mucosal lining w/ no erosions but ATROPHY of epithelial of stomach; from chronic use of alcohol, caffeine, smoking, NSAIDS
Peptic Ulcer Disease (PUD)
Ulcers caused by H Pylori: flagellar bacteria often found in wells; live in mucosa by secreting urease (ammonia) that buffers acidity; Symptoms: burning, more pain when empty stomach; food helps calm it
Ulcers due to physiological stress such as burns, trauma, sepsis; in ICU; put MYLANTA into body
Stress ulcer arising in people w/ intracranial injury, operations, or tumors. (inc in ICP intracranial pressure is pushing against vagal nerve)
Cancer caused by: Genetic, carcinogens, Gastritis, Gastric Polyps; Symptoms: Vague, Anorexia, weight loss (muscle wasting from Cachetin and TNF) indigestion, vomiting; LATE DIAGNOSES
Irritable Bowel Syndrome (IBS)
(AKA SPastic Colon or Colitis);; Chronic alteration of Constipation then Diarrhea related to CHANGES IN STRESS HORMONES; Disorder of Small/Large Intestine that is chronic and recurrent; more frequent in stressed (constipated) and women (estrogen)
Inflammatory Bowel Disease
Crohn's and Ulcerative Colitis; in young adults; familial; systemic symptoms: may have symptoms in rest of body (spine arthritis, optic inflammation, stomatitis) SYMPTOMS: diarrhea (more w/ ulcerative Colitis) Colicky Pain, weight loss, malaise(low feeling of discomfort), low fever
Inflamm Bowel Disease associated w/ Fibrous Granulomatous inflamm response, less flexible tissue, doesnt allow for mobility, Sporadic, "skip", cobblestone pattern, NO bleeding, LACK OF ABSORPTION
Inflamm Bowel Disease associated w/ BLOODY DIARRHEA; ulcers, continuous, inc. calcium (chronic cell changes; risk for cancer)
VIRAL Infectious Enterocolitis
AGGRESSIVE Infective Enterocolitis caused by Rotavirus(spread fecal-oral route; common in day care centers), Norwalk Virus, and Adenovirus; Eventually goes away, given IV fluid; dont want to stop both diarrhea and vomiting b/c then virus stays inside
C difficile Infectious Enterocolitis
Type of Infectious Enterocolitis from abnormal Antibiotic use; from a bacteria in your body/your NATURAL FLORA; Symptoms: Acutely ill, fever, lethargy, tachycard, abd pain, distension/bloating
E. Coli Infectious Enterocolitis
Type of Infectious Enterocolitis caused by bood-borne transmission (undercooked meat)
Herniations of the Sigmoid Colon (Meckel's); not found in underdeveloped countries; from lack of fiber and lack of exercise (causes stasis) DIVERTICULITIS: inflammation in LLQ; may resolve; need antibiotics, NPO (nothing per oral) or surgery
Obstruction in the RLQ when appendix becomes inflammed, swollen, gangrenous; WHEN POOP GETS STUCK THERE=Stasis so inflames and causes pain; fast progression
Inflammation of membrane that covers organs.
BACTERIAL: Bowel muscle is Perforated (ex: appendicitis);
CHEMICAL: Surgical irritant to membrane nerves. TREAT: NPO and IV
shortening of the bowel muscle caused by movement of one segment of the bowel into another (less than 2 yrs old)
Caused by Celiac Sprue, Crohn's, Surgical Resections so shorter small int. so less absorption; If FAT not absorbed= Clay/yellow poop; also, fat soluble vitamin deficiency=Bleeding (vitamins A,D,K)
Autoimmune Malabsorption disease triggered by eating GLUTEN; damages lining of small int.
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