MS GI: PT B.4

Peritonitis

inflammation of the peritoneum

Primary

spontaneous bacterial peritonitis; spontaneous bacterial infection of ascitic fluid (peritonitis)

Secondary

perforation of abd organs causing infection (peritonitis)

Tertiary

result of superinfection of a patient who is immunocompromised (peritonitis)

Low-grade

_ fever in CM of peritonitis

Lying still with knees flexed

position of pt (CM) in peritonitis

Positive

(_) rebound tenderness, CM of peritonitis

4k to 11k

normal WBC

Isotonic

iv replacement in mgmt of peritonitis should be?

Appendicitis

inflammation of the appendix; may result to peritonitis

Periumbilical

specific part pf abd pain in appendicitis

Rovsing's

press left, masakit right; appendicitis

Obturator

flex right leg, rotate palabas, painful; appendicitis

Psoas

taas right leg, painful; appendicitis

False

t/f. Give laxatives in appendicitis

High fowler's

position post-op mgmt for appendicitis to promote abdominal expansion

Chron's

regional enteritis; patchy; inflam of the small intestines, colon, or both

ALL

_ layers of the bowel is affected in CD; terminal ileum with patchy involvement

Soft, loose, non-bloody

5-6 _ stool in CD

FISTULAS

grabeng complication of CD

creeping fat

accumulation of fat; inflammation stimulates mesenteric fat to multiply para i-cover yung perforation sa CD

RLQ pain post meals

__ and relieved by defecation is a CM of CD

Total proctocolectomy

preferred surg mgmt for UC

Ulcerative colitis

tuloy-tuloy; start sa rectum pataas (rectosigmoid colon)

Positive

flare ups in UC? +/-

liquid, bloody

10-20 _ stool in UC

HEMORRHAGE

grabeng complication of UC

Positive

tenesmus in UC +/-

Lower abd colicky

pain in UC (CM)

Aminosalicylates

more effective for UC than CD; sulfasalazine (oral/topical); give FA supplement

Immunomodulators

do not give during flare ups in IBD; more commonly used for CD; immunosuppressant

Diverticular dse

puch-like herniations of the mucosa thru the muscular wall of any portion of the gut

Diverticulosis

abn outpuching; diverticular

Diverticulitis

inflammation of diverticula

True

t/f. Diverticulosis is asymptomatic

LLQ

abd pain in diverticulitis is in which quadrant?

Endoscopy

to detect outpouching in diverticular dse

False

t/f. Endorse for laxatives and enema for the pt in diverticular dse.

Low fiber/clear liquids

diet in diverticular dse

Nuts, popcorn

teach to avoid these food triggers in diverticular dse