COA Exam 3 Intestinal Disorders

Irritable bowel syndrome (IBS)

Disorder in how the gut moves and functions.

IBS hallmark finding

all tests are normal

IBS is more likely to develop in what gender?

Females

Ulcerative colitis: location

Colon, or large intestine.

Ulcerative colitis symptoms

Frequent diarrhea; stools with blood, mucus, and pus; colicky cramps; fever; weight loss; electrolyte imbalances; and anxiety.

Ulcerative colitis goals of care

decrease bowel motility

Ulcerative colitis treatment

ACTH, antibiotics, antidiarrheals, and colectomy with ileostomy

Ulcerative colitis diet

High-protein, high-calorie diet.

Ulcerative colitis complications

Severe fluid and electrolyte dehydration, toxic megacolon, paralytic ileus, peritonitis, and perineal skin breakdown.

What does UC look like on x-ray

lead pipe

Crohn's disease

Chronic inflammatory bowel disease that can affect any part of the GI tract, most commonly the small intestine.

Crohn's disease skip lesions

Inflamed sections of bowel are separated by normal patches of tissue.

Crohn's disease symptoms

Abdominal pain often triggered after meals, chronic pale diarrhea and weight loss.

Crohn's disease imaging finding

String sign

Crohn's disease treatment

Antimicrobials, antibiotics, and bowel resection.

Crohn's disease diet

Low-residue, low-roughage, low-fat diet.

Crohn's disease complications

Intestinal obstruction, deep fissures, fistulas, abscesses, severe malabsorption, weight loss, and chronic malnutrition.

Ulcerative colitis inflammation pattern

continuous inflammation

Crohn's tissue depth

full thickness

Ulcerative colitis tissue depth

superficial

Obesity

Excess fat tissue

Obesity BMI

above 30

four types of causes of obesity

genetic, environmental, behavioral, neuroendocrine

Genetic causes of obesity

Familial predisposition, leptin dysregulation, receptor mutations, and hypothalamic control.

Environmental causes of obesity

High consumption of foods rich in fat and cholesterol and weight-gain side effects of medications.

Behavioral causes of obesity

Sedentary lifestyle and barriers to physical activity.

Neuroendocrine conditions associated with obesity

Hypothyroidism, Cushing's disease, polycystic ovary failure, and growth hormone deficiency.

Celiac disease

A genetic autoimmune disorder in which gluten damages the lining of the small intestine, impairing nutrient absorption.

Celiac disease symptoms

Light-colored diarrhea, fatty bulky stools, abdominal distress, and increased bleeding tendencies.

Celiac disease diet/treatment

Lifelong gluten-free diet.

Celiac disease medication precaution

Gluten may be used as a binding agent or filler in medications.

what may you have to do with refractory celiac disease

TPN