GI charts to know

IBS-75-80% relapse after the first attack. It is a mild-moderate disease that needs a routine colonoscopy w/ a biopsy after having the disease for 7-8 years because it increases your risk for colon cancer.

Abdominal pain is intermittent-mild crampy tenderness

NO mass is present

Bleeding is common

Diarrhea yes (frequent watery stools w/blood/mucus)

Perianal lesions are NOT PRESENT

Weight loss can be caused by severe diarrhea

You can experience a fever/malaise during severe exacerbation

Psychological can be resulted from a long-standing disease

Crohn’s Disease: It is recurrent and progressive. You typically will need surgery after 7 years to treat/repair fistulas or abscesses. Shortened life span

NOT TREATED SURGICAL (it is all over the linining of the stomach and can reoccur in different spots)

Abdominal Pain is crampy/steady in the RIGHT LOWER QUAD. (PERIUMBILICAL)

A mass is common to have

Bleeding is occasional

You can have chronic, recurrent and even bloody diarrhea

1/3 will develop a perianal abscess or fistula

Weight loss is common

You can experience fever/malaise with exacerbation and when a abscess forms

Psychological can be resulted from the long-standing disease

Ulcerative Colitis: Chronic and intermittent. Can cause rare functional limitations

CAN BE CUT OUT/SURGICAL

Abdominal pain is sharp, burning and can diffuse in the LEFT LOWER QUAD

NO mass present

intermittent, predominant diarrhea (Can vary person-person)

NO perianal lesions

NO weight loss

Psychological can be from exacerbation with stressful situations

Hepatitis: inflammation of LIVER

Viral Hep chart to know:

Hep A:

source-feces

transmission- fecal-oral (waterborne) venereal (sex)

incubation period 15-42 days

onset abrupt

symptoms: fever and nausea/vomiting is common. Jaundice is more common in adults than children

chronic infection NO

prevention- pre/post immunization (vaccines)

Hep B:

source-blood/body fluids

Transmission- contact with contaminated blood/body fluids (drug use/sex), perinatal (from mom to baby)

incubation period 42-160 days

onset insidious (develops gradually and without early warning signs)

Symptoms: nausea/vomiting is common and jaundice can happen occasionally (no fever)

chronic infection YES

Prevention- pre/post immunization (vaccine)

Hep C:

source- blood/body fluids

Transmission- contact with contaminated blood/body fluids (drug use/SEX)

incubation period 14-160 days

onset insidious (develops gradually and without early warning signs)

Symptoms: nausea/vomiting is common (NO jaundice and fever)

Chronic infection-YES

Prevention- blood donor screening/ behavior modifications

Hep D:

Source- blood/body fluids

transmission- contact with contaminated blood/body fluids (drug use/SEX)

Incubation period: 28-49 days

onset is insidious (gradual without early warning signs)

symptoms: fever, nausea/vomiting, and jaundice are all common

chronic infection YES

prevention: behavior modification

Hep E:

source- feces

transmission- fecal-oral (waterborne)

incubation periods 14-56 days

onset abrupt

symptoms: fever, nausea/vomiting, and jaundice are all common

Chronic infection NO

prevention- ensure safe drinking water