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LaRose Ab Pain Definition & Cause
Week 7
11
Health Care
Professional
11/09/2012

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Cards

Term
Chronic inflammation of the bowel
Etiology Unknown; genetic, environmental, stress and immune factors may be involved;
More common in females and whites; severe superficial mucosal ulceration with polyp formation and increased risk of developing cancer
Definition
ULCERATIVE COLITIS
Term
Acute or chronic infection of the pelvic connective tissue in females
Etiology Commonly due to Chlamydia trachomatis and Neisseria gonorrhea
Chlamydia is the most common in the USA
Definition
PELVIC INFLAMMATORY DISEASE
Term
Mucosal defect in the stomach or duodenum related to imbalance between production of acid and ability of mucosa to prevent damage
Etiology Related to Helicobacter pylori infection [70% in gastric and 90% in duodenal ulcers], NSAIDs, cigarette smoking, alcohol and acid hypersecretory states such as Zollinger-Ellison syndrome
Definition
PEPTIC ULCER DISEASE
Term
Alcohol or gallstone, viral or bacterial infection; most common cause in the USA is alcohol abuse
Definition
PANCREATITIS
Term
Chronic functional intestinal disorder characterized by abdominal pain or discomfort with alterations in bowel habits: diarrhea or constipation or both
Etiology Unknown; unresolved psychological stress may play a significant role
There may be a link between IBS, cholecystectomies and appendectomies
Definition
IRRITABLE BOWEL SYNDROME
Term
Aberrant growth of endometrium outside of the uterine cavity
Etiology Unknown; theories include retrograde menstruation, metaplastic transformation or vascular dissemination
There may be a genetic link
Results in endometrial deposits in the dependent parts of the pelvis and on the ovaries
Seen in 10% of all menstruating women and 4 times more common in infertile women
Definition
ENDOMETRIOSIS
Term
Development of a pregnancy outside the uterine cavity
Etiology Subsequent to bacterial infection in the uterine tube; 1% of all pregnancies
98% of ectopic pregnancies are tubal in location; commonly associated with PID, chronic Salpingitis, previous tubal surgery and smoking
Definition
ECTOPIC PREGNANCY
Term
Inflammation of out pouchings [diverticuli] of the large intestine
Etiology Diverticuli arise in older patients after years of a diet deficient in fiber seen more often in the descending and sigmoid colon
Blockage of the lumen of a diverticulum will result in stasis and super-added infection by the ever-present gut bacteria; most common location is the sigmoid
Followed by abscess formation, perforation and generalized peritonitis
Definition
DIVERTICULITIS
Term
Chronic inflammation of the bowel
Etiology Unknown; genetic, environmental, stress and immune factors may be involved;
More common in females and in whites; may be slightly more common in patients with appendectomies Pathology includes segmental trans-mural non-caseous granulomatous inflammation, skip lesions, cobble stone appearance and fistula formation
Definition
CROHN’S DISEASE
Term
Acute or chronic inflammation of the gallbladder
Etiology Associated with gallstones [>95%] more frequently in Fertile, Fair-skinned, Females in their Forties. Obstruction of the cystic duct by a gallstone is the commonest cause and Escherichia coli is the most common bacterium
Definition
CHOLECYSTITIS
Term
Due to obstruction of its lumen [often caused by a fecalith or submucosal lymphoid hyperplasia] followed by bacterial invasion of its wall with edema and blockage of the arterial blood supply; usually in children and in the elderly
Definition
APPENDICITIS
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