Term
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Definition
INFLAMMATION OF THE GASTRIC MUCOSA.
CAN BE ACUTE OR CHRONIC
INADEQUATE MUCOSAL LINING ALLOWS GASTRIC ACIDS TO AUTODIGEST STOMACH WALL
THIS CAUSES INJURY TO SMALL VESSELS, LEADS TO EDEMA, HEMORRHAGE, ULCERATION, TISSUE NECROSIS & PAIN
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Term
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Definition
LOCAL IRRITANTS:
DIETARY INDISCRETIONS & ALLERGIES, RADIATION RX., INGESTION OF CORROSIVES & POISONS
ISCHEMIA R/T STRESS OF LIFE THREATENING ILLNESS (CATECHOLAMINES)
ETOH, SMOKING, VIRUSES & BACTERIAL TOXINS, H. PYLORI, ASA & NSAIDS
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Term
GASTRITIS
CAUSES – CHRONIC -- SUBTYPES
TYPE A
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Definition
MAY BE GENETIC OR AUTOIMMUNE
ANTIBODIES TO GASTRIC PARIETAL CELLS
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Term
GASTRITIS
CAUSES – CHRONIC -- SUBTYPES
TYPE B
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Definition
USU. CHRONIC H. PYLORI INFECTION
CHRONIC LOCAL IRRITATION (ETOH, SMOKING, INCOMPETENT PYLORUS WHICH ALLOWS DUODENAL CONTENTS TO REFLUX INTO STOMACH, UREMIA
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Term
GASTRITIS
CAUSES – CHRONIC -- SUBTYPES
ATROPHIC
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Definition
ATROPHY OF GASTRIC LAYERS & CELLS USU. R/T AGING, EXPOSURE TO TOXINS IN WORKPLACE, H. PYLORI, AUTOIMMUNE
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Term
GASTRITIS
ACUTE USU. HEALS......... |
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Definition
| WITHOUT RESIDUAL DAMAGE IN 3-5 DAYS |
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Term
GASTRITIS
CHRONIC MAY HEAL......... |
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Definition
WITH OR WITHOUT SCARRING
(SCARRING CAN RESULT IN PYLORIC OBSTRUCTION) |
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Term
GASTRITIS
BOTH TYPES CAN CAUSE: |
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Definition
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Term
GASTRITIS
MAY CAUSE WHAT TYPE OF ANEMIA? |
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Definition
| PERNICIOUS ANEMIA R/T LOSS OF INTRINSIC FACTOR |
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Term
GASTRITIS
CLINICAL MANIFESTATIONS
PAIN IS R/T
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Definition
| EPIGASTRIC FULLNESS, PRESSURE |
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Term
GASTRITIS
CLINICAL MANIFESTATIONS
S/S
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Definition
HEARTBURN, ABD. TENDERNESS & DISTENTION, ANOREXIA, N/V, ANEMIA, FATIGUE, WT. LOSS
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Term
GASTRITIS
CLINICAL MANIFESTATIONS
HEMATEMESIS
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Definition
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Term
GASTRITIS
CLINICAL MANIFESTATIONS
MELENA
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Definition
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Term
GASTRITIS
CLINICAL MANIFESTATIONS
DISCOMFORT R/T FOOD
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Definition
| MAY IMPROVE OR WORSEN WITH FOOD |
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Term
GASTRITIS
CLINICAL MANIFESTATIONS
SPICY OR FATTY FOODS |
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Definition
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Term
GASTRITIS
CLINICAL MANIFESTATIONS
IF R/T VIRAL OR BACTERIAL |
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Definition
MAY ALSO HAVE DIARRHEA & FEVER
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Term
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Definition
• UPPER GI SERIES
CBC MAY SHOW ANEMIA R/T CHRONIC BLOOD LOSS
STOOLS ARE GUIAC POSITIVE
EGD REVEALS INFLAMED MUCOSA, ULCERATIONS & SCARRING
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Term
GASTRITIS
DIAGNOSIS
BIOPSY REVEALS |
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Definition
| PATHOGENS & ABNORMAL CELLS IN SPECIMENS |
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Term
GASTRITIS
DIAGNOSIS
PY BREATH TEST POSITIVE FOR..... |
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Definition
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Term
GASTRITIS
DIAGNOSIS
BLOOD TEST FOR.... |
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Definition
| ANTIBODIES FOR THE H. PYLORI ANTIGEN |
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Term
GASTRITIS
MANAGEMENT
ACUTE |
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Definition
| SEVERE MAY NEED IV, NG, NPO IF N/V CAUSES DEHYDRATION |
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Term
GASTRITIS
MANAGEMENT
ACUTE WHEN DIET RESUMED |
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Definition
| START WITH H2O ® CL. LIQ. DIET AS TOL. (DAT) |
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Term
GASTRITIS
MANAGEMENT
ACUTE
DRUGS
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Definition
H2 BLOCKERS, PROTON PUMP INHIBITORS
ANTIBX FOR H. PYLORI (AMOXICILLIN, TETRACYCLINE)
ANTACIDS, PEPTO-BISMOL
ANTIEMETICS
VITAMIN B12 IF MISSING INTRINSIC FACTOR
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Term
GASTRITIS
MANAGEMENT
ACUTE AVOID IRRITANTS:
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Definition
ETOH, SMOKING
DIET:MUSTARD, CLOVES, PAPRIKA, PEPPER, SPICY, ETOH, CAFFEINE, & OTHER OFFENDING FOODS. SMALL FREQ. MEALS
DRUGS: ASA, NSAIDS, STEROIDS
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Term
GASTRITIS
SURGICAL MANAGEMENT
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Definition
GASTRIC RESECTION TO REMOVE PERFORATED OR NECROSED TISSUE & TO CORRECT PYLORIC OBSTRUCTIONS
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Term
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Definition
MONITOR S/S & RESPONSE TO TREATMENT
OBSERVE COLOR & CHARACTERISTICS OF EMESIS & STOOL
AS NEEDED -- I&O, WT. QD, NG CARE, IV FLUID CARE, BLOOD TRANSFUSIONS
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Term
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Definition
DIETARY MODIFICATION
MEDS
STRESS REDUCTION
IMPORTANCE OF F/U
POST-OP CARE – SEE PEPTIC ULCER POST OP CARE
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