Nursing > Exam > Family Nurse Practitioner Certification | FNP 1 - Review GI Terms 2022 | 98% Score (All)
Family Nurse Practitioner Certification | FNP 1 - Review GI Terms 2022 | 98% Score - - 1. Acute Appendicitis 2. Acute Cholecys titis Inflammation of the vermiform appendix, untre... ated can lead to rupture and peritonitis. Acute onset of periumbilical pain that progresses, low grade fever, RLQ pain, anorexia. PE: Pain at Mcburney's point, psoas and obturator +; rupture will demonstrate, guarding and a board-like abd Acute inflammation of the gallbladder Overweight female c/o severe RUQ/epigastric pain/N/V, anorexia that occurs w/in 1 hour after eating a fatty meal. Pain may radiate to R shoulder. Can lead to gangrene of gall bladder, needs hospitalization. 3. Diverticulosis Presence of diverticula without inflammation 4. Acute Diverticuli- tis 5. Diverticulitis dx/tx 6. Acute Pancreati- tis Pouch like herniations (diverticula) on external surface of colon become inflamed/infected. ‘elderly Complic. incl abscess, sepsis, ileus, bowel obs, hemor- rhage, perforation, fistula & stricture>>death. Acute onset high fever, anorexia, N/V, LLQ abdominal pain. Rebound tenderness, +Rovsing, board-like abdom PE w/+ Rovsing, acute abd, hematochezia/anemia CBC (leukocytosis, neutro>70% L shift FOBT (+ if bleeding) Reticulocytosis if acute bleed, low Hgb/Hct TX Cipro 500 BID + Metronidazole 500 TID x 10-14d Close follow up High fiber diet Inflammation of pancreas; pancreatic enzymes activate causing autodigestion. Adult c/o acute onset fever, N/V assoc w/rapid onset of ab- dominal pain that radiates to midback (boring)**, located in epigastric region. Causes include drugs, biliary comp, ‘triglycerides, infection and ETOH abuse. 7. Pancreatitis dx/tx Guarding/tenderness over epigastric area/upper abd Cullen's sign + (bluish discoloration around umbilicus) Grey-Turners sign + (bluish discoloration at flank) Hypoactive BS, jaundice, guarding, and board-like abd ‘pancreatic enzymes (amylase, lipase, trypsin) ‘AST, ALT, GCT, bili, leukocytosis... Abdominal US & CT :Refer ED [Show More]
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