A woman is brought to an emergency room complaining of severe pain in her left iliac region. She claims previous episodes and says that the condition is worse when she is constipated, and is relieved by defecation. A large, tender mass is palpated in the left iliac fossa and a barium study reveals a large number of diverticula in her descending and sigmoid colon. What are diverticula, and what is believed to promote their formation? Does this woman have diverticulitis or diverticulosis? Explain.…
GROSS DESCRIPTION: The specimen is received in formaling and labeled with patient’s name, patient’s ID number, and appendix. It consists of an appendix measuring 6 x 1.5 x 1.5 cm. There is periappendiceal fat attached to it which measures 6 x 4x 1 cm. The serosal surface is hemorrhagic. Upon opening the appendix there is purulent exudative material. The wall thickness measures 0.3 cm. Representative sections are submitted in 1 cassette. Microscopic description preformed.…
low serum levels ● What is a characteristic difference between Crohn's and colitis → one can be continuous throughout the Upper GI GI and on is only in the lg. intestine ● Food that can cause a ↓ in the pressure of the LES ● Initial treatment of diarrhea → replacement of fluits (worsen GERD) include → fatty foods, alcohol and electrolytes ● Which is not true about H-pylori → it is a viral ● Not included in gluten-free diet → wheat, rye, barely, infection found in the intestine oats ● Dietary management of peptic ulcer disease include ● A lifelong low-fiber diet is considered to be the cause → all of the above of → diverticulitis ● When a proton pump inhibitor is used to peptic…
The degree of hemorrhoidal dysfunction, the quality and scarring of the distal rectum is evaluated at this time. Any masses or inflammation is also seen at this time.…
We as nurses have a common goal of educating the people that we care for and teaching them in detail about disease management and prevention. Diverticular disease is characterized by small pouches in the colon. Most people do not exhibit symptoms, but some will have mild symptoms such as cramps, bloating or constipation. If the pouches become inflamed or infected, they develop into a condition known as diverticulitis. The most common symptom is abdominal pain usually left…
Hemorrhoids may develop as a result of repeated straining during bowel movements, pregnancy, heredity, aging, and chronic constipation or diarrhea.…
Alimentary System 1.1 – The burden of GI diseases • List the names of the organs of the alimentary tract • Mouth and Oesophagus • Stomach • Liver • Biliary system • Pancreas • Small intestine (consisting of duodenum, jejunum and ileum) • Large intestine (consisting of colon, rectum and anus) • Describe the symptoms and signs of alimentary tract disease Symptoms: General: • Anorexia • Weight loss • Anaemia Upper GI: • Haemotemesis (vomiting blood) • Melaena (blood in the stool, black as partially digested) • Nausea and vomiting • Dysphagia (difficulty swallowing, food gets stuck on way down) • Odynophagia (pain on swallowing) • Heartburn, acid regurgitation, belching • Chest pain (heartburn, oesophageal reflux) • Epigastric pain Liver and biliary: • Right upper quadrant (RUQ) pain • Biliary colic • Jaundice (accompanied by icterus – yellowing of the sclera)…
Schmelzer, & F. Verville (2014) describe the pathophysiology of Crohns as inflammation of segment of the GI tract (most commonly in terminal ilieu and colon). The inflammation involves the mucosa, submucosa and muscularis layers of the intestinal wall. Adversely diseased portions occur between normal portions of the bowls. The diseased portions can contain deep ulcerations that penetrate through edematous mucosa where thickening of the bowel wall and narrowing of the lumen occur where abscesses, fistulas lesions may development (Schmelzer, & F. Verville,…
Crohn's disease causes small, scattered, shallow, crater-like ulcerations (erosions) on the inner surface of the bowel. Within time, the erosions become deeper and larger, after becoming true ulcers it…
These pouches are primarily found in the large intestine of the colon. Although there is not a specific proven culprit in causing diverticulitis, it is suspected that the small, narrow openings in the diverticula trap fecal material creating an infection. It is thought, not proven, that avoiding small foods such as nuts, kernels that are found in corn and popcorn, and even seeds found in some fruits like kiwi (Diverticulitis, 2012).. These small items are capable of entering the diverticula and causing a blockage. Another suspected cause of the inflammation is an obstruction in the diverticula which decreases the blood supply to the area. Although there are many general symptoms of the disease such as fever, constipation, nausea, vomiting, and bloating; there are symptoms specific to the disease. These symptoms are sudden pain, which is normally severe, located in the left lower side of the abdomen as well as tenderness, also located in the same place. When the patient becomes symptomatic they need to seek a health care provider as soon as possible. If the symptoms are ignored, other complications can occur (Diverticulosis and Diverticulitis,…
Many patients present with evidence of malabsorption, including diarrhoea, abdominal pain, weight loss, and anorexia. The disease is not always limited to the GI tract as individuals may experience symptoms outside of the intestine, which may affect the joints, bones, eyes, skin and liver. Some patients may develop tears (fissures) in the lining of the anus, which may cause pain and bleeding, especially during bowel movements. Inflammation may also cause a fistula to develop. If this complication occurs, the patient may be exposed to mucus or stool or pus from this opening and the symptoms may be mild to…
When pouches called diverticula form on the wall of the colon become inflamed it becomes diverticulitis a very pain disease no one is sure what causes diverticulitis for sure, but doctors believe a low fiber diet may be a leading cause behind it. The treatments depend on if you have an infection and how bad your symptoms are which will typically be treated with antibiotics. Diverticulitis is a disease that affects the colon, doctors do not have a specific cause for the pea sized pouches. Diverticulitis was not very known 100 years ago due to the low percent of people contracting the disease. There are many more cases of diverticulitis then there was at any other point of history. The reason more and more people and starting to get diverticulitis is that; people now eat too much processed foods. The bowels work at a high volume and a low pressure. Processed foods have a very low volume and therefore require a high pressure to excrete the feces. The higher pressure from pushing can damage your colon, and anus. Eliminating waste should be easy for the body, not a high pressure challenge. When the feces is moving through the intestinal wall and there is a high amount of pressure the walls begin to get pressed upon by the feces. When the feces begins to press on the folds of the intestinal wall they become stuck inside the folds,and push out and hemorrhage the walls causing small papules, in which become inflamed and infected with a lot of bacteria becoming diverticulitis. Diverticulitis is found in 50-70% of people aged 80 years and older and 80% of the people with diverticulitis are age 50. Diverticulitis is not usually found in people younger than 40, Africans, and Asians. The most common regions diverticulitis affects is U.S.A., Europe, and Australia. Ages 50, obesity, and people with fiber diets are higher risk than other people to develop diverticulitis. In elder adults the muscular wall of the…
Burnham, W. R., and J. E. Lennard-Jones. 1978. Mycobacteria as a possible cause of inflammatory bowel…
2. Describes any pain while bowel movement, any history of hemorrhoids, or urinary tract infection.…
Ulcerative colitis (UC) is a disease where the bowels are inflamed and have sores, called ulcers. It affects the rectum and variable amounts of the large bowel (or intestine). Approximately 1 in 100 people are affected by UC. It is not an infectious illness. Evidence shows a genetic factor to be involved. Familial occurrence is high and most common in Caucasians. Researchers suspect that the immune system is involved. The cause of this disease is truly unknown. People with UC also have manifestations of iritis, ankylosing spondylitis, arthritis, and nephrolithiasis. In studying will find that there are many similarities between Crohn’s and UC. The clinical presentation can overlap, so a good H&P is needed to proceed with diagnosing the patient. But even so, in around 10% of cases, it is not possible for doctors to distinguish between colitis and Crohns disease. (Gould, 2006)…