NUR 339 UGI
- Dysphagia
Answer difficulty swallowing
-can occur anywhere along the esophagus causes Answer CNS lesions, esophageal strictures, cancer
- hiatal hernia
Answer opening in diaphragm where esophagus passes becomes enlarge
-stomach is pushed up into lower thorax
- type 1 hiatal hernia
Answer sliding
stomach and esophagus in slides in and out of thorax often associated with GERD
- Type 2 paraesophageal hiatal hernia
Answer all or part of stomach pushes up bedside the esophagus
- heartburn
asymptomatic or intermittent large hernia, may lead to food intolerance N/V hemorrhage , obstruction more common with type two 1 / 2
hiatal hernia signs and symptoms w
- xray EGD
chest CT
barium swallow
Answer diagnosis of hiatal hernia
7. SIT UP AFTER EATING, HOB UP AT NIGHT
small frequent meals
(if severe, surgery)
Answer treatment hiatal hernia
8. GERD
Answer most common disorder of esophagus
-weak lower esophageal sphincter and increased intrabdominal pressure-- reflux of stomach contents into esophagus--mucosal injury
- cigarette smoking fluids
foods Answer high fats, chocolate, caffeine recumbent posture
Answer GERD risk factors
- hx and pt complaints
Answer
x-rays/scopes
- / 2