NUR 1172 Upper GI Tract
- Hiatal Hernia
Answer
is the opening of the diaphragm through which the esophagus passes becomes enlarged and part of the stomach moves up into the lower thorax. The incidence is more common in Women than Men.
- Clinical Manifestations of Hiatal Hernia
Answer
50% of the people are asymptomatic and people that have this also have heartburn, regurgitation, dysphagia, fullness or chest pain after eating. Non-Pharmacological Management of HH- Small, frequent meals that can pass easily through the esophagus. Stay upright for at least 1 hour after eating to prevent reflux or movement of the hernia. Finally elevate head or bed on 4 to 8 inch blocks.
- Surgical Management for Hiatal Hernia
Answer
Reserved for pts when medications do not affective in relieving symptoms and may be required for emergency situations of strangulation, obstruction or hemmorhage.
- Esophageal Diverticulum
Answer
is the outpouching of the mucosa that protrudes through a weak portion of the musculature and may occur in 1 of three areas of the esophagus 1 / 2
Pharyngoesophageal, mid esophageal, and epiphernic.
- Barium Swallow Test
Answer
Determine exact location and nature of diverticulum. Only cure is surgical removal, and surgery only if symptoms are troublesome or worsen and monitor for leak at surgical site.
- Esophageal Perforation
Answer
Hole in the esophagus and holds esophageal contents pass into the mediastinum (surrounds the chest area). Causes
gastric reflux with ulceration, tumor, trauma, and inadvertent puncture during procedure.
- Clinical Manifestation for Esophageal Perforation
Answer
Persistent pain followed by dysphagia; infection, fever, leukocytosis, severe hypotension, and tachycardia and possible signs of pneumothorax.
- Management of Esophageal Perforation
Answer
Broad spectrum antibodies, NPO, heal on their own (if small enough) and possible surgery.
- Celiac Disease
- / 2
Answer