ATI ch 47 Inflammatory Bowel Disease
Inflammatory Bowel Disease (IBD)
-includes which chronic inflammatory gastrointestinal (GI) diseases - answer-ulcerative
colitis
-Crohn's disease
-diverticulitis
Ulcerative colitis
-intestine mucosal cell change may cause colon cancer - answer-edema and
inflammation of the rectum
-may progress to sigmoid colon
-may expand the length of colon
-begins in the rectum and distal colon involving mucosa/submucosa
Crohns's disease
-can involve the entire GI tract from mouth to anus
-malabsorption/malnutrition may develop if jejunum-ileum gets involved
-vitamin B12 injections may needed - answer-inflammation/ulceration of the GI tract,
often at distal ileum
-all layers may be effected with lesions that are sporadic
-development of fistulas is common
Diverticulitis
-frequent episodes of inflammation from trapped feces/bacteria may lead to
bleeding/infection
- may perforate and cause peritonitis - answer-inflammation of diverticula (hernia in
intestinal wall) that occurs in the colon
Risk factors for IBD - answer-genetics
-culture
-gender/age
-diet
-smoking
-stress, autoimmunity, infectiom
Ulcerative colitis
-subjective data - answer-abdominal pain/cramping (left lower quadrant pain)
-anorexia/weight loss
Ulcerative colitis
-objective data - answer-fever
-diarrhea (15-20 liquid stool/day)
, -mucus, blood or pus may be present
-abdominal distention, tenderness, or firmness upon palpation
-high pitched bowel sounds
-rectal bleeding
Crohn's disease
-subjective data - answer-abdominal pain/cramping (right lower quadrant pain)
-anorexia/weight loss
Crohn's disease
-objective data - answer-fever
-diarrhea (5 liquid stool/day with mucous/pus)
-mucus, blood or pus may be present
-abdominal distention, tenderness, or firmness upon palpation
-high pitched bowel sounds
-steatorrhea (excess fat in feces)
Diverticulitis
-subjective data - answer-abdominal pain in left lower quadrant
-nausea/vomiting
Diverticulitis
-objective data - answer-fever
-chills
-tachycardia
Hct/Hgb - answer-decreased
Erythrocyte sedimentation rate - answer-elevated
WBC - answer-elevated
C-reactive protein - answer-elevated
Platelet count - answer-elevated
Serum albumin - answer-decreased
Folic acid and B12 - answer-decreased with Crohn's disease
pANCA perinuclear anti-neutrophil cytoplasmic antibody - answer-elevated with
Ulcerative colitis
Antiglycan antibody - answer-elevated with Crohn's disease
Stool for occult blood - answer-positive
Inflammatory Bowel Disease (IBD)
-includes which chronic inflammatory gastrointestinal (GI) diseases - answer-ulcerative
colitis
-Crohn's disease
-diverticulitis
Ulcerative colitis
-intestine mucosal cell change may cause colon cancer - answer-edema and
inflammation of the rectum
-may progress to sigmoid colon
-may expand the length of colon
-begins in the rectum and distal colon involving mucosa/submucosa
Crohns's disease
-can involve the entire GI tract from mouth to anus
-malabsorption/malnutrition may develop if jejunum-ileum gets involved
-vitamin B12 injections may needed - answer-inflammation/ulceration of the GI tract,
often at distal ileum
-all layers may be effected with lesions that are sporadic
-development of fistulas is common
Diverticulitis
-frequent episodes of inflammation from trapped feces/bacteria may lead to
bleeding/infection
- may perforate and cause peritonitis - answer-inflammation of diverticula (hernia in
intestinal wall) that occurs in the colon
Risk factors for IBD - answer-genetics
-culture
-gender/age
-diet
-smoking
-stress, autoimmunity, infectiom
Ulcerative colitis
-subjective data - answer-abdominal pain/cramping (left lower quadrant pain)
-anorexia/weight loss
Ulcerative colitis
-objective data - answer-fever
-diarrhea (15-20 liquid stool/day)
, -mucus, blood or pus may be present
-abdominal distention, tenderness, or firmness upon palpation
-high pitched bowel sounds
-rectal bleeding
Crohn's disease
-subjective data - answer-abdominal pain/cramping (right lower quadrant pain)
-anorexia/weight loss
Crohn's disease
-objective data - answer-fever
-diarrhea (5 liquid stool/day with mucous/pus)
-mucus, blood or pus may be present
-abdominal distention, tenderness, or firmness upon palpation
-high pitched bowel sounds
-steatorrhea (excess fat in feces)
Diverticulitis
-subjective data - answer-abdominal pain in left lower quadrant
-nausea/vomiting
Diverticulitis
-objective data - answer-fever
-chills
-tachycardia
Hct/Hgb - answer-decreased
Erythrocyte sedimentation rate - answer-elevated
WBC - answer-elevated
C-reactive protein - answer-elevated
Platelet count - answer-elevated
Serum albumin - answer-decreased
Folic acid and B12 - answer-decreased with Crohn's disease
pANCA perinuclear anti-neutrophil cytoplasmic antibody - answer-elevated with
Ulcerative colitis
Antiglycan antibody - answer-elevated with Crohn's disease
Stool for occult blood - answer-positive
