NUR 2392:NUR 2392 MDC 2 Module 5:MDC II Module 5: Updated A+ Score Guide Solution

What clinical signs distinguish Crohn’s disease from ulcerative colitis? o Crohn’s disease often presents with transmural inflammation affecting any part of the GI tract, skip lesions, fistulas, granulomas, and can involve the ileum and ascending colon. Symptoms include abdominal pain (especially right lower quadrant), non-bloody or mild bleeding, weight loss, and malnutrition. o Ulcerative colitis is limited to the mucosal and submucosal layers of the colon and rectum, with diffuse ulcerations, continuous lesions2 starting in the rectum, and frequent bloody diarrhea. Symptoms include bloody, mucus-laden diarrhea, cramping, tenesmus, and a risk of toxic megacolon. 2. How are IBS and diverticular disease managed differently? o IBS management focuses on symptom relief through diet (e.g., low FODMAP diet), stress reduction, fiber supplementation, antidiarrheal or constipating agents, and probiotics. o Diverticular disease management involves high-fiber diets, antibiotics for diverticulitis, possible surgical resection, and avoiding food triggers that may precipitate inflammation. 3. What diagnostic tools are used to confirm a Clostridium difficile (C. difficile) infection? o Stool tests for C. difficile toxins (toxin A and B), enzyme immunoassays, PCR testing of stool samples, and sometimes endoscopy to observe pseudomembranes. Stool culture can also be performed but is slower.3 Disorder Pathophysiology Symptom