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Ulcerative Colitis (inflammatory bowel disease that involves only the mucosal
surface of the colon) often occurs
in the rectum and sigmoid area.
Ulcerative colitis is characterized by
bloody and purulent diarrhea
Diverticulitis (inflammatory changes that occur within the diverticular mucosa of
the intestine) risk factors include
obesity*
smoking
genetics
lack of physical activity
NSAIDS or aspirin
Diverticulitis signs and symptoms of infection
fever, chills, and tachycardia
Diverticulitis patients often present with
localized pain and tenderness in the LLQ of the abdomen with associated
anorexia, nausea, and vomiting.
Diagnostic for Diverticulitis
CT scan WITH contrast
(may also be used to r/o gynecologic etiology & bowel pathology)
Diverticulitis treatment
, high-fiber diet
(may supplement with psyllium)
Clostridium difficile (bacterial gastroenteritis - infection of the large intestine)
causes
profuse, watery, mucoid diarrhea
Clostridium difficile diagnostic testing
enzyme-linked immunodeficiency assay (ELISA)
(tissue culture assay)
Gastroesophageal reflux disease (GERD) symptoms
occurs at night*
regurgitation
heartburn (classic sign)
dysphagia
water brash (reflex salivation)
sour taste in the mouth in the morning
odynophagia (painful swallowing)
belching
coughing
hoarseness
wheezing
Gastroesophageal reflux disease (GERD) treatment
if patient has been treated with diet modifications and 6 weeks of omeprazole
without improvement, the next step is endoscopy
Peptic Ulcer Disease (damage to stomach mucosa) caused by
infection by Helicobacter pylori (H.pylori)*
or medications such as NSAIDS
Peptic Ulcer Disease treatment