NURS 6550 Midterm Exam Study Guide/ NURS6550 Midterm Exam Study Guide / NURS 6550N Midterm Exam Study Guide / NURS-6550N Midterm Exam Study Guide (Latest-2022)

NURS 6550 Midterm Exam Study Guide


Gastrointestinal System
 Evaluation, differential diagnosis, treatment options, and complications


o Dyspepsia: acute, chronic, or recurrent pain in the upper abdomen
 Etiology:
1. Food or drug intolerance, functional with no obvious cause,
luminal GI tract dysfunction, H-pylori infection, pancreatic
disease, biliary tract disease or other conditions such as DM,
thyroid disease, CKD, pregnancy or gastrointestinal ischemia.
 Symptoms:
1. Epigastric pain or burning, postprandial fullness, bloating, nausea
or vomiting
2. If there is weight loss, persistent vomiting, severe pain or
hematemesis then endoscopy warranted.
 Labs:
1. >50 years – CBC, BMP, LFT, calcium and thyroid function tests
2. <50 years with uncomplicated dyspepsia use noninvasive strategies
1st; H-pylori fecal test
 Upper Endoscopy:
1. Use for pts over the age of 50 who have new dyspepsia associated
with weight loss, dysphagia, recurrent vomiting, bleeding or
anemia.
 Other tests:
1. Patient with persistent symptoms or progressive weight loss, check
for celiac disease, stool for parasites, or abdominal imaging such as
CT or ultrasound
 Treatment:
1. Empiric