NM 703 GI DISORDERS CAMTASIA EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
Abdominal Pain
Common reason for client problem visits
Symptom of deeper problem '
Need info to inform differential dx
acute/chronic/nature of pain
often referred Visceral pain
RLQ pain can manifest on LLQ
Peritoneal irritation causes
"parietal pain", sharp and well localized
often R/T appendicities
Right upper quadrant (Abdominal pain by region )
-Chest cavity
-Liver
-Gallbladder
-Stomach
-Bowel-stool
-Right kidney
Left upper quadrant (Abdominal pain by region )
,-Pancreas
-Left kidney
-Spleen
-Stomach
-Heart or chest cavity
Right lower quadrant (Abdominal pain by region )
-Appendix
-Bowel
-Right ureter
-pelvis
Left lower quadrant (Abdominal pain by region )
-Bowel (diverticulitis) classic
-Left Ureter
-pelvis
Abdominal Pain assessment
•Any given abdominal pain can have more than 1 mechanism
•Certain presentations are considered classic, ie appendicitis
•NOT all patients have classic presentations, esp. infants, elderly and debilitated
•Good HX essential (OLDCART)
•Management depends on cause
Obtain a consult or refer GI disorders that presents with
-BWAD
-lood in the stool
, -Weight loss
-Anemia
-Dysphagia
Nausea & vomiting (symptom not disease) Common causes
-GI, ie PUD
-Neuro CNS, ie motion sickness
-Systemic, ie pregnancy, food poisoning
-Iatrogenic, ie meds, bulemia
Diagnositic labs for Self Limited Nausea & vomiting
No lab if no systemic S & S and duration <24 hours
Nausea & vomiting Treatment
-Cause determines therapy but generally
-No solids for approx. 4 hours after vomiting ceases
-Clear liquids, sm sips, then gradually increase
-Anti-emetics
N & V brat diet
•Bananans
•Rice
•Apple Sauce
•Toast
Nausea & vomiting Treatment Medications
-Pharm - may need rectal suppositories
-Phenergan - generalized N&V
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
Abdominal Pain
Common reason for client problem visits
Symptom of deeper problem '
Need info to inform differential dx
acute/chronic/nature of pain
often referred Visceral pain
RLQ pain can manifest on LLQ
Peritoneal irritation causes
"parietal pain", sharp and well localized
often R/T appendicities
Right upper quadrant (Abdominal pain by region )
-Chest cavity
-Liver
-Gallbladder
-Stomach
-Bowel-stool
-Right kidney
Left upper quadrant (Abdominal pain by region )
,-Pancreas
-Left kidney
-Spleen
-Stomach
-Heart or chest cavity
Right lower quadrant (Abdominal pain by region )
-Appendix
-Bowel
-Right ureter
-pelvis
Left lower quadrant (Abdominal pain by region )
-Bowel (diverticulitis) classic
-Left Ureter
-pelvis
Abdominal Pain assessment
•Any given abdominal pain can have more than 1 mechanism
•Certain presentations are considered classic, ie appendicitis
•NOT all patients have classic presentations, esp. infants, elderly and debilitated
•Good HX essential (OLDCART)
•Management depends on cause
Obtain a consult or refer GI disorders that presents with
-BWAD
-lood in the stool
, -Weight loss
-Anemia
-Dysphagia
Nausea & vomiting (symptom not disease) Common causes
-GI, ie PUD
-Neuro CNS, ie motion sickness
-Systemic, ie pregnancy, food poisoning
-Iatrogenic, ie meds, bulemia
Diagnositic labs for Self Limited Nausea & vomiting
No lab if no systemic S & S and duration <24 hours
Nausea & vomiting Treatment
-Cause determines therapy but generally
-No solids for approx. 4 hours after vomiting ceases
-Clear liquids, sm sips, then gradually increase
-Anti-emetics
N & V brat diet
•Bananans
•Rice
•Apple Sauce
•Toast
Nausea & vomiting Treatment Medications
-Pharm - may need rectal suppositories
-Phenergan - generalized N&V
