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Where does UC most often occur?
In the rectosigmoid areas, but may involve the entire colon
What is UC?
Inflammatory bowel disease where the mucosal surface of the colon is inflamed
What is UC characterized by?
•Results in friability, erosions, and bleeding
•Characterized by bloody and purulent diarrhea
What is a treatment option for UC?
•While it is not the first treatment choice, total colectomy is a treatment option
that can completely resolve this problem.
S/S associated with Diverticulitis
•bleeding not associated with pain or discomfort.
•infection-fever, chills, and tachycardia
•localized pain and tenderness in the LLQ of the abdomen with associated
anorexia, nausea and vomiting.
Diverticulitis
associated with ___________. These pts are a higher risk.
obesity
Diagnostic and best management for diverticulitis
, •CT scan with contrast may sometimes be done to r/o if the gynecologic etiology
(such as ovarian cyst or tumor) as well as bowel pathology such as abdominal
abscess
•High-fiber diet is best management
What is C.diff?
•Infection of the large intestine
•Exists in air, water, soil, processed food and human feces
•Causes profuse, watery, mucoid diarrhea
•Certain types can be dangerous or life-threatening if not treated
Risk factors for c diff.
-Working in healthcare facility
-Long duration hospitalization
-Long-term use of antibiotics that affects normal GI flora
-Long-term use of medications that reduce GI acidity
-Consumption of contaminated food or water
-Touching infected soil, objects and surfaces
mild to moderate cdiff vs severe
Mild to moderate
–Watery diarrhea three or more times/day for two or more days
–Mild abdominal cramping and tenderness
•Severe infection:
–Watery diarrhea (10-15 stools/day)
–Strong foul odor
–Acute abdomen secondary to toxic megacolon with perforation