Gastroesophageal Reflux Disease (GERD) Assessment
- Relaxed Lower Esophageal Sphincter
- Dyspepsia (Indigestion)
- Belching
- Nighttime Coughing
- Dysphagia
- Epigastric Pain
- Regurgitation
- Heartburn (Pyrosis)
- Globus
Crohn's Disease Assessment
- Diarrhea
- 5-6 per day
- Cramping Abdominal Pain
- Fever
- Weight Loss
- Malabsorption
- Anemia
- Obstruction
- Fistulas
Ulcerative Colitis Assessment
- Cramping Abdominal Pain
- Tenesmus
- Bloody Diarrhea
- Up to 10-20 / Day
- Fever
- Hemorrhage
Appendicitis Assessment
- Obstruction of Appendix
- Periumbilical Pain
- RLQ Pain
- Nausea/Vomiting/Anorexia
- Increased White Blood Cells
- Rebound Tenderness
- Fever
- Peritonitis
- Sepsis
Appendicitis Interventions
- Appendectomy
- Antibiotics
- IV Fluids
- No Enema or Laxative
- Semi-Fowler's Position
- Nasogastric Tube
- Diet as Tolerated
- Pain Management
- Early Ambulation
Cirrhosis Assessment
- Degeneration and Destruction of Liver Cells
- Jaundice
- Fatigue
- Palmar Erythema
- Spider Angiomas
- Hepatosplenomegaly
- Edema
- Gynecomastia
- Change in LOC
Hepatitis B (HBV) Assessment
- Bodily Fluids
- Blood Transmission
- People Who Use IV Drugs
- Variable 1-6 Months
- Fever
- Nausea and Vomiting
- Hepatomegaly
- Cirrhosis
- Hepatocellular Carcinoma
- Vaccination
Types of Hernias
- Hiatal
- Gastroesophageal Reflux Disease (GERD)
- Inguinal
- Men
- Femoral
- Women
- Incisional
- Umbilical
- Strangulation
Hernia Interventions
- Reduce Intra Abdominal Pressure
- Avoid Straining and Lifting
- Open Mouth Sneezing
- Excision
- Herniorrhaphy
- Hernioplasty
- Scrotal Support
Colostomy Care
- Wash with Warm Water
- Cut 1/8 inch Around Stoma
- Decreases Skin Irritation
- Empty When 1/3 to 1/2 Full
- Change 3-7 Days
- Avoid Odor Causing Foods
- Irrigate at Same Time
Epiglottitis Assessment
- Haemophilus Influenzae
- Drooling
- Fever
- Stridor
- Restlessness
- Dyspnea
- Cough
- Tripod Position
- Emergency Treatment
- Do Not Examine Throat
Epiglottitis Interventions
- Maintain Airway
- Upright/Sitting Position
- Humidified Oxygen
- Intubation/Tracheostomy Supplies At Bedside
- IV Antibiotics
- Decrease Anxiety
- NPO
- Vaccine
- Restrain to Prevent Extubation
Tonsillitis
- Bacterial or Viral Inflammation
- Sore Throat
- Dysphagia
- Throat Culture
- Antibiotics
- Tonsillectomy
- Often Streptococcus
- Monitor for Acute Glomerulonephritis
- Monitor for Rheumatic Heart Disease
Tonsillectomy
- Recurrent Tonsillitis
- Saline Gargles
- Ice Chips
- Monitor for Bleeding
- Within 24 Hours
- After 5-7 days
- Soft Foods
- Do Not Cough, Clear Throat, or Blow Nose
- Do Not Use Straws
Zenker Diverticulum
- False Diverticulum
- Junction of Pharynx and Esophagus
- Inferior Pharyngeal Constrictor
- Dysphagia
- Regurgitation of Undigested Food
- Halitosis
- Barium Swallow
- Surgical Repair
Meckel's Diverticulum
- True Diverticulum
- Vitelline Duct
- Yolk Stalk
- Contain Ectopic Tissue
- Pancreatic And Gastric Mucosa
- Hemorrhage
- Intussusceptions
- Volvulus
- 2 Feet From Ileocecal Valve
- 2 Inches Long
- 2% Population
- First 2 Years Of Life
- Pertechnetate T99
Eosinophilic Esophagitis
- History of Atopic Disease
- Dysphagia
- Endoscopy with Biopsy
- Eosinophilic Infiltrate
- Unresponsive to GERD Therapy
- Elimination Diet
- Proton Pump Inhibitors (PPIs)
- Topical Glucocorticoids
Pancreatic Adenocarcinoma Diagnosis and Treatment
- CA 19-9
- Liver Function Tests for Cholestasis
- Serum Lipase
- Ultrasound if Cholestasis Suspected
- CT Abdomen
- FNA Biopsy if Diagnosis or Resectability Uncertain
- Whipple if Resectable
- Palliative Care if Not Resectable
Acute Appendicitis Treatment
- CT Scan
- Immediate Appendectomy
- NPO
- IV Fluids
- Antibiotics
- Tertiary Intention
- Antibiotics Until Afebrile