This week reading deals with disorders involving the gastrointestinal tract (GI). There are several diseases of the GI tract that have clinical features that overlaps. The purpose of this assignment deal with three pacific disorders of GI tract, gastroesophageal (GERD), peptic ulcer disease (PUD) and gastritis, as a nurse practitioner, knowing the pathophysiology and similarities will assist in making a differential diagnosis in order to provide the appropriate
Gastroenterologist is a medical doctor who is trained and educated to treat and diagnose the diseases of gastrointestinal tract and liver. Healthcare Marketers being a leading marketing database provider help marketers to reach their target prospects with our Gastroenterologist mailing list. Our Gastroenterologists email list consists of contact details of top and leading gastroenterologists spread across various geographical regions including the USA, Canada, UK, Europe, Germany, France, Italy, Australia and other countries. Gastroenterologists email addresses are all 100% tele verified, validated, precise, accurate and regularly updated from most genuine sources in order to make your marketing messages reach the right audience inboxes and mail boxes. Take your quality products and services to your potential customers and get in touch with them by regularly updating with your deals. So what are
One thing that was really emphasized in this class is critical reflection. According to Brookfield critical reflection is “the process of analyzing, reconsidering and questioning experiences within a broad context of issues”. This is necessary for anyone working in a people centered job or in human services. Critical reflection allows us to tackle our assumptions and actions and address where this comes from. There are 3 different phases of the critical reflection process. The first is deconstruction. This is where we take the case or moment apart, this where we deconstruct our attitudes surrounding the circumstances. The next step is resistance and challenge. This is where we ask why and what this means. The last step is reconstruction. In this step we put together everything that we have learned from this
The gastrointestinal tract has barriers and secretions to provide protection from gastric acid. Disruptions in the balance between these protective factors and erosive factors can cause injury to the gastrointestinal tract. Symptoms of these dysfunctions and injuries are similar and may be difficult to diagnose without a thorough knowledge of the disorders. The purpose of this paper is to describe the normal stimulation and production of gastric acid; the changes in gastric acid stimulation and production that occur with gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis; the impact of behavior on pathophysiology of GERD, PUD, and gastritis;
The nurse has important roles to play on ACA, and registered nurses are in the position in providing needed prevention and wellness services, care coordination for clients and families. Nurses play a central role in health care cost, quality of care and patient safety, this is possible due to current trends in nursing education. The baccalaureate and graduate programs in nursing incorporate quality improvement in care settings. Nursing prepares leaders, administrators, and researchers who can improve care processes and related analytics around outcomes and cost.
primary sarcoma of the gastrointestinal tract [1]. The clinical course of GIST ranges from negligible, as in cases of microGIST, to highly malignant and inoperable disease [2–5]. GIST is characterized by the presence of mutations in receptor tyrosine kinases: activating mutations are present in KIT and PDGFRA in approximately 80% and 10% of GISTs,
The anatomical study of the gastrointestinal tract in revealed that the stomach was located on the left side and had two parts, one a large pouch, and another the pyloric region that transversely progressed to the right and had longitudinal mucosal folds. The pyloric sphincter was easily detected with Gastrografin so that it created an empty space between the stomach and duodenum.
Peptic ulcer is a chronic ulcer formed in regions of the gastrointestinal tract where gastric juice comes into direct contact with the mucous membrane. Such ulcer usually occurs in the first part of the duodenum and in the stomach. They sometimes occur in the lower oesophagus; in the jejunum after gastro-enterostomy or partial gastrectomy; and rarely, adjacent to aberrant gastric mucosa in a Meckel’s diverticulum. The term peptic ulcer is used to describe any localised erosion of the mucosal lining of those portions of the alimentary tract that come in contact with gastric juice. This integration of tissues can also result in necrosis. The defence mechanism of gastric and duodenal mucosa is incredibly efficient. The normal mechanical, thermal or chemical insult from food is well within its power to deal with. No single factor has been identified in the causation of chronic peptic ulcer. A combination of factors leads to ulceration. Most ulcers are found in the
The relationship between the Usher family and the family mansion is very strong in the fact that the damage and appearance the happens to the family happens to the house. This story of a man with a serious mental problem and how his fastly fading family tree is costing his whole life is ending.
2) Peptic Ulcer Disease (PUD) (ICD-10-CM - K27) – The disease is characterized by sores along the gastrointestinal tract that could extend from the stomach up to the esophagus. Pain is experienced when gastric contents come into contact with the sores resulting in inflammation. Causes of peptic ulcers include Helicobacter pylori infection and use of certain anti-inflammatory medicines such as aspirin (Fashner & Gitu, 2015). Stress and spicy food aggravates ulcers, while avoiding alcohol and tobacco use eases the
The gut actually has a nervous system of its own – the enteric nervous system (ENS). The ENS controls the functions of the gastrointestinal tract, pancreas, and gallbladder.
PUD is not as common in pediatric patients when compared to adult incidences. The most common cause of PUD in pediatrics is due to Helicobacter pylori (H.pylori) infection (Guariso & Gasparetto, 2012). Primitive ulcers, due to H. pylori, cause changes in the gastric or duodenal mucosa and alter gastric function such as overproduction of HCl and pepsin, resulting in ulcer-forming lesions (Guariso & Gasparetto, 2012). NSAIDs, stress and other extra-gastric pathogenic events cause secondary ulcers within the stomach. The underlying pathology of PUD is due to the reduction of prostaglandins that serve as a protective mechanism on the gastric mucosa. Patients most commonly present with dull stomach ache or pain usually after a meal. Gas, bloating, nausea and vomiting are some less common symptoms. PUD, although rare when compared to adults, is reported worldwide in children and most commonly identified as initiated by H. pylori infection and the use of NSAIDs occurring in the second decade of life. Other events such as stress, shock, or major trauma can trigger acute ulcers in children but there is a hereditary family history component that increases acid output and accelerates gastric emptying in more than 20% of patients (Guariso & Gasparetto, 2012). Although H. pylori infection is the more common cause of PUD, the use of NSAIDs increases the risk of acquiring PUD (Guariso & Gasparetto, 2012).
“MOMMY! MAWWWMMY!” the little girl dressed like a princess shouted. “What? Whaaat?” The mother asked, glaring at a little computer screen.“I’m going to be a ballerina, pegasus, princess when I grow up,” the little one proclaimed proudly. “That’s great sweetie,” mom said cheerfully while turning to see her little peanut twirl and lose her balance. “SEE!” She squeaked stumbling to the side a bit and flashing the biggest, tiny smile. Mom clapped encouragingly. Almost every little girl or boy dreams of being a hair stylist, ballerina, football player, firefighter, veterinarian you name it, but not every tiny tike dreams of being a gastroenterologist. To be honest, neither did I. At least not until I was a tiny tot plus about twelve years.
In the system of the gastrointestinal tract, there are some conditions that can affect quality of life and is common. One of these conditions is called peptic ulcer disease (PUD) or also known as H. Pylori (Helicobacter pylori), which is the bacteria associated with PUD that causes the infection that leads to PUD. Almost two thirds of the world is affected with this infection, unbeknownst to the host (Moscou, page 421). This infection is introduced in the body through contaminated sources of food or water. It also can be transmitted through person to person contact by kissing. Once ingested, buffers are released and the bacteria is able to survive despite the acidic conditions of the stomach. Most people do not produce symptoms of the infection, however, there are some that may experience irritation and tissue damage from overproduction of gastric acids and peptic ulcers. Duodenal ulcers, which form in the upper region of the small intestines, are more common in younger people. Peptic ulcers tend to be more common with age as they are more likely to be infected. This disease is treatable and obliteration of the H. pylori results in ulcer cure and prevention of recurrences (Zoorob, page 243)
At our practice of Gastroenterology Associates in Providence, Rhode Island we strive each and every day to provide the patients with the best possible care. In fact, practicing exceptional quality of care for all patients keeps them coming back to our practice allowing us to grow and to continue to be successful. Therefore, there are so many stories that I have endured at my time at this healthcare facility, which has changed the lives of so many people, which is one of the reasons on why I love my job so much.
Gastrointestinal (GI) Disorders refer to diseases involving the gastrointestinal tract, namely the esophagus, stomach, small intestine and so forth. My dad used to suffer with gastritis which is an inflammation or irritation of the lining of the stomach. The cause of this disease could be irritation due to excessive alcohol use, chronic vomiting, stress, or the use of certain medications such as aspirin or other anti-inflammatory drugs. The episodes occur suddenly (acute) but the cause of his illness was unknown because he wasn’t heavy drinker, taking any medication, or other things. Sometimes, the cause of his illness was eating unhealthy, undercooked or refrigerated (more than a day or two) foods. Most of the time, he hasn’t had any sign