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- Write aboute the following with pictures :Bile pigments formation through the reticuloendothelial system.Why might a client be advised to avoid takingASA a few days before extensive oral surgery (e.g.,multiple tooth extractions)?A patient with a history of peptic ulcer disease (PUD) is prescribed omeprazole (Prilosec). The nurse educates the patient about the medication's action, which is to: a) Increase gastric acid secretion b) Decrease gastric acid secretion c) Enhance gastric motility d) Promote gastric mucosal healing
- Write aboute the following with pictures : 1. bile pigments formation through :- reticuloendothelial system : - blood . - liver. - intestine. 2. gallbladder function.You are a gastroenterologist and assessing a 2-year-old child rushed to the clinic. Upon assessment, the patient is irritated but weak and pale. The skin is dry and the area around the eyes is sunken. According to the mother, the patient has been vomiting for a day andthe stool is clear and watery. Based on your understanding of digestive structures, how will you explain the appearance of the symptoms?A nurse caring for patients with bowel alterations formulatesa nursing diagnosis for a patient with a new ileostomy. Whichdiagnosis is most appropriate?a. Disturbed Body Imageb. Constipationc. Delayed Growth and Developmentd. Excess Fluid Volume
- Explain the importance of oral rehydration in digestive disease therapy.Ptient has obstructive sleep apnea, secondary to obesity and physical inactivity. Create a 1-day breakfast and lunch meal for the patient and provide reason why each food helps to improve health.ln a stable patient, the management of a complete transection of the common bile duct distal to the insertion of the cystic duct would be optimally performed with a() A) Choledochoduodenostomy B) Loop choledochojejunostomy C) Primary end-to-end anastomosis of the transected bile duct D) Roux-en-Y choledochojejunostomy E) Bridging of the injury with a T tube
- Discuss the clinical and pathologic findings in the GI tract of a patient with diarrhoea.Define the meaning of the term "peptic ulcer disease". Discuss some of the risk factors that make people susceptible (including factors that protect the mucosa of the stomach/duodenum and those that cause damage to it. ANSWER SHOULD INCLUDE: Accurate definition, e.g. mucosa break greater than 3-5mm in the stomach or duodenum with a visible depth. Discussion of factors e.g. infections (H. Pylori; others mainly in immunocompromised patients, e.g. cytomegalovirus ,tuberculosis, and syphilis), gastric bypass surgery, cigarette smoking, medication/drugs, physiological stress associated with critical illness (e.g. septicaemia), autoimmune diseases, eg, vasculitis, sarcoidosis, Crohn's disease. Discussion of factors e.g. protection: bucarb, blood flow, prostaglandin, mucus. Damage: H. Pylori, gastric acid, pepsin, drugs e.g. NSAIDWhich of the following preparations / drug group can not be expected to have positive effects on gastric ulcers? Select an option: Sucralfat NSAID Proton pump inhibitors Histamine H2 antagonists Prostaglandin analogues