Acute Inflammatory Disorders     Disturbances in Metabolism
HEPATITIS
Hepatitis• Marked by:  – Hepatocellular destruction  – Necrosis  – Autolysis• Prognosis is poor if edema and end-stage  li...
Hepatitis         A              B               C           D           E            Infectious     Serum           Non-A...
Virus infect liver-interlobular infiltrationNecrosis and hyperplasia of kuffer cells Failure of the bile to reach intestin...
VIRAL HEPATITIS• Assessment : s/sx    • Prodromal / Preicteric           »S – symptoms of URTI           »W – weight loss ...
APPENDICITIS
VIRAL HEPATITIS• Nursing Mgt    • Isolation of patient ( enteric isolation)    • Standard precaution    • Patient should b...
VIRAL HEPATITIS• Nursing Mgt        • Observe patient for Melena and check stool for the          presence of blood       ...
Special Considerations• Monitor patient’s weight daily, and record  fluid intake and output• Observe stools for consistenc...
Pathophysiology:   Lumen of appendix - obstructed            Inflammation  Mucosa continues to secrete fluid   Increased p...
PANCREATITIS
PANCREATITIS
ACUTE PANCREATITISPATHOPHYSIOLOGY• Spasm, edema or block in the  Ampulla of Vater reflux of  proteolytic enzymes auto  d...
PANCREATITIS
PANCREATITIS
CHOLECYSTITIS
CHOLECYSTITIS   Colleen C. Flores, RN
CHOLECYSTITIS
CHOLECYSTITIS
15   gi inflam disorders
15   gi inflam disorders
15   gi inflam disorders
15   gi inflam disorders
15   gi inflam disorders
15   gi inflam disorders
15   gi inflam disorders
15   gi inflam disorders
15   gi inflam disorders
15   gi inflam disorders
Upcoming SlideShare
Loading in …5
×

15 gi inflam disorders

575 views
452 views

Published on

Credits to Mr. Jefferson Ramos

Published in: Health & Medicine
0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
575
On SlideShare
0
From Embeds
0
Number of Embeds
4
Actions
Shares
0
Downloads
16
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide
  • Rovsing's signContinuous deep palpation starting from the left iliac fossa upwards (counterclockwise along the colon) may cause pain in the right iliac fossa, by pushing bowel contents towards the ileocaecal valve and thus increasing pressure around the appendixPsoas sign or "Obraztsova's sign" is right lower-quadrant pain that is produced with either the passive extension of the patient's right hip (patient lying on left side, with knee in flexion) or by the patient's active flexion of the right hip while supine. The pain elicited is due to inflammation of the peritoneum overlying the iliopsoas muscles and inflammation of the psoas muscles themselves. Straightening out the leg causes pain because it stretches these muscles, while flexing the hip activates the iliopsoas and therefore also causes pain.Obturator signIf an inflamed appendix is in contact with the obturatorinternus, spasm of the muscle can be demonstrated by flexing and internal rotation of the hip. This maneuver will cause pain in the hypogastrium
  • 15 gi inflam disorders

    1. 1. Acute Inflammatory Disorders Disturbances in Metabolism
    2. 2. HEPATITIS
    3. 3. Hepatitis• Marked by: – Hepatocellular destruction – Necrosis – Autolysis• Prognosis is poor if edema and end-stage liver disease develops
    4. 4. Hepatitis A B C D E Infectious Serum Non-A, Non-A.K.A Hepatitis Hepatitis B HepatitisCause HAV HBV HCV HDV HEV Fecal-oral; Blood food-borne; transfusionsMode of Water- Parenteral; and Same as Fecal-Transmis- bourne; sexual; parapher- HBV oralsion person-to- perinatal nalia; sex with person infected contact partner Flu-like Similar to Similar (Pre-Icteric With or HBV; less Similar to HAV;S/Sx Phase; without severe and to HBV severe in Icteric symptoms anicteric pregant Phase) may be Risk for Mild with Similar SimilarPrognosis severe; Risk hepatic recovery to HBV to HAV for cirrhosis cancer
    5. 5. Virus infect liver-interlobular infiltrationNecrosis and hyperplasia of kuffer cells Failure of the bile to reach intestine in normal amount Obstructed jaundice s/sx: dark urine, pale feces, itchness Liver cell damage Necrosis and autolytic type destroy parenchyma
    6. 6. VIRAL HEPATITIS• Assessment : s/sx • Prodromal / Preicteric »S – symptoms of URTI »W – weight loss »A – anorexia , chills , fever »R – right upper quadrant pain »M – malaise • Icteric »J – jaundice »A – acholic stool »B – bile colored urine ( tea colored)
    7. 7. APPENDICITIS
    8. 8. VIRAL HEPATITIS• Nursing Mgt • Isolation of patient ( enteric isolation) • Standard precaution • Patient should be encouraged to rest during acute or symptomatic phase • Improved nutritional status • Utilize appropriate measures to minimize spread of the disease
    9. 9. VIRAL HEPATITIS• Nursing Mgt • Observe patient for Melena and check stool for the presence of blood • Provide optimum eye and oral care • Increase in ability to carry out activities – Encourage the patient to limit activity when fatigued – Assist the client in planning period of rest and activity – Encourage gradual resumption of activities and mild exercise during recovery• PREVENTION AND CONTROL – Handwashing every after use of toilet – Travelers should avoid water and ice if unsure of their purity – Educate on the mode of transmission of the disease.
    10. 10. Special Considerations• Monitor patient’s weight daily, and record fluid intake and output• Observe stools for consistency and amount and record bowel movement• Tell the client not to consume alcohol or use nonprescription drugs for 1 year
    11. 11. Pathophysiology: Lumen of appendix - obstructed Inflammation Mucosa continues to secrete fluid Increased pressure in lumen of appendix Restricted blood flow Hypoxia Infection Gangrene PERITONITIS Perforation
    12. 12. PANCREATITIS
    13. 13. PANCREATITIS
    14. 14. ACUTE PANCREATITISPATHOPHYSIOLOGY• Spasm, edema or block in the Ampulla of Vater reflux of proteolytic enzymes auto digestion of the pancreas inflammation
    15. 15. PANCREATITIS
    16. 16. PANCREATITIS
    17. 17. CHOLECYSTITIS
    18. 18. CHOLECYSTITIS Colleen C. Flores, RN
    19. 19. CHOLECYSTITIS
    20. 20. CHOLECYSTITIS

    ×