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MedSurg:Chapter 60:4

Noninflammatory Intestinal Disorders:4

QuestionAnswer
Polyps Small growths covered with mucosa and attached to the surface of the intestine
Types of Polyps Pedunculated- stalklike; a thin stem attaches them to the intestinal wall; become elongated as peristalsis pulls them into the lumen of the intestineSessile- attached to the intestinal walls by a broad base
Management of Polyps Usually asymptomatic; discovered during routine diagnostic testing, including tests for blood in the stool*A small amount of blood might appear in the stool after a polypectomy, but this should be temporary
Hemorrhoids Unnaturally swollen or distendid veins in the anorectal region
Internal Hemorrhoids Cannot be seen on inspection of the perineal area, lie above the anal sphincter
External Hemorrhoids Lie below the anal sphincter and can be seen on inspection of the anal region
Symtoms of Hemorrhoids Bleeding- bright red; present on toilet tissue or outside stoolSwellingProlapsItchingMucous dischargePain
Causes of Hemorrhoids Increased Abdominal Pressures during pregnancy, constipation with straining, obesity, heart failure, prolonged sitting or standing, and strenous exercise and weight liftingDecreased fluid intake= hard stool and constipation *PREVENT CONSTIPATION
Management of Hemorrhoids Cold Packs to anorectal regionTepid Sitz bathsCleansing anal area with moisted cleansing tissue: Dabbing instead of wipingHigh fiber and fluidsIrritating Laxatives are avoidedSpicy foods, nuts, coffee, and alcohol can be irritatin
Malabsorption- interferes with the ability to absorb nutrients and is a result of a generalized flattening of the nucosa of the small intestine Classic Symptom: DiarrheaSteatorrhea- greater than normal amounts of fat in the feces- Common signWeight loss, edema, bone pain, anemia, decreased libido, bloating and flatus- other signs
Created by: keisha12_18
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