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Xi. Pathophysiology: Further Physically Rectal Exam Tenesmu S
Xi. Pathophysiology: Further Physically Rectal Exam Tenesmu S
fecally
contaminated
food/water
XI. PATHOPHYSIOLOGY
Endotoxin are
released
Direct invasion of
the bowel wall
Stimulation and
obstruction of
mucosal lining of
the bowel wall
Destruction of
lining of the
bowel wall
(Abdominal
pain/crampin
g)
Bleeding
Hematochezi
a
Hematemesis
tenesmu
s
Management
Further
physically
rectal exam
Digestive and
absorptive
malfunction
Antispasmodics
Antibiotics ( to
directly kill pathogen)
H2- receptor blocker
Ulceration in the
bowel wall
Excessive gas
formation
Borborygmi
Mild diarhea
(2-3 stool)
Nausea
Vomiting
Feeling of
fullness
Flatus
GI distention
Greater secretion
of water and
electrolyte
antispasmodics
Increase
peristaltic
movement
LI Is overwhelmed
Diarrhea
fluid
volume
and
unable
to
(
watery
stool)
deficit
reabsorb
the
lost
Active secretion
of chloride and
bicarbonate ions
in the small bowel
Antimotility
Antiemetics
Antidiarrhea
rehydration
Inhibition of
sodium
reabsorption
Fluid and
electrolyte
imbalance
hypermatrem
ia
Increased
protein-rich
fluids in the
lumen
Continuous
rehydration
especially
through IV line
Severe diarrhea
(>10 episodes)
Large intestine is
overwhelmed and
unable to
reabsorb the lost
fluid
Metabolic
acidosis
Kussmauls
breathing
Hyperventilation
through keeping
the PCO22 ion