Gastrointestinal System Disorders Q 65 - Gyan Darpan : Learning Portal
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Friday, 15 April 2022

Gastrointestinal System Disorders Q 65

A female client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge?
    A. The client doesn’t exhibit rectal tenesmus.
    B. The client is free from esophagitis and achalasia.
    C. The client reports diminished duodenal inflammation.
    D. The client has normal gastric structures.

Correct Answer: B. The client is free from esophagitis and achalasia.

Dysphagia may be the reason why a client with esophagitis or achalasia seeks treatment. Dysphagia is common in patients with erosive esophagitis but is not a reliable clinical predictor of severe erosive esophagitis. Dysphagia resolved with PPI therapy in most cases, but persistent dysphagia may indicate failed healing. Dysphagia isn’t associated with rectal tenesmus, duodenal inflammation, or abnormal gastric structures.

Option A: Rectal tenesmus can happen for several reasons. The most common is colon inflammation, either from a noninfectious or infectious cause. Inflammatory bowel disease (IBD) is one cause of colon inflammation. IBD is an umbrella term for several long-term conditions involving chronic inflammation of the gut.
Option C: The most common cause of duodenitis is infection by Helicobacter pylori (H. pylori) bacteria. Another common cause is the long-term use of NSAIDs (such as aspirin and ibuprofen). Celiac disease, an allergy to gluten, causes a particular type of inflammation in the duodenum along with other changes.
Option D: Dysphagia means difficulty swallowing. For this diagnosis, it is critical that related symptoms be associated with the act of swallowing a liquid or solid bolus. When unassociated with swallowing, the sensation of fullness in the upper esophagus suggests globus hystericus, which is distinct from dysphagia.

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