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Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very
little urine output. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom?
Acute renal failure: Mrs Jones is suffering an acute kidney injury due to hypo perfusion likely linked to blood loss and/or low blood pressure during the operation. Reduced blood supply has caused the kidneys to cease to operate effectively. [ Her blood results will show elevated urea and creatinine while urine output will reduce to under 20mls/per hour. The solution is to rehydrate with IV
fluids and monitor vital signs regularly. She may need dialysis in the short term if her potassium increases or eGFR becomes very low. Prognosis will depend on extent of damage however there is every possibility that fluid resuscitation will restore normal function with time. Chronic kidney failure: this causes a gradual reduction in kidney function over time. Leading to fluid retention, ankle edema, reduced red cell production (thus leading to anemia) and then with congestive heart failure there is potential for fluid to collect in the lungs, causing shortness of breath and changes in blood vessels around the liver leading to liver failure and esophageal varices. The use of diuretics to treat the chronic heart failure also puts additional pressure on the kidneys. Prognosis is poor. ]
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Choose one age-related gastrointestinal disease. How would you describe the disease, and why is this age group more likely to be affected by the disease?
Weegy: Answer: Crohn’s disease What is Crohn’s disease? Crohn’s disease is a disease that causes inflammation, or swelling, and irritation of any part of the digestive tract—also called the gastrointestinal (GI) tract. [ The part most commonly affected is the end part of the small intestine, called the ileum. Who gets Crohn’s disease? Crohn’s disease affects men and women equally and seems to run in some families. People with Crohn’s disease may have a biological relative—most often a brother or sister—with some form of IBD. Crohn’s disease occurs in people of all ages, but it most commonly starts in people between the ages of 13 and 30.1 Men and women who smoke are more likely than nonsmokers to develop Crohn’s disease. People of Jewish heritage have an increased risk of developing Crohn’s disease, and African Americans have a decreased risk. 1Sauer CG, Kugathasan S. Pediatric inflammatory bowel disease: highlighting pediatric differences in IBD. Gastroenterology Clinics of North America. 2009;38(4):611–628. What are the symptoms of Crohn’s disease? The most common symptoms of Crohn’s disease are abdominal pain, often in the lower right area, and diarrhea. Rectal bleeding, weight loss, and fever may also occur. Bleeding may be serious and persistent, leading to anemia—a condition in which red blood cells are fewer or smaller than normal, which means less oxygen is carried to the body’s cells. The range and severity of symptoms varies. How is Crohn’s disease diagnosed? A doctor will perform a thorough physical exam and schedule a series of tests to diagnose Crohn’s disease. Blood tests can be used to look for anemia caused by bleeding. Blood tests may also uncover a high white blood cell count, which is a sign of inflammation or infection somewhere in the body. Blood is drawn at a health care provider’s office or commercial facility and sent to a lab for analysis. Stool tests are commonly done to rule out other causes of GI diseases, such as infection. ... (More)
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Asked 6/24/2013 8:01:16 PM
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Is Hypochlorhydria an age related gastrointestinal disease?
Weegy: No, it is not. Hypochlorhydria refers to a deficiency of hydrochloric acid (HCl) in the stomach. This results in impaired digestion and a number of other effects on the gastrointestinal system. [ Achlorhydria is a severe form of hypochlorhydria where there is complete absence of stomach acid secretion. Approximately one third of individuals over 60 years-of-age have achlorhydria and a much higher number have hypochlorhydria.[1] The symptoms of hypochlorhydria and hyperchlorhydria are similar and many people are treated for high stomach acid when in reality they have low stomach acid and the treatments are often making the situation worse. ] (More)
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Asked 6/24/2013 8:07:01 PM
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age related gastorintestinal dieases?
Weegy: The demographic development will lead to a disproportionate increase of older people and to a significant increase of functional gastrointestinal disorders including dyspepsia due to motility and reflux-related disorders, [ nausea and vomiting by gastrointestinal dysfunction and abdominal and pelvic pain caused by chronic obstipation, stool impaction and incontinence. This implies significant consequences with regard to the development of weight loss, anorexia, social disadvantages and increased mortality with serious sociology-economic burden. Aging processes are determined by differentiated neurogeneration of the myenteric plexus (cholinergic degeneration) through reactive oxygen and nitrogen species and alteration of protective and regenerative processes. Age-related gastrointestinal dysfunctions may be caused by the aging gastrointestinal tract itself or by other age-related diseases such as tumor, neurological or inflammatory diseases, anatomic changes, therapeutic medication, polymorbidity or malnutrition. Because of the significant therapeutic options, differential diagnostic work-up is mandatory also in elderly patients. ] (More)
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Updated 6/24/2013 10:52:58 PM
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Added 6/24/2013 10:53:05 PM
age related gastorintestinal dieases?
Weegy: Hypochlorhydria is a condition of insufficient hydrochloric acid (HCl) levels in the stomach and an example of an age related GI disease. As acid secretion decreases with age, many people are deficient in HCl and do not know it. [ Medical literature states that 40% of people past the age of 60 are low on HCl. The disease leads to incomplete digestion and poor nourishment. ] (More)
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Expert Answered
Asked 6/24/2013 8:32:15 PM
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Crohn’s disease-How would you describe the disease, and why is this age group more likely to be affected by the disease?
Weegy: Crohn’s disease is a disease that causes inflammation, or swelling, and irritation of any part of the digestive tract—also called the gastrointestinal (GI) tract. [ The part most commonly affected is the end part of the small intestine, called the ileum. The GI tract is a series of hollow organs joined in a long, twisting tube from the mouth to the anus. The movement of muscles in the GI tract, along with the release of hormones and enzymes, allows for the digestion of food. ] (More)
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Asked 6/24/2013 8:37:55 PM
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