Questions and Answers
Why is it important to pursue a diagnosis for persistent digestive pain?
Because the symptoms of uncomplicated indigestion can hide the symptoms of serious disease.
What causes the symptoms of celiac disease?
A hypersensitivity reaction to a component of gluten breaks down intestinal villi, reducing the absorption of all nutrients.
Where does esophageal cancer typically develop?
Between the larynx and the stomach.
Massage therapy has been seen to improve fatigue and appetite for cancer patients.
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What should be done for a client recovering from esophageal cancer who has no appetite?
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When gastroenteritis is viral, which pathogens are usually the cause?
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What accommodations might a client need after recovering from gastroenteritis?
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What symptoms are closely associated with gastroesophageal reflux disorder?
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What is probably the causative factor for most peptic ulcers?
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Where do peptic ulcers usually develop?
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What should be provided for a client who is symptom-free after treating a peptic ulcer?
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How should a therapist handle a client with multiple peptic ulcers who is uncomfortable lying flat?
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How do nitrates and nitrites in cured meats contribute to the risk of stomach cancer?
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What should a client do if causing persistent digestive problems?
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What are the most reliable risk factors for developing colorectal cancer?
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How should a therapist assist a client with a colostomy bag?
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What is diverticulum?
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What are serious complications of diverticular disease?
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What should a client with diverticulitis do?
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What type of irritable bowel syndrome involves rapid fluctuations between diarrhea and constipation?
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How should a therapist respond to a client with IBS who passes gas?
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What is another major risk factor for cirrhosis, aside from alcoholism and hepatitis C?
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Why are the symptoms of cirrhosis generally subtle until liver damage is advanced?
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Why does splenomegaly frequently occur as a complication of cirrhosis?
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What should be done for a client with cirrhosis and renal failure complications?
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What are the signs and symptoms of having crystallized bile salts or cholesterol in the gallbladder?
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What should a client report sharp stabbing pain in the midline of the right costal angle do?
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What should a therapist provide for a client recovering from laparoscopic gallbladder surgery?
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What hepatitis variety has infected about 30% of adults in the US?
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Which hepatitis virus has the highest risk of complication to cirrhosis, liver failure, or liver cancer?
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What is a common complication of hepatitis A?
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What are hepatitis B and C associated with?
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What should a therapist do for a client diagnosed with Hepatitis C who has no symptoms?
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What should be done for a client who ate at a restaurant where a hepatitis A outbreak was traced?
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What are typical signs and symptoms of liver cancer?
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What should a therapist do for a long-time client undergoing treatment for liver cancer?
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What are early signs and symptoms of pancreatic cancer?
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What is the best description of pancreatitis?
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What type of pancreatitis often has a fast onset and is caused by an obstruction?
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What should be done for a client who had acute pancreatitis last year?
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What is a predictable trigger for a bacterial/yeast imbalance in the intestines?
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What are the signs and symptoms of thrush?
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What should be done when a client mentions a yeast infection during a session?
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How does a Candida infection impact a hospice client's massage session?
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Study Notes
Diagnosis of Digestive Pain
- Persistent digestive pain must be evaluated to rule out serious diseases masked by uncomplicated indigestion.
Celiac Disease
- Symptoms stem from a hypersensitivity to gluten causing damage to intestinal villi, impairing nutrient absorption.
Esophageal Cancer
- Malignant cells develop between the larynx and stomach, emphasizing the critical nature of early diagnosis.
Massage Therapy for Cancer Patients
- Massage therapy can alleviate fatigue and stimulate appetite in patients recovering from esophageal cancer.
Treatment Post-Esophageal Cancer
- Support clients with past esophageal cancer through adapted massage therapy focused on comfort and scar management.
Viral Gastroenteritis
- Common pathogens include noroviruses and rotaviruses, known for their contagiousness.
Gastroenteritis Recovery
- Clients fully recovered from gastroenteritis typically require no special accommodations.
Gastroesophageal Reflux Disorder
- Associated symptoms include a bitter taste, chest pain, and exacerbation of symptoms when lying down.
Peptic Ulcers
- Most commonly caused by bacterial infections, developing in the stomach and duodenum.
Management of Peptic Ulcers
- Clients who have successfully treated peptic ulcers can receive massage therapy as they request.
Accommodations for Sensitive Clients
- Clients with ongoing multiple peptic ulcers may need flexible massage solutions, like a reclined position and gentle abdominal contact.
Risk factors for Stomach Cancer
- Nitrates and nitrites in cured meats, converted into carcinogens by H. pylori bacteria, elevate stomach cancer risks.
Undiagnosed Digestive Problems
- Ongoing digestive issues warrant medical consultation to identify underlying causes before proceeding with massage treatment.
Colorectal Cancer Risk Factors
- Reliable risk factors include obesity, genetics, and age.
Post-Colorectal Cancer Care
- A colostomy bag necessitates tailored massage approaches focused on client comfort.
Diverticulum Definition and Complications
- Diverticulum is a bulge in the intestinal wall; complications include abscesses, peritonitis, and blockage.
Diverticulitis Considerations
- During a diverticulitis flare, clients should postpone massages and consult with a healthcare provider immediately.
Irritable Bowel Syndrome (IBS)
- IBS-M is characterized by erratic shifts between diarrhea and constipation.
Social Dynamics and IBS
- Clients are encouraged to maintain a light attitude around symptoms like gas.
Cirrhosis Risk Factors
- Traditionally linked to alcoholism and hepatitis C, nonalcoholic fatty liver disease is now a significant risk factor.
Cirrhosis Symptoms
- Symptoms are often subtle until the liver's damage is extensive due to its compensative abilities.
Complications of Cirrhosis
- Splenomegaly occurs from portal hypertension causing difficulty in spleen drainage.
Massage for Cirrhosis Patients
- Clients with cirrhosis may require sensitive massage sessions, accommodating their discomfort, especially if ascites is present.
Gallbladder Health
- Crystalized bile salts or cholesterol typically present no symptoms unless a stone obstructs a duct.
Gallbladder Pain Symptoms
- Sharp pain near the right costal angle signifies the need for immediate medical consultation.
Post-Gallbladder Surgery Care
- Clients may benefit from gentle massages around surgical scars while ensuring comfort.
Hepatitis Overview
- Hepatitis A, affecting about 30% of US adults, offers lifelong immunity after exposure.
Hepatitis C Complications
- Hepatitis C is slow-progressing but significantly raises the risk of serious liver issues, including cancer.
Hepatitis A Consequences
- Rarely leads to long-term issues, distinguishing it from other hepatitis types.
Massage Concerns with Hepatitis
- Hepatitis B and C pose risks for liver failure and cancer; client wellness must be prioritized.
Seeking Help Regarding Hepatitis
- Clients exposed to hepatitis A should delay therapy until cleared by medical professionals.
Indicators of Liver Cancer
- Common symptoms include increasing abdominal pain and muscle wasting.
Massage for Hospitalized Clients
- Gentle massages can bring comfort to clients undergoing treatment for liver cancer, even while hospitalized.
Pancreatic Cancer Symptoms
- Early signs may include mid-back pain, aversion to food, and weight loss.
Pancreatitis Information
- Pancreatitis refers to any inflammation of the pancreas, with acute pancreatitis often triggered by duct obstruction.
Post-Acute Pancreatitis Massage
- Clients with a history of acute pancreatitis and no recurring issues can safely receive massages.
Intestinal Imbalance Triggers
- Common triggers for bacterial/yeast imbalances include the use of antibiotics.
Thrush Indicators
- Characterized by painless white lesions in the mouth, indicating Candida overgrowth.
Impact of Yeast Infections on Massage
- Knowledge of a client’s yeast infection does not alter therapeutic massage decisions.
Hospice Clients with Candida
- Standard massage procedures remain appropriate for hospice patients with Candida infections.
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Explore the key concepts in pathology with these flashcards from Chapter 8. This quiz covers critical topics related to digestive disorders, including celiac disease and the significance of persistent digestive pain. Perfect for students looking to enhance their understanding of pathology.