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1、Nur4206 ThePatientwithDigestiveDisordersByLindaSelfGIChangesassociatedwithAgingAtrophyofthegastricmucosaresultinginhypochlorhydriaDecreasedperistalsiswhichresultsinconstipationCalcificationofpancreaticvesselsoccurswithadecreaseinlipaseproductionDiminishedsizeofliverwithresultantdec
2、reasedenzymeactivity.Decreasedenzymeactivitydepressesdrugmetabolismwhichleadstoanaccumulationofdrugs.LabAssessmentoftheGISystemCBCClottingfactorsSerumelectrolytesSerumenzymessuchasAST(aspartateaminotransferase)andALT(alanineaminotransferase)AmylaseandlipaseBilirubin—primarypigmenti
3、nbilewhichisnormallyconjugatedandexcretedbytheliver.NH3—usedtorebuildaminoaacidsorisconvertedtoureaforexcretion.Elevationsareseeninconditionsthatcausehepatocellularinjurysuchascirrhosis.Tumormarkers—CA19-9andCEAareevaluatedtomonitorthesuccessofcancertherapyandtoassessfortherecurren
4、ceofcancerintheGItract.DiagnosticTestingEGDERCP(endoscopicretrogradecholangiopancreatography)ColonoscopyGastricanalysis—NG,maygiveHistalogsc.Fifteenminuteintervalssamplesaretakenforonehour.Depressedlevelsofgastricsecretionsuggestthepresenceofgastriccarcinoma.Increasedlevelsindicate
5、Zollinger-Ellisonsyndromeandduodenalulcers.CandidiasisFungalinfectionresultingfromovergrowthoftheCandidaalbicans,anormalflora.Seeninindividualsreceivingantibiotics,chemotherapy,steroids,radiationorantirejectionmedication.AlsocommonamongHIV-infectedindividualsInterventionsAnti-infec
6、tiveagentssuchasabxorantifungals.Tetracyclinesyrup,chlorhexidine,acyclovirAnalgesicssuchaslidocaineviscous,benadrylelixir,opioidsMeticulousoralhygieneusingsofttoothbrush,frequentcare,rinsingwithH2O2,warmsaline,bakingsodaoracombinationSelectsoft,blandandnonacidicfoodsMalignantTumors
7、90%areSquamouscellRiskfactorsareincreasingage,tobaccouse,andalcoholingestionPoordietaryhabits,poororalhygieneandinfectionwithHPVincreasethelikelihoodCommonsignsandsymptomsincudeunusuallumpsorthickeningofthebuccalmucosa,soresthatdonothealSeenmorecommonlyinthe6thand7thdecadesoflifeAf
8、ricanAmericanshaveahigherr
