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[email protected] of this document is illegalNUR2063 Exam 2 Focused ReviewGallstones S/SBiliary colic (pain that occurs from passing/blockage) , related to intermittent obstruction of cystic ductPrecipitated by a meal (infrequent schedule)Persistent epigastric or RU abdominal pain , often radiates to backNausea, vomiting, sweating, flatus increases steadily for >15 minutes, lasts several hours, then slowly decreasesFatty food intolerance, belching, bloating, and epigastric burningPeptic ulcer disease patho, causes and S/SDisorders of upper GI tract caused by action of acid and pepsinInjury to the mucosa of the esophagus, stomach, or duodenumCauses: NSAIDs, stress (glucocorticoids), smoking, genetics, H. pyloriGastric:Caused by breakdown of protective mucous layer that normally prevents diffusion of acids into gastric epithelia because of chronic irritationsAspirin, NSAIDs, alcohol, and bile acidsDuodenal:Inappropriate excess secretion of acidIncreased basal activity of vagus nerve (Stimulates pyloric antrum cells to release gastrin to act on gastric parietal cells to release HCl, Results in high level of HCl)S/S: Epigastric burning pain