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FINAL VERSION For review only. Do not cite, quote, or publish.

Medical: 5 Gastroenterology: 6

UNIT TERMINAL OBJECTIVE

5-6

At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles

and assessment findings to formulate a field impression and implement the treatment plan for the patient with a gastroenterologic problem.

COGNITIVE OBJECTIVE At the conclusion of this unit, the paramedic student will be able to:

5-6.1 5-6.2 5-6.3

5-6.4 5-6.5 5-6.6 5-6.7 5-6.8 5-6.9

Describe the incidence, morbidity and mortality of gastrointestinal emergencies. (C-1) Identify the risk factors most predisposing to gastrointestinal emergencies. (C-1) Discuss the anatomy and physiology of the organs and structures related to gastrointestinal diseases. (C- 1) Discuss the pathophysiology of inflammation and its relationship to acute abdominal pain. (C-1) Define somatic pain as it relates to gastroenterology. (C-1) Define visceral pain as it relates to gastroenterology. (C-1) Define referred pain as it relates to gastroenterology. (C-1) Differentiate between hemorrhagic and non-hemorrhagic abdominal pain. (C-3) Discuss the signs and symptoms of local inflammation relative to acute abdominal pain. (C-1)

5-6.10 Discuss the signs and symptoms of peritoneal inflammation relative to acute abdominal pain. (C-1) 5-6.11 List the signs and symptoms of general inflammation relative to acute abdominal pain. (C-1) 5-6.12 Based on assessment findings, differentiate between local, peritoneal and general inflammation as they

relate to acute abdominal pain. (C-3) 5-6.13 Describe the questioning technique and specific questions the paramedic should ask when gathering a

focused history in a patient with abdominal pain. (C-1) 5-6.14 Describe the technique for performing a comprehensive physical examination on a patient complaining of

abdominal pain. (C-1) 5-6.15 Define upper gastrointestinal bleeding. (C-1) 5-6.16 Discuss the pathophysiology of upper gastrointestinal bleeding. (C-1) 5-6.17 Recognize the signs and symptoms related to upper gastrointestinal bleeding. (C-1) 5-6.18 Describe the management for upper gastrointestinal bleeding. (C-1) 5-6.19 Integrate pathophysiological principles and assessment findings to formulate a field impression and

implement a treatment plan for the patient with upper GI bleeding. (C-3) 5-6.20 Define lower gastrointestinal bleeding. (C-1) 5-6.21 Discuss the pathophysiology of lower gastrointestinal bleeding. (C-1) 5-6.22 Recognize the signs and symptoms related to lower gastrointestinal bleeding. (C-1) 5-6.23 Describe the management for lower gastrointestinal bleeding. (C-1) 5-6.24 Integrate pathophysiological principles and assessment findings to formulate a field impression and

implement a treatment plan for the patient with lower GI bleeding. (C-3) 5-6.25 Define acute gastroenteritis. (C-1) 5-6.26 Discuss the pathophysiology of acute gastroenteritis. (C-1) 5-6.27 Recognize the signs and symptoms related to acute gastroenteritis. (C-1) 5-6.28 Describe the management for acute gastroenteritis. (C-1) 5-6.29 Integrate pathophysiological principles and assessment findings to formulate a field impression and

implement a treatment plan for the patient with acute gastroenteritis. (C-3) 5-6.30 Define colitis. (C-1) 5-6.31 Discuss the pathophysiology of colitis. (C-1) 5-6.32 Recognize the signs and symptoms related to colitis. (C-1) 5-6.33 Describe the management for colitis. (C-1) 5-6.34 Integrate pathophysiological principles and assessment findings to formulate a field impression and

implement a treatment plan for the patient with colitis. (C-3)

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

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