Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Ulcerative colitis ++ 009.1 Colitis, enteritis, and gastroenteritis of presumed infectious origin556.9 Ulcerative colitis, unspecified ++ 315.4 Developmental coordination disorder718.45 Contracture of joint, pelvic region and thigh719.70 Difficulty in walking involving joint site unspecified728.2 Muscular wasting and disuse atrophy not elsewhere classified728.89 Disorders of muscle, ligament, and fascia729.9 Other and unspecified disorders of soft tissue780.7 Malaise and fatigue781.2 Abnormality of gait782.3 Edema786.0 Dyspnea and respiratory abnormalities786.05 Shortness of breath ++ A09 Infectious gastroenteritis and colitis, unspecifiedK51.90 Ulcerative colitis, unspecified, without complications ++ As of March 2013, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated +++ Description ++ Inflammation of large intestine and bowelUlcer formation may cause some constipationFrequent diarrhea associated with bowel urgency and crampingPathologic features1Involves mainly mucosa +++ Essentials of Diagnosis ++ Unknown etiologyAbdominal pain, tendernessNausea, vomitingDiarrhea: watery, may be bloodyBloatingRectal bleeding possibleAcute drop in blood pressure may cause decreased blood flow to intestines +++ General Considerations ++ Various types of colitisShort-term: resolves quicklyLifelong: chronic, recurrentBroad array of GI disorders may be encountered by physical therapistsWhile PT may not manage GI disorders specifically, clients may receive care for secondary problems: weakness, gait abnormalities, limited aerobic endurance, sarcopenia, musculoskeletal/ neuromuscular problems, weight loss/gainSymptoms may be characteristic of multiple GI disorders, confounding medical diagnosisPT should recognize possible GI pathology in differential diagnosis, especially when findings are inconsistent with conditions commonly treatedDiagnosis for occult problems may take time and require intensive diagnostic testingReferred pain to back possibleMay mimic colon cancer, tumors, irritable bowelChronic or episodic diarrhea, loss of bowel control, and/or blood in stool may indicate inflammatory disease, pre-cancerous condition, or cancer +++ Demographics ++ Higher incidence in Caucasians and Jews of European descentMay occur at any age; onset most common between ages 15 and 30 years, less common between ages 50 to 70 years10% of cases develop before age 18Affects men and women equallyFamilialEstimated incidence in U.S.: 1.4 in 100,000 +++ Signs and Symptoms ++ PainAbdominal/stomach pain, cramping (constant or intermittent, severe)Pain upon ingesting food or liquidMay be cardiac in natureLower abdominal painPain with defecationJoint painBowel changesDiarrhea (acute, chronic)Constipation (acute, chronic)Blood in stool, dark or fresh-bleedingRectal bleedingChange in stool odor or colorFeeling of having to move bowels constantlyIntestinal hemorrhageAbdominal distentionAbdominal muscle spasm, guardingFever, chillsDysplasiaPseudopolypsCrypt abscessesFatigueAnemiaWeight loss, loss of appetiteSkin lesionsFailure to grow if onset at ... Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free a profile for additional features.