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126 Cards in this Set

  • Front
  • Back

The abdomen separates what two cavities?

abdominal and thoracic

where are the psoas major muscles located

on either side of the lumbar vertebral column. lateral margins/boarders should be faintly visible

what are the three most important muscles within the abdominal cavity

diaphragm


right psoas major


left psoas major

What is the most common exam?

KUB

what are the 4 accessory organs of the digestive system?

liver


gallbladder


pancreas


speen

which accessory organ is apart of the lymphatic system?

spleen

Starting at the mouth list the order of the digestive tract

oral cavity


pharynx


esophagus


stomach


small intestine


large intestine


anus


what are the 3 segments of the small intestines

duodenum


jejunum


ileum


what are the 6 segments of large intestine

cecum


ascending


transverse


descending


sigmond


rectum

what do the accessory organs do?

help in digestion


What characteristic is special about the duedenum

shortest and widest

how much of the small intestine does the jejunum make up?

2/5

how much of the small intestine does the ileum make up?

3/5

What structure connects the ascending to the transverse colon?

right colic flexure

what structure connects the transverse to the descending colon?

left colic flexure

When the duodenum is filled with contrast what does it look like?

a "C"

Where does the ileum end?

at the ileocecal valve


What quadrant does the Large intestine start?

RLQ

Where is the appendix attached?

to the posteromedial aspect of the cecum

after the ileocecal valve what section of the large intestine follows?

cecum

Will we see the pancreas in an abdominal radiograph?

no

Where is the pancreas located?

posterior to the stomach, near the posterior abdominal wall

where is the head of the pancreas located?

c-loop of the duodenum

where is the tail of the pancreas located?

extends towards the upper left abdomen

what quadrant is the liver located in

RUQ

What is the job of the liver?

production of bile - digest fats

if bile is not needed it is stored where?

gallbladder

where is the gallbladder located?

pear shaped sac located below the liver

what is the function of the gallbladder?

store and concentrate bile

Which flexure sits higher?

left colic



liver on the right?

what does the urinary system consist of?

2 kidneys


2 ureters


urinary bladder


urethra

where are the kidneys in the body?

posterior

True/false:


the total area of the peritoneum is about equal to the total SA of our skin .. entire body

true

What are the two peritoneum layers?

parietal peritoneum and visceral peritoneum

the two peritoneum layers make up what?

peritoneal cavity

The parietal peritoneum does what?

two layered and adheres to the cavity wall

the visceral peritoneum does what?

covers the organ

What is ascites?

accumulation of the lubricating serious fluid within the peritoneal cavity

What is the mesentary?

Double fold that holds the small intestine in place



peritoneum forms large folds that bind the abdominal organs to eachother and to the walls

true/false:


the mesentary is specific to the small intestine

true

The omentum is divided into what?

lesser omentum


greater omentum

what is the omentum?

double folded peritoneum that extends from the stomach to other organs


What is the lesser omentum?

extends superiorly from the lesser curvature of th estomach to the portions of the liver

what is the greater omentum

connects the transverse colon to the greater curvature of the stomach inferiorly. drapes down the small bowels then folds back on itself



forms an apron along the anterior abdominal wall.


if you entered the abdomen on the midanterior wall, the first structure encountered beneath the parietal peritoneum is the ...

greater omentum

What does retro mean?

behind ... towards the back.

what does intra mean?

within

what does infra mean?

beneath

What organs are in the RUQ?

liver


gallbladder


r. colic flexure


duodenum


head of pancreas


right kidney


right suprarenal gland


what organs are in the LUQ?

spleen


stomach


l. colic flexure


tail of pancreas


left kidney


left suprarenal gland

what organs are in the RLQ?

ascending colon


appendix


cecum


2/3 of ileum


ileocecal valve

what organs are in the LLQ?

descending colon


sigmoid colon


2/3 of jejunum


what is the horizontal line located on the spine of the 4 quadrants?

intervetebral disk ... L4 L5

What are the regions of nine?

right hypochondriac


epigastric


left hypochondriac


right lateral (lumbar)


umbilical


left lateral (lumbar)


right inguinal (iliac)


public (hypogastic)


left inguinal (iliac)

what are the 7 topographic landmarks?

xiophiod process


inferior costal margin


iliac crest


ASIS (anterior superior iliac spine)


greater trochanter


symphysis pubis


ischial tuberosity

Where is the xiphoid process within the spine and what does it show us?

T9 - T10


superior margins of abdomen

where is the inferior costal (rib) margins located within the spine and what does it show us?

L2 - L3


located upper abdominal organs .. gallbladder and stomach

where is the ilian crest located within the spine and what does it show us?

L4-L5 veterbral interspace


most commonly used


midabdomen ..



center the CR to here

waht does the ASIS show us?

find crest and move anteriorly and inferiorly until the "bump"



generally use for positioning the pelvic and vertebral structures

What level is the greater trochanter at?

same level as the superior boarder of symphysis

What is the symphysis pubis and where is it located?

anterior junction - joint - of the 2 pelvic bones


located inferior magins of abdomen

When do we use the ischial tuberosity

used to determine lower margins on a PA abdomen


1 1/2 inches below the symphysis pubis



butt bone

what two large abdominal mucles extend next to the lumbar spine and are indicators of a well exposed KUB

psoas major

which of the following is NOT one of the accessory organs for digestion?



spleen


pancreas


liver


gallbladder

spleen

what is the name of the double-fold of peritoneum that extends from the lesser curvature of th estomach to portions of the liver?



greater omentum


lesser omentum


mesentery


mesocolon

lesser omentum

the transverse colon is clasified as a _____ structure



inraperitoneal


retroperitoneal


infraperitoneal


extraperitoneal

intraperitoneal

the pancreas is classified as a _____ structure



intraperitoneal


retroperitoneal


infraperitoneal


extraperitoneal


retroperitoneal

the sigmoid colon is located in the ____ quadrant

LLQ

when do we expose for an abdominal expiration

expiration

what should we be able to visualize in each radiograph?

psoas mucles


transverse process of lumbar vertebra


kindey shadows


lower lier margins

What are the routine exams for abdomen?

AP supine

What are the special exams for abdomen?

right lateral decubitus (AP)


AP erect

Where do you center the CR?

iliac crest

Does abdomen mean flanks or no flanks?

flanks

does KUB mean flanks or no flanks?

no flanks

Define abcess

area of tissue becomes infected and immune system tries to fight it

define ascites

abnormal accumulation of fluid in the peritoneal cavity. chronic. lubricating serous fluid

define pnumoperitoneum

free air or gas in the peritoneal cavity. serios condition and requires surgery

define obstruction

blocking or clogging

define crohn's disease

also known as regional enteristis. chronic. inflammation of intestinal wall. results in bowel obstructions

define intussusception

telescoping of a section of bowels into antother loop. creates obstruction. most common in distal small intestine. MUST be treated in 24 hours.


define volvulus

twisting of a loop of intestine. creates obstruction

define adhesion

fibrous bands of scar tissue that form between organs/tissues. joins them together abnormally.


define hernia

buldge of organ

define appendicitis

inflammation of appendix


define fistula

permanent abnormal passageway between two organs in the body or between an organ and exterior of the body

define acute

severe symptoms and rapid onset

define ilieus

partial or complete non-mechanical bloackage of small and or large intestines

define ulcerative colitis

form of inflammatory bowel disease. casues swelling, ulceration, loss of function. large intestine

define atresia

congenital absence/closure of normal body opening or tubular structure



What type of organ is the kidneys?

retroperitoneal

what type of organ is the pancreas?

retroperitoneal

what type of organ is the duodenum

retroperitoneal

what type of organ is the inferior vena cava?

retroperitoneal

what type of organ is the aorta?

retroperitoneal

what time of organ is the desecnding colon?

retroperitoneal

what type of organ is the ureters?

retroperitoneal

what type of organ is the liver?

intraperitoeal

what type of organ is the gallbladder?

intraperitoneal

what type of organ is the spleen?

intra

what type of organ is hte stomach

intra

what type of organ is hte jugunum

intra

what type of organ is the ileum

intra

what type of oran is th ececum

intra

what type of organ is the transverse colon

intra

what type of organ is the sigmoid colon?

intra

what type of organ is the bladder?

infra

what type of organ is the urinary bladder?

infra

what type of organ is the lower rectum

infra

what type of organ is the reporductive organs

infra

What are the two most common sites for crohn's diease?

terminal ileum and proximal colon

a tall hypostehnic or asthenic patient may require ____ (one or two) IRs ______ (lengthwise or crosswise)

two IRs lengthwise

a broad hypersthneic patient may require ______ (one or two) IR's placed ______ (legnthwise or crosswise)

two IRs crosswise

True/false:


we move the IR/CR on lateral decubitus exams up 3 inches above the iliac crest.

FALSE.


2 inches above the iliac crest

True/false:


we move the IR so that the center is approximately 2 inches above the iliac crest for erect positions

true

Patients should be on their side for how many minutes before the exposure?

a minimum of 5


10 to 20 is preferred

where is the xiphoid process located within the spine?

T9/T10

where is the inferior costal margins located within the spine?

L2/L3

where is the iliac crest located within the spine?

L4/L5

what is the function of the spleen

filters blood within the immune systemw

What is the function of the pancreas?

has endocrine and exocrine function.



helps in digestion


regulates blood sugar

describe hypersthenic

broad, deep, narrow

describe hyposthenic

normal

describe sthenic

normal

describe asthenic

norrow, long, shallow

what abdominal structures show a good exposure?

liver


spleen


kidneys


air filled stomach and bowl segments


arch of the symphysis pubis