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68 Cards in this Set

  • Front
  • Back
Borborygmi
stomach growling/rumbling caused by gas moving through intestines
Flatus
Fart. A reflex that expels intestinal gas through the anus
Anorexia
Prolonged disorder of eating due to loss of appetite
Hematemesis
vomiting blood
Ascites
accumulation of serous
Striae
stretch marks. Form of scarring on the skin with an off color hue
Masticate
grind and knee...as in chewing
Melena
abnormally dark, tarry feces containing blood
Viscera
internal organ collectively (abd cavity)
Dyspepsia
indigestion
Dysphagia
difficulty swallowing
Occult blood
nonvisable blood in stool, detectable by a lab test
Deglutition
the act of swallowing
Hernia
rupture in smooth muscle tissue through which a bodily structure protrudes
CVA
costovertebral angle
Epigastrium
region lying on or over the stomach (just below the sternum)
Bruxism
clenching of teeth
Frenulum
piece of skin from bottom of mouth to tongue
How many permanent teeth?
32
edentulous
no teeth
What is the duct at the floor of the mouth?
Whartons duct
gingivae
gums
Papillae
bumpy, taste buds
Stensons duct
opens at the inside of the cheek
What kind of muscle is in the tongue
striated
How many pairs of salivary glands
3 pair
WHat kind of tissue are tonsils comprised of?
lymph
Adnoids
trap bacteria that leads to ear infections
What does brushing teeth while on ventilator help reduce?
Ventilator acquired pneumonia
What CN controls the tongue?
CN XII
bifided uvula
split uvula in Native americans
gingival hyperplasia
swollen gums comes with dilantin and cyclosporin
Documentation with lips
symmetric, pink, moist w/o cracks or lesions
Documentation with teeth
white, aligned, no sign of decay
Documentation with Gums/cheeks:
pink, moist, w/o lesions, no bleeding
Age Related changes with Mouth....(6)
1. Tonsils decrease in size; may be invisible
2. Submandibular gland easier to palpate
3. teeth...worn yellowing (cracks, worn surfaces, loose)
4. receeding gums
5. dec salivation and sense of taste
6. Buccal mucosa thins
How many feet long are the gi tract
27 ft
What are the functions of the GI tract
Ingest food, absorb nutrients, electrolytes, water
Accessory digestive organs:
liver, gallbladder, pancreas
Peritoneum
serous membrane that lines the cavity
Greater and lesser omentum
dbl folds around the stomach
Mesentery
Covers most of the small intestines and anchors the posterior abdominal wall
What are the 4 pairs of muscles of the abdomen
Rectus abdominus, external oblique, internal oblique, transverse abdominus
Solid viscera
maintains shape (liver, spleen)
hollow viscera
shape depends on contents (stomach, intestines)
What are the 5 organs RUQ
Liver, gallbladder, pyloric sphincter, duodenum, head of pancreas
What are the 4 organs of LUQ
Stomach, left lobe of liver, spleen, pancreas (body & tail)
What are the 4 parts of the RUQ
Rt. Kidney & ureter, hepatic flexure of colon, part of ascending and transverse colon, rt adrenal gland
What organs are midline at the abdomen
Aorta, bladder, uterus, prostate gland
Abdominal visceral pain
dull, generalized, poorly localized (generalized stomach ache)
Abdominal parietal pain
secondary to inflammation of the paritenium (sharp pains when palpated)
Referred pain
From a disorder or another site
Age related changes with GI (5)
1. diminished abd muscles (mass and tone...pot belly look)
2. Inc fat deposition
3. Changes in gastric motility (alterations in digestion and absorption)
4. Decreased gastric acid secretion
5. Dec salvation, dry mouth, dec taste sense, delay in esophageal emptying
Pernitious anemia
interferes with B12 absorption...iron def anemia and difficulty absorbing calcium
Age related changes gi discomfort
1. C/o gas, epigastric discomfort
2. COnstipation
3. Dec liver mass and blood flow
4. Cholelithiasis
Constipation is going...
less than every 3rd day
Blood flow to the liver dec by what
55-60% by 60-70 y/o
Advise older patients to
1. eat smaller more freq meals
2. avoid spices, alcohol, caffeine and citric acid
3. avoid aspirin, ibuprofen and naproxen
4. drink 1-2 glasses of water with meals
What are the 7 F's of abdominal distension
1. Fat
2. Fluid
3. Fetus
4. Flatus
5. fibroid
6. Feces
7. Fatal growth
Guarding and knees drawn
Pain
Restlessness
Gastroenteritis, Small Bowel obstruction
Stillness
peritonitis
Ausculation of the abdomen for vascular sounds..
aorta, use bell, renal,ileac and femoral arteries....listening for bruits
Systolic bruit
pulsatile, blowing sound, occurs with occulsion of the artery
Deep palpation is how far?
5-8 cm deep
CVA tenderness
tests for kidney pain
Blumberg's sign
Rebound tenderness....pain when pushing down on abdomen...shows peritoneal inflammation
Normal bowel sounds
tymphany