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