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21 Cards in this Set

  • Front
  • Back
Name the regions of the large intestine as digestion progresses.
ileocecal valve
The Cecum
Appendix or Vermiform Appendix
The Ascending Colon
Transverse Colon.
Descending Colon
Sigmoid Colon
Rectum
2. Which cells absorb water and which lubricate the intestine?
Absorptive cells function primarily in absorption of water.

Goblet cells secrete mucous to lubricate contents as they pass.
3. What nervous system is responsible for gut innervation?
Enteric nervous system
4. From what two major arteries does blood supply to the large intestine originate?
Superior and Inferior Mesenteric Arteries.
5. Blood supply from the large intestine returns via what major vein?
Hepatic Portal Vein.
What are the 5 principal regions of the Large Intestine?
Cecum, Colon , Sigmoid Colon, Rectum, and Anal Canal
What portion(s) of the colon are retroperitoneal?
Ascending and descending colons
What hormone relaxes the ileocecal sphincter during mechanical digestion?
Gastrin
What is the purpose of the ileocecal sphincter?
Regulates passage of chyme from ileum to cecum and prevent regurgitation of gastric contents into ileum.
What are the layers of the Large Intestinal wall?
Mucosa, Submucosa, Muscularis, and Serosa
What influence does the parasympathetic nervous system have on the large intestine?
Increases motility and increases secretion of mucous
What is the major difference between the goblet cells of the small and large intestine?
The goblet cells of the large intestine have no villi decreasing its absorptive surface area
A patient presenting with appendicitis will have which of the following?
a. rebound tenderness

b. positive obturator and psoas sign

c. continuous and dull pain

d. all of the above
D -- all of the above
What is the purpose of the mucosa layer of the large intestine?
Absorb water, absorb vitamins, absorb electrolytes, and secrete mucous
Put the following in order for proper technique for an abdominal exam: 1. palpation 2. inspection 3. percussion 4. auscultation

a. 1234

b. 2431

c. 4213

d. 3142
B --
2 Inspectiion
4 Auscultation
3 Percussion
1 Palpation
Vague abdominal pain, peptic ulcer-like symptoms, weight loss and altered bowel habits could indicate what disease?
Colorectal cancer
Rebound tenderness in the left lower quadrant accompanied by fever and a tender mass on digital rectal exam can indicate what disease?
Diverticulitis
What pain fibers are associated with Abdominal visceral pain?
C Fibers: Crampy -dull pain
A Fibers: Sharp pain
What type of pain is associated wtih abd surgery with irritation of the peritenium, ph & temp changes?
Somatic pain
What is Mesenteric Traction Syndrome?
Tachycardia, hypotension and cutaneous hyperemia
Also--PaO2 decreases,
Due to release of vasoactive histamine release (prostacyclin(PG1))
How would you treat Mesenteric Traction syndrome?
NSAID Ketoralac inhibits cycloxygenase, also H1 &H2 antihistamines