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53 Cards in this Set
- Front
- Back
hypertrophic pyloric stenosis |
congenital abnormality, thickened pyloric sphincter, projectile vomiting |
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hypertrophic pyloric stenosis |
confirmed with ultrasound or S&D exam |
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esophageal atresia |
failure of esophagus to develop as a continuous passage ending in a blind pouch |
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tracheoesophageal fistula |
congenital or acquired communication between trachea and esophagus |
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tracheoesophageal fisulta |
lead to severe and fatal pulmonary complications such as aspiration pneumonia |
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megacolon |
Hirchsprung's disease in children |
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megacolon |
congenital abnormality where absence or marked reduction of parasympathetic ganglion cells in colorectal wall causes immobility and severe constipation resulting in enlarged colon |
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mechel's divertivulum |
congenital. small pouch in wall of large intestine near the junction of the small and large intestine. pouch is remnant of tissue from prenatal development of the digestive system producing acid causing ulcers in bowel |
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mechel's diverticulum - exam |
small bowel contrast |
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GERD |
gastroesophageal reflux disease |
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GERD |
backflow of gastric contents into esophagus |
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GERD develops when |
lower esophageal sphincter fails |
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GERD produces |
burning chest pain |
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GERD demonstrated by |
barium study of esophagus |
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esophageal spasm occurs at |
esophagogastric junction |
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esophageal spasm condition |
dyspahgia |
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esophageal spasm |
barium swallow shows irregularity in esophageal wall indicating mucosal destruction |
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esophageal varices |
dilated veins in the wall of the esophagus most commonly due to portal hypertension |
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esophageal varices RA |
serpiginous thickening of folds, which appear as round of oval filling defects during a barium study of esophagus |
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define serpiginous |
wavy border |
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achalasia |
neuromuscular disorder where gastroesophageal sphincter fails to relax |
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achalasia RA |
barium study demonstrating progressively dilated esophagus with narrowing distal end |
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hiatial hernia |
anatomical abnormality in which part of the stomach protrudes through the diaphragm and up into the chest cavity |
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hiatial hernia RA |
demonstrated by S&D. may be demonstrated on CXR or as soft tissue mass with air fluid level |
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small bowel obstruction |
blockage of the small intestine due to adhesions from previous surgeries, hernia, intussusception, neoplastic or inflammatory strictures or vascular insufficiency |
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small bowel obstruction RA |
demonstrated on either upright or decubitus abdomen - air fluid levels will be seen and loops of bowel distended |
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inguinal hernia |
occurs in groin area, when an organ (usually part of intestine) protrudes through the abdominal wall into inguinal canal |
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intussusception |
telescoping of one part of the intestinal tract into anoyther because or peristalsis (forces the proximal segment of bowel to move distally within the ensheathing outer portion |
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intussusception |
major cause of bowel obstruction in children |
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neoplastic stricture |
stricture due to a tumor or growth |
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inflammatory stricture |
stricture due to inflammation |
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vascular insufficinecy |
not enough blood supply to certain parts |
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examples of inflammatory strictures |
crohn's or ulcerative colitis |
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examples of vascular insufficiency |
arteriosclerosis |
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crohn's disease |
chronic inflammatory disorder, involves all layers of intestinal wall, ulceration and fistulas are common, most often involves terminal ileum and/or proximal portion of colon |
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crohn's diseases RA |
barium studies show irregular thickened mucosal folds, cobblestoned appearance or string sign and skip lesions. CT also demonstrates thick mucosal walls |
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ileus |
inhibition of intestinal motility. occurs to some extent in all patients who undergo abdominal surgery |
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ileus RA |
retention of large amounts of gas and fluid in dilated small and large bowel with no demonstrable point of obstruction |
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diverticulosis |
out pouchings (herniations) of mucosa and submucosa through the muscular layers at points of weakness in the bowel wall (diverticulosis) |
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main cause of diverticulosis |
low fiber diets |
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diverticulitis |
complication of diverticular disease, especially in sigmoid region. retained fecal material trapped in a diverticulum causes inflammation and possible perforation |
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crohn's location |
typically affects the terminal ileum of small bowel and/or proximal portion of colon |
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ulcerative colitis location |
typically affects the rectosigmoid region of colon and may spread to involve entire colon |
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polyps |
growth that arises from mucosa of large intestine, removed due to cancer or risk of cancer, no symptoms until later stages |
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malignant polyp |
sessile lesion with an irregular or lobulated surface |
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colorectal cancer |
most adenocarcinomas are found in rectum and sigmoid
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colorectal cancer RA |
barium enema will demonstrate apple core or napkin ring filling defect or demonstrate polyp larger than 2cm |
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volvulus |
refers to twisting of bowel on itself, most frequently involves cecum or sigmoid colon |
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volvulus RA |
distended and displaced cecum, BE to confirm, distended rectum without haustral markings (birds beak sign) |
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cholelithiasis |
commonly referred to as gallstones. made of cholesterol making most stones radiolucent unless they contain some calcium |
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cholelithiasis RA |
ultrasound to confirm or ERCP |
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pneumoperitoneum |
free air in peritoneal cavity, caused by perforation of bowel |
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pneumoperitoneum RA |
easiest to recognize sickle shaped lucency right side up CXR or abdominal image. also decubitus abdominal or CT to demonstrate |