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44 Cards in this Set

  • Front
  • Back
Gastroenterology
Symptoms
pain
dysguesia
dysphagia
choking
coughing
nasal regurgitation
Gastroenterology
Function
taste

mechanical preparation of bolus

lubrication

transport

digestion
Esophagus
Function
Transport
Esophagus
Symptoms
dysphagia

odynophagia

heartburn (pyrosis)

chest pain
Stomach
Functions
reservoir

mixing

grinding

lubrication

transport

digestion
Stomach
Symptoms
dyspepsia
pain
nausea
vomiting
anorexia
early satiety
bloating
Small Intestine
Functions
digestion

nutrient absorption

water absorption

transport
Small Intestine
Symptoms
pain
bloating
nausea
vomiting
anorexia
early satiety
diarrhea
borborygmi
Gastroenterology
Symptoms
pain
dysguesia
dysphagia
choking
coughing
nasal regurgitation
Gastroenterology
Function
taste

mechanical preparation of bolus

lubrication

transport

digestion
Esophagus
Function
Transport
Esophagus
Symptoms
dysphagia

odynophagia

heartburn (pyrosis)

chest pain
Liver
Functions
Power plant
- processing and redistribution of glucose and fatty acids

Manufacturing plant
- transport proteins
- coagulation factors

Waste management plant
- detoxification
- excretion
Liver
Symptoms
fatigue

anorexia

pruritus

jaundice
Colon
Functions
water absorption

transport

reservoir

excretion
Colon
Symptoms
pain

bloating

constipation

diarrhea
Biliary Tree
Functions
bile transport

reservoir
Biliary Tree
Symptoms
pain

jaundice

pruritus
Pancreas
Functions
digestion
Pancreas
Symptoms
pain

diarrhea

jaundice
Alarm Symptoms of the GI tract
weight loss

blood loss
- hematemesis, coffee-grounds emesis
- melena, hematochezia
- iron-deficiency anemia

dysphagia

nocturnal symptoms

new-onset GI symptoms after age 45

jaundice
Signs and Symptoms of
Gastrointestinal Pathology
pain
bleeding
dysphagia
nausea/vomiting
diarrhea
constipation
weight loss
jaundice
dysphagia
difficulty swallowing
Mechanisms of GI Pathology
Inflammation

Ulceration

Obstruction

Dysmotility
What are the most common causes of GI Pathology?
Infectious/Inflammatory

Neoplastic

Psychologic/psychiatric
Dysguesia
disordered taste... bad taste
odynophagia
painful swallowing (like if there is an ulceration in esophagus)
Antrum
distal third of the stomach
dyspepsia
discomfort in upper abdomen
borborygmi
growling noises that your abdomen makes

(does not indicate pathology)
Where does the small intestine empty into large intestine?
ileocecal valve
If you are jaundiced and have severe pain, what is your problem?
Biliary tree

although it could be pancreas problems (obstructing biliary tree)

(liver does not cause severe pain... only mild discomfort)
hematochezia
bright red blood per rectum
hematemesis
bright red blood vomiting
coffee-grounds emesis
brown (digested blood) vomiting
melena
black (digested) bowel movements
What age do GI cancers start to show up?
age 45 year old
What laboratory studies are used to indicate GI problems?
CBC
INR
CMP
Amylase, Lipase
Urinalysis
Stool studies
What are the stool studies?
fecal occult blood testing (FOBT)... indicates CA

WBC, organisms... indicates infxn

electrolytes, fat
What is revealed with CMP?
Na
K
Cl
HCO3
BUN/Cr
LFTs
Glucose

(to determine the severity of the symptoms)
How is pancreas cancer usually diagnosed these days?
Endoscopic ultrasound
Treatment of Disease in Gastroenterology and Hepatology
Pharmacology
- oral
- anal
- intravenous, intramuscular, subcutaneous

Endoscopic

Interventional Radiology

Surgery
Capsule Endoscopy
Pill sized tool used to visualize the small intestine

Fxns for 8 hours

2 pictures per second
Endoscopic Retrograde Cholangiopancreatography

(ERCP)
Endoscope is inserted through the mouth into the duodenum

Dye is injected through a catheter into the pancreatic or biliary ducts