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41 Cards in this Set

  • Front
  • Back
Duodenum
First part of small intestine
Where pancreas, liver, and gallbladder connect to digestive system
Active absorption begins
Pancreatic juices assist in digestion.
Liver
Creates bile
Metabolizes carbohydrates, fat, protein
Detoxifies drugs
Breaks down dead blood cells
Stores vitamins, minerals
Three sections of small intestine
Duodenum
Jejunum
Illeum
divisions of large intestine
Cecum
Ascending colon
Transverse colon
Sigmoid colon
Rectum
Colon terminates at anus - Sphincter where feces is expelled
Reproductive organs
Female
-Ovaries
-Fallopian tubes
-Uterus
-Cervix
-Vagina

Male
-Testicles
-Epididymis
-Vasa deferentia
-Seminal vesicles
-Prostate gland
-Penis
kidneys filter _____ L of blood a day
200
peritonitis
Irritation of peritoneum
Peritonitis can be caused by:
-Infection
-Penetrating abdominal wound
-Severe blunt injury
-Many diseases
Severe pain is the major symptom of peritonitis, regardless of cause.
Clinical signs are abdominal tenderness and distension.
Fever may or may not be present.
Associated with loss of body fluids into abdominal cavity
Typically causes ileus, resulting in distension
Peritoneum consists of two membranes.
Partial peritoneum
Lines abdominal cavity
Can perceive sensations

Visceral peritoneum
Covers organs
Pain here is referred.
ileus
Decreased propulsive ability may be broadly classified as caused either by bowel obstruction or intestinal atony or paralysis
Ulcer result of
Helicobacter pylori infection to the stomach

Chronic use of nonsteroidal anti-inflammatory drugs

Alcohol and smoking can affect the severity.
Gallbladder stores
digestive juices and waste from liver
cholecystitis
Gallbladder stores digestive juices and waste from liver. Gallstones may form and block outlet.
- cholecystitis results.
cholecystitis S&S
Constant, severe pain that may refer
General GI distress
Nausea
Vomiting
Indigestion
Bloating
Gas
Belching
Pancreatitis
Inflammation of the pancreas
Causes include obstructing gallstone, alcohol abuse.

Signs/symptoms
Severe pain, often radiating
Nausea/vomiting
Abdominal distention
Tenderness
Sepsis or hemorrhage may occur.
Look for fever or tachycardia.
Appendicitis
Appendix - Small recess in large intestine

Appendicitis - Inflammation or infection in the appendix

Can result in an abscess, peritonitis, or shock

Signs/symptoms
Dull, diffuse pain
Nausea/vomiting
Anorexia
Lack of appetite for food
Fever
Chills
Rebound tenderness
Lower GI bleeding results from
Bowel inflammation
Diverticulitis
Hemorrhoids
Gastroesophageal reflux disease
Lining of esophagus becomes inflamed by infection or acids from the stomach

Symptoms include:
– Pain in swallowing
– Feeling of object stuck in throat
– Heartburn
– Nausea and vomiting
– Sores in mouth
Esophageal Varices
Occurs when the blood pressure within vessels surrounding esophagus increases
– If pressure becomes too high, vessel walls may fail, causing bleeding.

In industrialized countries, alcohol is the main cause of portal hypertension.

Presentation takes two forms.
– In the first form, initially, patient shows signs of liver disease.
• Such as fatigue, jaundice, anorexia, nausea
• This is a very gradual process.

Rupture of varices is the second form.
– Far more sudden
– Symptoms include:
• Severe difficulty swallowing
• Vomiting bright red blood
• Hypotension
• Hematemesis and melena possible
Mallory-Weiss Syndrome
Junction between esophagus/stomach tears
– Causes severe bleeding
– May result in death

Primary risk factors
– Alcoholism
– Eating disorders

Affects men and women equally
– Prevalent in older adults and older children.

Vomiting is the principal symptom.
– Signs/symptoms of shock, upper abdominal pain, hematemesis, melena present in extreme cases.
Diverticulitis
Bulges in colonic walls become diverticula.
– Fecal matter is caught.
– Bacteria form.

Signs/symptoms:
– Abdominal pain
– Fever
– Malaise
– Body aches
– Chills
– Nausea/vomiting
– Bleeding (rare)
when lower UTI goes untreated...
– Can lead to pyelonephritis and abscesses
– Eventually reduces kidney function
– In severe cases, can lead to sepsis
Common symptoms with lower UTI:
– Painful urination
– Frequent urges to urinate
– Difficulty in urination
– Pain that begins as visceral discomfort. Becomes extreme and burning
– Cloudy urine with a foul odor
Kidney stones
– Originate in the renal pelvis
– Result when an excess of insoluble salts or uric acid crystallizes in urine
– Excess of salts is usually due to insufficient water intake.

– Calcium stones are most common.
• More frequent in men
• Hereditary component
• Occur in patients with metabolic, hormonal disorders

Patients are almost always in severe pain.
Acute renal failure (ARF)
– Sudden decrease in kidney filtration
– Sudden increase of toxins in blood
– 50% mortality rate
– Reversible if diagnosed and treated early

Patient may experience
• Edema
• Acid buildup
• High levels of waste products in blood

If untreated:
• Heart failure
• Hypertension
• Metabolic acidosis
Chronic renal failure (CRF)
Can also be caused by congenital disorders or prolonged pyelonephritis, or be secondary effect of some infections

Signs and symptoms
– Altered LOC
– Seizures
– Coma
– Lethargy
– Nausea
– Headaches
– Cramps
– Signs of anemia
– Uremic frost
of CRF include:
– Skin that is: Pale, cool, moist, jaundiced, bruised
– Edema
– Muscle twitching
– Hypotensive
– Tachycardia
– Pericarditis
– Pulmonary edema
Mittelschmerz
lower abdominal and pelvic pain that occurs roughly midway through a woman's menstrual cycle. The pain can appear suddenly and usually subsides within hours, although it may sometimes last two or three days
Ectopic pregnancy
Fertilized egg implants outside of the uterus.

Usually rupture, which can produce:
• Massive internal hemorrhage
• Acute abdominal pain, generally on one side
Serious hernia signs and symptoms
– Existence of hernia itself
– Formerly reducible mass that can no longer be pushed back into the body
– Pain at the hernia site
– Tenderness when the hernia is palpated
– Red or blue skin discoloration over hernia
signs of acute abdomen
– Local or diffuse abdominal pain and/or tenderness
– Quiet, guarding the abdomen
– Rapid and shallow breathing
– Referred (distant) pain
– Anorexia, nausea, and vomiting
– Hematemesis
– Tense, often distended abdomen
The liver creates bile, which is stored in the
gallbladder
A 34-year-old woman with a recent history of pelvic inflammatory disease presents with acute severe abdominal pain. Her abdomen is distended and diffusely tender to palpation. Based on your findings thus far, you should suspect:
Peritonitis—an inflammation of the thin membrane that lines the abdominal cavity—typically presents with acute abdominal pain. Causes of peritonitis include infection and blunt or penetrating abdominal trauma. The pain caused by peritonitis is typically diffuse (widespread), whereas appendicitis, pancreatitis, and cholecystitis (inflammation of the gallbladder) typically present with pain that is localized to a particular area.
MOST patients with an acute abdomen present with
Tachycardia (heart rate >100 beats/min) is commonly seen in patients with an acute abdomen; it is usually the result of severe pain. Hypotension is not seen in all patients with an acute abdomen; if the patient is hypotensive, you should suspect internal bleeding or a severe infection (sepsis). Many patients with an acute abdomen have increased respirations (tachypnea); however, dyspnea (a feeling of shortness of breath) is not common.
The medical term for inflammation of the urinary bladder is:
Cystitis is the medical term for inflammation of the urinary bladder.
__________ is inflammation of the kidney.
Nephritis
If a hernia is incarcerated and the contents are so greatly compressed that circulation is compromised, the hernia is said to be:
strangulated
A 70-year-old man presents with an acute onset of severe, tearing abdominal pain that radiates to his back. His BP is 88/66 mm Hg, pulse rate is 120 beats/min, and respirations are 26 breaths/min. Treatment for this patient should include:
rapid transport to the hospital
a severe bacterial infection can result in shock due to
vasodilation and internal plasma loss (Septic Shock)
Peritonitis typically causes ileus, which is the result of
absent peristalsis
shortly after a meal a 49 Y/O woman complains of upper right quadrant pain referring to her right shoulder. this suggests:
cholecystitis
A 19 Y/O female presents with severe pain in lower right quadrant of abdomen. She is restless, tachpneic, tachycardic. Last menstrual period was 2 months ago. You should suspect:
ruptured ectopic pregnancy
Name the retroperitoneal organs
adrenal glands
kidneys
ureter
bladder
aorta
inferior vena cava
esophagus (thoracic part, part inside abdominal cavity is intraperitoneal)
rectum (part, lower third is extraperitoneal)