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28 Cards in this Set

  • Front
  • Back

endocrine system

orgns that secrete hormones into the blood


pituitary, thyroid, parathyroid, adrenal, pineal, thymus, ovary, testes, pancreas and hypothalamus

thyroid disorder

thyroid hormones maintain the rate body uses fats and carbohydrates, regulate body temperatures, influence heart rate, regulate production of protein, regulates amount of calcium in blood

hyperthyroidism

sudden weight loss, even when appetite and food intake doesnt change


rapid or irregualr heartbeat


nervousness/irritability


sweating


changes in menstrual patters


increased sensitivity to heat


changes in bowel patterns


difficulty sleeping


muscle weakness

hypothyroidism

unexplained weight gain


elevated blood cholestorol


depression


pale, dry skin


heavier than normal menstrual cycles


increased sensitivity to cold


constipation


enlarger goiter


headache


splea apnea


brittle nails


coarse hair


hypertension

pancreatitis

2 functions: produce digestive juices and secrete the hormones, insuline and glucagon

acute pancreatitis

often form gall stones into pancreatic duct which will block the flow


enzymes become active in pancreatic duct and not in duodenum


sudden onset of mild to severe pain in epigastric region


may refer to back and sometimes chest.


bent forward abdominal distention, bruises from internal bleeding, persistent vomiting, fever, tachycardia

chronic pancreatitis

progressive inflammation leading to long term complications


organ becomes less and less able to secrete enzymes, leading to diabetes.


intermittent mild to moderate pain, worsening after drinking alcohol or a meal. nausea, vomiting, fever, bloating, gas, weight loss, malabsorption, hyperglycemia

diabetes

food increase blood glucose (80-120 ml/dl). pancreas release insulin which lowers blood glucose through transport to skeletal and cardiac muscles and other cells


liver, kidney, brain tissues have easy access to blood glucose no matter the insulin level. energy needs to come first (ATP), rest stored (glycogen and fat)


glucagon measures blood glucose

type 1 diabetes

insulin dependent


childhood/adolescents


daily insulin shots


auto immune destruction of beta cells (inability of pancreas to produce insulin

type 2 diabetes

non insulin dependant


30/40 years old


stage 1: resistance to insulin's action (exacerbated by obesity)


stage 2: pancreas failing to compensate adequately



symptoms of diabetes

excessive thirst (dehydration from electrolyte imbalance, will provoke polydispsia)


frequent urination(excess glucose passes through kidneys and then polynuria)


excessive hunger (even though plenty of glucose is present i cannot be used)


ketoacidosis from ketoacids (leading to acetone of which gives fruity breath)


weight loss


fatigue

treatment

type 1: strict regimen. calculated diet, planned physical activity, home blood glucose testing, multiple daily insulin injections


type 2: diet control, exercise home blood glucose testing, 40% needs injections, oral meds or insulin


gestational: dietary counselling, regular moderate exercise, glucose monitoring, insulin therapy is diet alone does not achieve target blood glucose

diabetes complicaitions

hypoglycemia: common to type 1. errors in medication, diet, or exercise


insulin shock: rapid onset glycemia


dizziness, headache, hunger, pallor, perspiration, neurological signs, gait/clumsy


diabetic coma: hyperglycemia >> ketoacidosis


gradual onsest, emergency condition

long term complications of diabetes

coronary heart disease


kidney failure


blindness


nerve impairment


loss of sensation


aspetic necrosis


gastric irritation

gastrointestinal conditions

during exercise: 15% pf blood is shunted away from visceral organs to the working muscles


as core temperature rises, 20% of central blood volume is shunted to the skin for cooling


normal intestinal blood flow can decrease to 80%


dehydration, high temperature, lack of acclimatization can exacerbate hypo perfusion of GI tract

Dyshagia

difficulty swallowing (narrow oesophagus paralysis, muscle spasm) must discontinue activity and be referred

reflux

gastric juices regurgitates in esophagus. often from eating or drinking in excess, spicy foods, obesity, pregnancy, running.


burining, radiating substernal pain

dyspepsia (indigestion)

pain with no identified etiology. heart burn, nausea, vomiting, loss of appetite, pain in xyphoid region

gastric (peptic) ulcer

occurs in esophagus, stomach or duodenum. open lesions exposed to gastric acids (the stomach digests itself) occurs 1-3 hours before eating, relieved by eating. can cause perforation of the stomach wall

gastritis

stomach lining becomes inflamed, leading to erosion of mucosa. vague epigastric pain, fullness, vomiting, no antacids if gastric bleeding is present

gastroenteritis

viral or bacterial infection of stomach or intestinal lining


also from allergic reaction, medication, parasites, contaminated foods, emotional stress.


nausea, vomiting, cramping, fever, diarrhea = leads to electrolyte imbalance


usually clears up 2-3 days

irritable bowel syndrome

abdominal pain and altered bowel function


pain is there for 12 weeks in the past 12 months


relief with defecation, frequency and or change in stool, may be covered in mucus


heart burn, abdominal distention, back pain, weakness, faintness

crohns disease

serious chronic inflammation


goes through layers on intestine =thickening and narrowing of the lumen. chronic abdominal pain mainly right lower quadrant


segmented patches


diarrhea 10-20x/day, loss of appetite, weight loss, anal fissures, joint pain, skin rash, liver disease

ulcerative colitis

chronic inflammation of the colon which involves only mucosal lining and is uniform with ulcerations


bloody diarrhea

diarrhea

anxiety can lead to it


abnormally loose stools


runner's diarrhea: increase bowel mobility

constipation

stools re difficult to pass


lack of fiber, water, exercise, bowel habits, emotional distress, diabetes, pregnancy, laxative overuse, drugs

hemmorrhoids

dilation of the venous plexus surrounding rectal and anal area


internal or external to anal area


factors-> pregnancy, enlargement of prostate, uterine fibroids, rectal tumours, varicose veins


pain, itching, red, blood upon defaction

food poisoning

gas, low grade fever, pain, nausea, vomiting, diarrhea.


begins 1-6 hours after ingestion of contaminated food


may last 1-3 days


severe cases may require EMS