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16 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Acute Cholecystitis
may cause irritation of the subdiaphragmatic parietal peritoneum pain may be referred to |
the shoulder
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Acute Cholecystiti common in what type of Pt =
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Fat
Fertile (multiparous), Females over Forty |
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CHOLECYSTITIS
steps of Dz = |
INFLAMMATION OF THE GALL BLADDER
RUQ or epigastric pain = may irritate parietal peritoneum covering undersurface of diaphragm = referred pain to shoulder bile stasis = formation of gallstone(s) (cholelithiasis) = obstruction of cystic duct stone may be dislodged from gall bladder = bile ducts = obstructive jaundice |
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CHRONIC CHOLECYSTITIS WITH LITHIASIS
(CHOLECYSTOLITHIASIS) TYPICAL PATIENT is = |
Fat, Female, Forty, Fertile (Flatulent)
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CHRONIC CHOLECYSTITIS WITH LITHIASIS
(CHOLECYSTOLITHIASIS) CLINICAL PICTURE = |
CLINICAL PICTURE
fatty food intake = secretion of cholecystokinin = gall bladder contraction = severe, colicky, right upper quadrant pain Tx = |
TREATMENT
Cholecystectomy |
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PANCREAS location is
Retro peritoneal or Peritoneal = |
RETROPERITONEAL
(except tail) |
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Endocrine
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Adrenal
Testis ovaries Thyroid Pituitary (hypophysial) Para thyroid |
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Exocrine
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Sebaceous
Sweat |
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Exo+Endo Glands
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Pancrease
Exocrine enzyme = Endocrine enzyme = |
Exocrine Pancreatic Enzymes
Endocrine enzyme Insulin Beta cells Glucagon Alpha cells Somatostatin = delta cells of the pancreas |
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Somatostatin
is secreted in several locations in the digestive system: 3ct |
stomach
intestine delta cells of the pancreas |
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Organs of Primarily retroperitoneal: =
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• urinary
• adrenal glands • kidneys • ureter • bladder • circulatory • aorta • inferior vena cava • digestive • esophagus (thoracic part, part inside abdominal cavity is intraperitoneal) • rectum (part, lower third is extraperitoneal) |
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Organs of
• Secondarily retroperitoneal: |
• Secondarily retroperitoneal:
the head, neck, and body of the pancreas (but not the tail, which is located in the splenorenal ligament • the duodenum, except for the proximal first segment, which is intraperitoneal[4] • ascending and descending portions of the colon (but not the transverse colon or the cecum) |
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term for the maturational increase in adrenal androgen production,
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Adrenarche is the
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Adrenarche =
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term for the maturational increase in adrenal androgen production,
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A useful mnemonic to aid recollection of the abdominal retroperitoneal viscera is =
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SAD PUCKER, or DUKE
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• S = Suprarenal glands (aka the adrenal glands)
• A = Aorta/IVC • D = Duodenum (second and third segments [some also include the fourth segment] ) • P = Pancreas (tail is intraperitoneal) • U = Ureters • C = Colon (only the ascending and descending colons, as transverse and sigmoid retain mesocolon) • K = Kidneys • E = Esophagus • R = Rectum |
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SAD PUCKER is 112 212111
Primarily (1) or Secondarily (2) Retroperitoneal. Alternatively, PADD (Pancreas, Ascending colon, Descending colon, Duodenum) can be used to remember which structures are secondarily retroperitoneal. |
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