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43 Cards in this Set

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an outpouching that occurs due to a weakening in the lining of, in this particular instance, the digestive system.


Zenker’s Diverticulum

This type of diverticulum forms in the mid esophagus area.


Traction Diverticulum:

arises in the distal esophagus just superior to the lower esophageal sphincter (LES).


Epiphrenic Diverticulum

when a portion of the stomach protrudes into the thorax through the esophageal opening in the diaphragm.


Hiatal Hernia:

The protrusion of a portion of the stomach (hernia) through the esophageal opening of the diaphragm (hiatus)

Sliding Hiatal Hernia:

a portion of the stomach has herniated into the thorax (a) while the esophagus and lower esophageal sphincter remain in place (b).


Paraesophageal Hiatal Hernia:

it is also often referred to as heartburn and acid reflux.



characterized by a backward flow of gastric contents into the esophagus due to an incompetent lower esophageal sphincter (LES).


Gastroesophageal Reflux Disease:

GERD

This is the exact opposite of acid reflux.


an esophageal motility disorder that occurs due to the inability of the lower esophageal sphincter (LES) to relax.


Achalasia:

are dilated, tortuous veins of the esophagus which may rupture.


Esophageal Varices:

represents 2% of all cancers and there is a high incidence in smokers and alcoholics.


Esophagus Cancer:

a general term that is used to describe ulcers of the stomach and duodenum

Peptic Ulcer Disease (PUD):

This is the most common type of peptic ulcer

Peptic Ulcer Disease: Duodenal

It is generally asymptomatic in the early stages and has generally metastasized to other areas of the body by the time it has been diagnosed.


Gastric Carcinoma:

This is a hard mass of entangled material found within the stomach or intestines that cannot be digested.


Bezoar:

a partial or complete loss of the normal peristaltic action of the small and/or large intestine thus impeding the normal transit of chyme.

Bowel Obstruction:

categories of bowel obstructions

adynamic or paralytic ileus and a mechanical bowel obstruction

Signs and symptoms of a bowel obstruction

Abdominal Pain and/or Cramping


Abdominal Distention


Vomiting and Fecal Vomiting (unpalatable!)


Constipation


This type of bowel obstruction is caused by a reduction in the normal peristaltic action of the intestines.


Adynamic or ParAlytic Ileus:

This is the second category for bowel obstructions.


caused by a motility disorder that results from some type of structural abnormality.


Mechanical Bowel Obstruction

Many factors can contribute to a mechanical bowel obstruction

Hernia


Adhesions


Volvulus


Intussusception


Neoplasm (Adenoma/Polyp, Adenocarcinoma)


Crohn’s Disease


Constipation


This type of obstruction is caused by a weakening of the abdominal wall that allows a portion of the small and/or large intestine to protrude through it.


Hernia:

can be pushed back into the abdominal cavity

reducible hernia

cannot and could therefore lead to a bowel obstruction

incarcerated hernia

A common hernia in men is called

inguinal hernia.


A large portion of this patients bowel (arrows) has protruded through an unnatural opening within the abdominal wall.

Hernia: Inguinal

can cause a twisting of the bowel and loss of blood supply to the affected area

Bowel Adhesion:

are bands of fibrous connective tissue that connect organs and tissues that are normally separate.


Adhesions

is a loop of intestine that has twisted around itself causing either a partial or complete obstruction.


Volvulus:

abnormal twisting of the stomach which can lead to an obstruction

Volvulus: Gastric

occurs when a section of bowel is constricted by peristalsis causing it to prolapse or telescope into itself.



commonly corrected with a barium enema.


Intussusception:

may transform into a malignancy and must be removed.


Adenomatous Polyp:

grows into the lumen of the colon is called a polyp.


neoplasm

possess a stalk

pedunculated polyp

is attached directly to the bowel wall.


a sessile (barnacle) polyp

are generally asymptomatic but some may cause rectal bleeding, pain, diarrhea, and/or constipation.


Colon polyps

is a type of neoplasm that originates in glandular tissue and can be the cause a bowel obstruction.


Adenocarcinoma:

This is the last example of a disease that may be the cause of a mechanical bowel obstruction.



is characterized by a chronic inflammation of the bowel and has an unknown etiology.


Regional Enteritis or Crohn’s Disease:

is a very common digestive complaint where the patient experiences hard stool that can be difficult to defecate.


Constipation:

In regards to the large intestine, they are commonly found in the area of the sigmoid colon.


Diverticulum

occurs when a diverticulum become infected and bleeds

Diverticulitis:

occurs as a result of entrapment of feces within the appendix and the presence of an appendicolith.


Appendicitis:

can occur throughout the GI tract

GI Bleed:

The most common causes of lower GI bleeding

diverticulitis and angiodysplasia