Term
|
Definition
• Mechanical – physically breaks down food product into smaller particles o peristalsis • Chemical – breaks down food at the molecular/cellular level |
|
|
Term
Tests that require contrast medium |
|
Definition
- Upper GI series - Lower GI series - computer imaging |
|
|
Term
B12 Deficiency results in ... |
|
Definition
|
|
Term
G-tube: Prior to administering meds |
|
Definition
- Fowler's position (at least 30 degrees) - Check residual: hold if >100ml |
|
|
Term
|
Definition
peripherally inserted central catheter |
|
|
Term
Nursing intervention for patient gagging and complaining of pain from NG |
|
Definition
|
|
Term
NG tube: intervention NOT requiring MD order |
|
Definition
|
|
Term
|
Definition
- Total Parenteral Nutrients - central venous access - placement of catheter in to large blood vessel (sup. vena cava) - direct IV admin of fluids - nutrients into circulatory system |
|
|
Term
abdominal assessment: inspection (5) |
|
Definition
- color - abnormalities - contour - tautness - distention |
|
|
Term
accessory organs of the digestive system include |
|
Definition
liver, gallbladder, pancreas, and peritoneum |
|
|
Term
air being instilled into the bowel |
|
Definition
|
|
Term
an alternating relaxation and contraction of Smooth or involuntary muscles that sends food through the digestive tube. |
|
Definition
|
|
Term
|
Definition
excess fluid in the space between the tissues lining the abdomen and abdominal organs (the peritoneal cavity). |
|
|
Term
barium enema: description |
|
Definition
fluoroscopic and radiographic exam of large intestine after barium instilled rectally |
|
|
Term
barium enema: postprocedure (4) |
|
Definition
- increase fluid intake - mild laxative - monitor stools for passage of barium - notify MD if no BM within 2 days |
|
|
Term
barium enema: preprocedure (3) |
|
Definition
- low-residue diet 1-2 days prior - clear liquid diet and laxative evening prior - cleansing enema morning of |
|
|
Term
barium swallow: description |
|
Definition
exam of upper GI tract under fluoroscopy after client drinks barium sulfate |
|
|
Term
barium swallow: effect on stools (2) |
|
Definition
- chalky white appearance - can cause bowel obstruction |
|
|
Term
barium swallow: postprocedure (3) |
|
Definition
- laxative - increase fluid intake - monitor stools for passage of barium |
|
|
Term
barium swallow: preprocedure |
|
Definition
|
|
Term
begins to break down proteins |
|
Definition
|
|
Term
bland diet: salt allowance? |
|
Definition
|
|
Term
carries food from pharynx to stomach |
|
Definition
|
|
Term
cholecystography: description (2) |
|
Definition
- detects gallstones - observes gallbladder function |
|
|
Term
cholecystography: postprocedure (2) |
|
Definition
- inform that dysuria is common - resume normal diet |
|
|
Term
cholecystography: preprocedure (4) |
|
Definition
- assess for iodine or seafood allergy - contrast agent administered 10-13 hrs before test - NPO after contrast agent - report to ER if reaction to contrast agent |
|
|
Term
|
Definition
anything you can see through |
|
|
Term
colon is inflated with air during colonoscopy |
|
Definition
|
|
Term
colonoscopy: post-procedure consideration |
|
Definition
colon is insufflated during procedure. Help patient release air afterwards. |
|
|
Term
contains capillaries and a lymphatic capillary |
|
Definition
|
|
Term
contains openings of bile and pancreatic ducts |
|
Definition
|
|
Term
contractions of the pharynx continue the act of swallowing and push food into the muscular ... |
|
Definition
|
|
Term
controls the opening between the stomach and the duodenal portion of the small intestine |
|
Definition
|
|
Term
covers the larynx and prevents food from entering the respiratory tract |
|
Definition
|
|
Term
crosses to the left side in the upper part of the cavity |
|
Definition
|
|
Term
cystic duct joins the hepatic duct to create the |
|
Definition
|
|
Term
description of the Levin tube |
|
Definition
- single lumen - no air vent (so use low intermittent suction |
|
|
Term
description of the Salem sump |
|
Definition
- double-lumen - has air vent (so low to medium continuous suction allowed) |
|
|
Term
difference between clear liquid diet and full liquid diet |
|
Definition
|
|
Term
dumping syndrome: Causal foods |
|
Definition
- High in cholesterol and electrolytes, especially salt. - MSG |
|
|
Term
dumping syndrome: intervention |
|
Definition
|
|
Term
dumping syndrome: process |
|
Definition
Rapid entry of food into the jejunum without proper mixing of the food with digestive juices |
|
|
Term
dumping syndrome: s/sx (7) |
|
Definition
- palpitations - sweating - faintness - excessive weakness - diarrhea - vomiting - Signs of shock may develop |
|
|
Term
duration of B12 injection treatment |
|
Definition
|
|
Term
|
Definition
|
|
Term
end product of fat digestion |
|
Definition
|
|
Term
|
Definition
|
|
Term
fiberoptic colonoscopy: description (4) |
|
Definition
- lining of large intestine is visually examined - biopsies and polypectomies possible - cardiac and respiratory functions monitored continuously - client on left side with knees drawn to chest; may be changed during test |
|
|
Term
fiberoptic colonoscopy: postprocedure (3) |
|
Definition
- bedrest until alert - monitor for signs of bowel perforation and peritonitis - instruct client to report bleeding |
|
|
Term
fiberoptic colonoscopy: preprocedure (6) |
|
Definition
- colon cleansing as prescribed by MD - clear liquid diet on day prior - hold meds as specified by MD - NPO after midnight day prior - Versed IV for sedation - Glucagon to relax smooth muscle |
|
|
Term
four abdominal assessments |
|
Definition
- inspection - auscultation - palpitation - percussion |
|
|
Term
function of Intrinsic factor |
|
Definition
Required for absorption of vitamin B12 |
|
|
Term
|
Definition
|
|
Term
functions of the gastrointestinal system include: (CATA) - absorption - secretion - digestion - ingestion - uptake - process |
|
Definition
- ingestion - digestion - absorption - elimination |
|
|
Term
gastric analysis: description (3) |
|
Definition
- gastric contents aspirated via NG tube - histamine or pentagastrin may be given sq to stimulate secretions - esophageal reflux monitoring with pH probe in esophagus |
|
|
Term
gastric analysis: postprocedure (2) |
|
Definition
- resume normal activities - refrigerate samples not tested within 4 hrs |
|
|
Term
gastric analysis: preprocedure (3) |
|
Definition
- fasting 8-12 hrs prior - no tobacco or gum 6 hrs prior - hold meds that stimulate gastric secretions 24-48 hrs |
|
|
Term
gastric surgery: NG tube precautions |
|
Definition
- no pushing the tube - no irrigating |
|
|
Term
goes down the left side into the pelvis |
|
Definition
|
|
Term
hormone secreted by the duodenum and jejunum |
|
Definition
|
|
Term
how do you get rid of gas in an ostomy bag? |
|
Definition
|
|
Term
how to decrease patient anxiety regarding therapy |
|
Definition
|
|
Term
how to determine if TPN is working |
|
Definition
|
|
Term
|
Definition
|
|
Term
in the stomach, all foods mix with gastric juices and churn until they are in a semiliquid form called |
|
Definition
|
|
Term
|
Definition
colon is inflated with air during colonoscopy |
|
|
Term
intervention for starting tube feeding |
|
Definition
check placement - aspirate contents |
|
|
Term
interventions for the patient about to have GI therapy (6) |
|
Definition
- informed consent
- NPO midnight
- void prior
- GoLytely
- Labs
- V/S
|
|
|
Term
intrinsic factor: purpose |
|
Definition
|
|
Term
is gag-reflex check needed after lower GI exam? |
|
Definition
|
|
Term
is gag-reflex check needed after upper GI exam? |
|
Definition
No. Barium does not numb the throat |
|
|
Term
key points to removing NG tube |
|
Definition
- clamp tube before removing - remove in a continuous motion |
|
|
Term
lack of vitamin B12 will result in |
|
Definition
|
|
Term
large intestine has bacteria to absorb |
|
Definition
|
|
Term
last portion of the colon |
|
Definition
|
|
Term
lies just below the diaphragm in the upper right quadrant of the abdominal cavity |
|
Definition
|
|
Term
liver biopsy: What to instruct patient during needle insertion |
|
Definition
|
|
Term
liver biopsy: description |
|
Definition
needle through abdominal wall to obtain tissue sample |
|
|
Term
liver biopsy: postprocedure (7) |
|
Definition
- V/S - asses site for bleeding - monitor for peritonitis - bedrest several hours - right side with pillow under costal margin - no coughing or straining - no heavy lifting 1 wk |
|
|
Term
liver biopsy: preprocedure (3) |
|
Definition
- PT, PTT, PLTC - sedative - supine or left lateral position |
|
|
Term
liver receives its blood supply from the |
|
Definition
|
|
Term
liver secretes an anticoagulant called |
|
Definition
|
|
Term
located at the entrance into the duodenum |
|
Definition
|
|
Term
located on the liver's undersurface |
|
Definition
|
|
Term
|
Definition
|
|
Term
lymph nodules grouped together |
|
Definition
aggregated lymphatic follicles or Peyer's patches |
|
|
Term
lymphoid tissue on the lining of the ileum |
|
Definition
|
|
Term
monosaccharides that remain at the completion of digestion of proteins |
|
Definition
glucose, galactose, and fructose |
|
|
Term
muscular sac 3 to 4 inches long (7.5 to 10 cm). It resembles a small pear |
|
Definition
|
|
Term
needed for absorption of vitamin B12 |
|
Definition
|
|
Term
nursing care of patient with NG tube |
|
Definition
|
|
Term
once bolus passes through Pyloric sphincter, it is known as |
|
Definition
|
|
Term
organ that contains the islets of Langerhans |
|
Definition
|
|
Term
ostomy type: discharge is liquid to mushy, foul odor |
|
Definition
|
|
Term
ostomy type: discharge is liquid, mushy |
|
Definition
|
|
Term
ostomy type: discharge is mushy to semiformed |
|
Definition
Right transverse colostomy |
|
|
Term
ostomy type: discharge is semiformed, soft |
|
Definition
Left transverse colostomy |
|
|
Term
ostomy type: discharge is soft to hard formed |
|
Definition
Descending or sigmoid colostomy |
|
|
Term
ostomy: Nursing considerations for client (5) |
|
Definition
– Clothing: not tight – Bathing – Skin care: Review appliance application – Activity – Diet |
|
|
Term
ostomy: Skin barrier circumference: |
|
Definition
1/16" – 1/8” from the stoma |
|
|
Term
ostomy: diet considerations (9) |
|
Definition
Avoid foods that could cause blockage: - Green leafy vegetables, - cole slaw, - celery, corn, - foods with nondigestible peels, - coconut, - mushrooms, - nuts, - dried fruits, - chinese vegetables, - meats with casings |
|
|
Term
ostomy: frequency of appliance change |
|
Definition
|
|
Term
ostomy: normal appearance (4) |
|
Definition
- pink - moist - some blood right after - no blood after 3 days |
|
|
Term
ostomy: when is the pouch emptied |
|
Definition
When it is 1/3 to 1/2 full |
|
|
Term
|
Definition
a long, fish-shaped glandular organ about 6 inches (15 cm) long |
|
|
Term
paracentesis: description |
|
Definition
removal of fluid from peritoneal cavity for analysis |
|
|
Term
paracentesis: postprocedure (9) |
|
Definition
- V/S - record measurement and description of fluid collected - label samples and send to lab - dry sterile dressing - monitor site for bleeding - measure abdominal girth and weight - monitor for hypovolemia, electrolyte loss, mental status changes or encephalopathy - monitor for hematuria - MD notified if urine bloody |
|
|
Term
paracentesis: preprocedure (3) |
|
Definition
- void prior - measure abdominal girth, weight and baseline V/S - position client sitting upright with back and feet supported |
|
|
Term
parts of the alimentary canal |
|
Definition
- mouth - pharynx - esophagus - stomach - small intestine - large intestine |
|
|
Term
|
Definition
- cardia - fundus - body - pylorus |
|
|
Term
passageway for food into the stomach from the mouth |
|
Definition
|
|
Term
peptic ulcer: description |
|
Definition
ulceration in mucosal wall of stomach, pylorus, duodenum or esophagus |
|
|
Term
percutaneous transhepatic cholangiography: (2)description |
|
Definition
- dye injected into biliary tree - hepatic ducts are outlined |
|
|
Term
percutaneous transhepatic cholangiography: postprocedure (4) |
|
Definition
- V/S - signs of bleeding, peritonitis and septicemia - report pain immediately - antibiotics as prescribed |
|
|
Term
percutaneous transhepatic cholangiography: preprocedure (2) |
|
Definition
|
|
Term
permits taste and swallowing |
|
Definition
salivary gland secretions (saliva) |
|
|
Term
position for tube-feeding of comatose patient |
|
Definition
30 degrees to high-Fowlers |
|
|
Term
positioning of patient after liver biopsy |
|
Definition
|
|
Term
post-GI therapy intervention |
|
Definition
|
|
Term
prevents back-up of duodenal contents into the stomach |
|
Definition
|
|
Term
prevents back-up of fecal material from the large intestine into the small intestine |
|
Definition
|
|
Term
prevents back-up of stomach contents into the esophagus |
|
Definition
lower esophageal sphincter |
|
|
Term
prevents contents of large intestine from entering ileum |
|
Definition
|
|
Term
prevents reflux into the esophagus |
|
Definition
|
|
Term
|
Definition
pernicious anemia, due to a lack of vitamin B12 |
|
|
Term
process of eliminating solid intestinal wastes from the colon |
|
Definition
|
|
Term
process of transferring food elements into circulation for transport |
|
Definition
|
|
Term
proctoscopy & sigmoidoscopy: description (3) |
|
Definition
- requires flexible scope to examine rectum - client on left side with right leg bent and placed anteriorly - biopsies and polypectomies possible |
|
|
Term
proteine digestion begins here |
|
Definition
|
|
Term
provides voluntary control of defecation |
|
Definition
|
|
Term
refers to the amount of energy (calories) the body uses at rest |
|
Definition
|
|
Term
regulates the rate of stomach emptying into small intestine |
|
Definition
|
|
Term
responsible for the initiation of carbohydrate metabolism |
|
Definition
|
|
Term
|
Definition
|
|
Term
salivary amylase initiates this |
|
Definition
|
|
Term
site of action of bile and pancreatic enzymes |
|
Definition
|
|
Term
site of most absorption of digestion end-products |
|
Definition
|
|
Term
small intestine is divided into the |
|
Definition
duodenum, the jejunum, and the ileum |
|
|
Term
sphincter-like muscle, located where the large and small intestines meet, acts as a valve to prevent backflow of material to the small intestine; it also regulates the forward flow. |
|
Definition
|
|
Term
stool specimens: guidelines (3) |
|
Definition
- send to lab promptly - 24-72 hour collections kept refrigerated - some specimens require certain diet or withholding of certain meds |
|
|
Term
|
Definition
|
|
Term
stores and releases bile as needed in the small intestine for fat emulsification |
|
Definition
|
|
Term
sublingual (under the tongue), parotid (cheek), and submandibular (under the lower jaw) |
|
Definition
Three pairs of salivary glands |
|
|
Term
termination point of small intestine |
|
Definition
|
|
Term
the body's largest glandular organ |
|
Definition
|
|
Term
the muscular tube behind the mouth |
|
Definition
|
|
Term
|
Definition
|
|
Term
thin, watery fluid that contains ptyalin |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
situations requiring alternative feeding between 2 wks and 2 months |
|
|
Term
|
Definition
- Do not change the dressing - Check glucose q6h - Start (and stop) slowly to allow pancreas to adjust |
|
|
Term
travels up the right side of the abdominal cavity |
|
Definition
|
|
Term
tube feeding: when is it held? |
|
Definition
When residual is over 100cc |
|
|
Term
|
Definition
- esophagus - stomach - duodenum |
|
|
Term
upper GI endoscopy: description (2) |
|
Definition
- endoscope passed down esophagus to view gastric wall, sphincters, and duodenum - tissue samples may be obtained |
|
|
Term
upper GI endoscopy: postprocedure (4) |
|
Definition
- NPO until gag reflex returns - monitor for signs of perforation - bedrest until alert - tx for sore throat prn after gag reflex returns |
|
|
Term
upper GI endoscopy: preprocedure (8) |
|
Definition
- NPO 6-12 hrs prior - local anesthetic and conscious sedation - atropine sulfate given to reduce secretions - glucagon given to relax smooth muscle - client positioned on left side - monitor airway patency during test - pulse oximetry - emergency equipment ready |
|
|
Term
urea breath test: guidelines |
|
Definition
- certain meds may need to be avoided for 1 month prior |
|
|
Term
vitamin B12 and bone marrow |
|
Definition
necessary for the development of red blood cells in bone marrow |
|
|
Term
volume of blood stored in liver |
|
Definition
|
|
Term
water and vitamin absorption site |
|
Definition
|
|
Term
what to do if NG tube is not draining |
|
Definition
- check for leaks by aspirating - flush with water (30ml max) |
|
|
Term
when is irrigating an NG tube with normal saline the only correct choice? |
|
Definition
- tube in place for extended period AND - electrolytes are low |
|
|
Term
when is the gag reflex check needed? |
|
Definition
- after bronchoscopy - after any test that requires going into the mouth and throat |
|
|
Term
where albumin is secreted |
|
Definition
|
|
Term
which meds should be given separate from other meds? (CATA) 1) Antacids 2) Gastric Protectants 3) H2 Receptor antagonists 4) PPIs |
|
Definition
- Antacids - H2 receptor antagonists |
|
|
Term
why we put skin barrier on stoma |
|
Definition
prevent skin breakdown from frequent appliance changes |
|
|
Term
why would vitamin B12 be given by IM? |
|
Definition
Intrinsic factor (produced in the stomach) is not being produced. Oral B12 not being absorbed. |
|
|
Term
|
Definition
|
|
Term
Enteral nutrition: description (2) |
|
Definition
- tube feeding - catheter into stomach |
|
|
Term
Of the following patients, who would be good candidates for TPN (CATA)
- cancer patient
- burn victim
- ileostomy patient
- COPD patient
- anorexic
- AIDS patient
- ulcerative colitis patient
- chronic dumping syndrome patient
- gastrectomy patient
|
|
Definition
- cancer patient
- burn victim
- anorexic
- AIDS patient
- ulcerative colitis patient
- gastrectomy patient |
|
|
Term
|
Definition
• Mechanical – physically breaks down food product into smaller particles o peristalsis • Chemical – breaks down food at the molecular/cellular level |
|
|
Term
|
Definition
pernicious anemia, due to a lack of vitamin B12 |
|
|
Term
|
Definition
- factor V
- factor VII
- factor IX
- factor X
- fibrinogen
- prothrombin |
|
|
Term
Contractions of the pharynx continue the act of swallowing and push food into the muscular |
|
Definition
|
|
Term
Hiatal hernia has to do with the |
|
Definition
|
|
Term
In infants, projectile vomiting can be a sign |
|
Definition
|
|
Term
In the stomach lining, there are secretory cells called |
|
Definition
- chief cells - parietal cells |
|
|
Term
In the stomach, all foods mix with gastric juices and churn until they are in a semiliquid form called |
|
Definition
|
|
Term
|
Definition
needed for absorption of vitamin B12 |
|
|
Term
It closes off the nasal pharynx |
|
Definition
|
|
Term
It is mostly muscle tissue. It separates the mouth from the nasopharynx |
|
Definition
|
|
Term
Large intestine has bacteria to absorb |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
- albumin
- prothrombin
- globulins |
|
|
Term
|
Definition
thin, watery fluid that contains ptyalin |
|
|
Term
|
Definition
|
|
Term
The acinar cells secrete three main enzymes: |
|
Definition
• Amylase (pancreatic): digests starch • Trypsin: digests protein • Lipase (pancreatic): digests fats (called triglycerides) |
|
|
Term
The cystic duct joins the hepatic duct to create this |
|
Definition
|
|
Term
The exocrine function of the pancreas |
|
Definition
produce pancreatic juice, which is accomplished by the acinar cells |
|
|
Term
The function of the uvula |
|
Definition
to direct the food down into the stomach, instead of up through the nose. It closes off the nasal pharynx |
|
|
Term
|
Definition
|
|
Term
The largest of the salivary glands |
|
Definition
|
|
Term
|
Definition
|
|
Term
The only digestive enzyme in saliva |
|
Definition
|
|
Term
The process of eliminating solid intestinal wastes from the colon |
|
Definition
|
|
Term
The process of transferring food elements into the circulation for transport |
|
Definition
|
|
Term
|
Definition
pulp cavity (pulp chamber) |
|
|
Term
Three pairs of salivary glands |
|
Definition
- sublingual - parotid - submandibular |
|
|
Term
a form of amylase found in saliva |
|
Definition
|
|
Term
a person's ability to taste food also depends on |
|
Definition
|
|
Term
a tough skeletal muscle covered with mucous membrane |
|
Definition
|
|
Term
an alternating relaxation and contraction of Smooth or involuntary muscles that sends food through the digestive tube. |
|
Definition
|
|
Term
ball of food that has mixed with saliva |
|
Definition
|
|
Term
|
Definition
the amount of energy (calories) the body uses at rest |
|
|
Term
begins to break down proteins |
|
Definition
|
|
Term
|
Definition
covers the root of the tooth |
|
|
Term
|
Definition
hormone secreted by the duodenum and jejunum |
|
|
Term
close to the front of the mouth and is composed of the palatine bones |
|
Definition
|
|
Term
controls the opening between the stomach and the duodenal portion of the small intestine |
|
Definition
|
|
Term
covers the larynx and prevents food from entering the respiratory tract |
|
Definition
|
|
Term
covers the root of the tooth |
|
Definition
|
|
Term
crosses to the left side in the upper part of the cavity |
|
Definition
|
|
Term
|
Definition
|
|
Term
directs the food down into the stomach, instead of up through the nose. |
|
Definition
|
|
Term
divisions of the small intestine |
|
Definition
- duodenum - jejunum - ileum |
|
|
Term
finger-like projections of the small intestine |
|
Definition
|
|
Term
functions of hydrochloric acid |
|
Definition
- activate pepsinogen - kill most microorganisms in the stomach |
|
|
Term
|
Definition
|
|
Term
goes down the left side into the pelvis |
|
Definition
|
|
Term
hard bonelike substance beneath the enamel and the cement: the bulk of tooth material |
|
Definition
|
|
Term
hormone secreted by the duodenum and jejunum |
|
Definition
|
|
Term
last portion of the colon |
|
Definition
|
|
Term
|
Definition
approximately 30 feet (9.1 m) |
|
|
Term
like a tube, approximately 30 feet (9.1 m) long |
|
Definition
|
|
Term
location of taste buds (by type)salty (tip and sides of the tongue) bitter (back of the tongue) sweet (tip of tongue) sour (sides of tongue) |
|
Definition
salty (tip and sides) bitter (back) sweet (tip) sour (sides) |
|
|
Term
lymph nodules grouped together |
|
Definition
- aggregated lymphatic follicles - Peyer's patches |
|
|
Term
microscopic folds of the cell membrane to increase the surface area |
|
Definition
|
|
Term
monosaccharides that remain at the completion of digestion of proteins |
|
Definition
- glucose - galactose - fructose |
|
|
Term
muscular sac 3 to 4 inches long (7.5 to 10 cm). It resembles a small pear |
|
Definition
|
|
Term
necessary for the development of red blood cells in bone marrow |
|
Definition
|
|
Term
needed for absorption of vitamin B12 |
|
Definition
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provides blood supply to the liver |
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a form of amylase found in saliva |
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a narrowing of the pyloric sphincter |
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salivary gland under the tongue |
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secretes an anticoagulant called heparin |
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stores energy and uses it to drive all cellular processes that require energy |
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the amount of energy (calories) the body uses at rest |
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the breakdown of larger molecules into smaller ones |
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the muscular tube behind the mouth |
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the pancreas secretes these into the bloodstream to help regulate blood sugar levels |
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- insulin - glucagon - somatostatin |
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the synthesis of substances to form new, larger substances |
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travels up the right side of the abdominal cavity |
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vitamin B12 necessary for the development of |
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red blood cells in bone marrow |
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[image] Digestive system-numbered |
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[image] Digestive system-named |
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