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Exam 3
Musculoskeletal, pain, nutrition, abdomen
55
Nursing
Undergraduate 2
10/31/2011

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Cards

Term
Where is the pancreas located
Definition
Behind the stomach, stretches obliquely across the posterior abdominal wall to the left upper quadrant
Term
During early childhood, palpating abdominal organs: normal or abnormal - and why?
Definition
Normal and because abdominal wall is less muscular
Term
What is said to cause morning sickness?
Definition
Unknown cause but may be due to hormone changes such as production of Human chorionic gonadotropin (hCG)
Term
What two ailments may come with pregnancy?
Definition
Heartburn/Acid indigestion and Constipation (may lead to hemorrhoids)
Term
What are the bowel sounds like for a pregnant woman?
Definition
Diminished
Term
Where does the appendix get displaced to during pregnancy?
Definition
No where, any pain from appendicitis would still be in the RLQ. (trick question)
Term
With aging how does fat distribution change?
Definition
Less adipose at face and extremities -> redirected to abdomen/hips
Term
Changes in aging that occur in the gastrointestinal system:
Definition
Salivation decreases, esophageal emptying delayed, gastric acid secreation decreases, incidence of gallstones increases, liver size decreases, and constipation chance increases.
Term
Who has the highest chance for lactose intolerance?
Definition
African Americans
Term
Obesity in adults results in:
Definition
Comorbidities of type 2 diabetes and cardiovascular disease
Term
Obese children have an increased risk for:
Definition
asthma, diabetes, liver disease, cardiovasular disease, sleep apnea and joint problems
Term
Anorexia
Definition
Loss of appetite from GI disease, side effect to some meds, pregnancy or psychological disorders
Term
Dysphagia
Definition
Difficulty swallowing - occurs with disorders of the throat or esophagus
Term
Pyrosis
Definition
Heartburn - burning sensation in esophagus and stomach (reflux of gastric acid)
Term
When is nausea/vomiting common?
Definition
GI disease, certain meds, and early pregnancy
Term
List some abnormal stools..
Definition
Black stools tarry (occult blood - melena) from GI bleeding
Black stools non tarry - Iron meds
Gray stools - Hepatitis
Red Stools - GI bleeding or localized bleeding around the anus
Term
Peptic ulcer disease
Definition
Occus with frequent use of NSAIDS, alcohol, smoking and Helicobacter pylori infection
Term
What is pica?
Definition
A child eatings nonfoods - should outgrow by 2 years
Term
_________ is common with anorexia nervosa
Definition
Amenorrhea (irregular menstruation)
Term
Absolute stillness while lying on the examining table occurs with:
Definition
pain of peritonitis (inflammation of peritoneal wall)
Term
After inspection, what is the next step in examination of the abdomen?
Definition
Ausculatation. You re-order palpation/percussion because it will force peristalsis -> fasle interpretation of bowel sounds
Term
What do hyperactive / hypoactive sounds - sound like?
Definition
Hyperactive - Loud high pitched, rushing tinkling sounds (increases motility)
Hypoactive - (absent sounds) follow abdominal surgery or inflammation of peritineum
Term
Borborgymus
Definition
Stomach Growling
Term
Hepatomegaly
Definition
Enlarged Liver
Term
Umbilical Hernia
Definition
Appears at 2-3 weeks, maximum size at 1month. Dissapears at one year
Term
Pyloric Stenosis
Definition
Congenital narrowing of the pyloric sphincter (stomach)
Term
Lasegue (straight leg test: what is it and why is it used?
Definition
It's used to dertermine the presence of a herniated nucleus pulposus.

Raise the straightened leg and dorsiflex the foot, if produces pain then test is positive.
Term
Ascites:
What is it?
Inspection/auscultation/percussion/palpation cues?
Definition
Accumulation of fluid in the peritoneal cavity.
Bulging flanks when supine, taut glistening skin, normal bound sounds over intestines (diminished over fluid) tympany at top dull over fluid, limit palpation
Term
Gout
Definition
Redness, swelling, heat and extreme tenderness (usually involves the first metatarsophalangeal joint)
associated with elevated serum uric acid
usally men older than 50 years
Term
Cholecystitis
Where would you feel this pain?
Definition
Inflammation of the gallbladder
RUQ
Term
Osteomalacia
Another name for this when occurs in children?
Definition
Softening of the bones due to either a VIT D deficiency or Inability to breakdown VIT D
Rickets
Term
What is the significance of black tarry stools?
Definition
It shows bleeding SOMEWHERE in the GI tract...
Term
Degenerative joint disease

affected joints have what s/s
Definition
Deterioration of articular cartilages + subchondral bone formation and osteophytes.

stiffness, swelling with hard bony protuberances, pain with motion and limitation of motion
Term
Rheumatoid Arthritis
Definition
Inflmmation of synovial membrane -> thickening -> fibrosis -> limited motion -> ankylosis

Associated with fatigue, weakness, anorexia, weightloss lymphadenopathy and low grade fever.
Term
Acute Pain Behaviors
Definition
Guarding, grimacing, vocalizations (moaning), agitation, restlesness, stillness, diaphoresis or change in vitals
Term
Chronic Pain Behaviors
Definition
Bracing, rubbing, diminished activity, sighing and change in appetite
Term
Osteoporosis
Definition
Bone resorption > Bone formation ->> makes for weak bones increases risk for fractures.

occurs primarily in postmenopausal women
Term
Crepitation
What does it occur with?
Definition
Crepitation is an audible/palbable crunching or grating that accompanies movement.
Occurs with Rheumatoid Arthritis
Term
The anatomic location of the liver
Definition
RUQ
Term
The anatomic location of the gallblader
Definition
RUQ
Term
The anatomic location of the pancreas
Definition
Head RUQ
Body LUQ
Term
Magenta Tongue
Definition
Riboflavin Deficiency
A beefy red-colored tongue caused by vitamin B-complex deficiency
Term
Hematocrit
Definition
A measure of cell volume -- also indicated iron status.
Term
Serum Albumin
Definition
A common measurement of visceral protein status.
Term
Low serum albumin levels occur with
Definition
protein-colorie malnutrition, altered hydration status and decreased liver function
Term
Infants weight fluctuation early on:
Definition
Birth -> First few days: Lose weight but regain 7th to 10th day
4 months -> double birth weight
1 year -> triple birth weight
Term
Infants should not drink skim/low fat milk younger than:
Why?
Definition
2 years
Fat is required for proper growth and CNS development
Term
In adolescence caloric and protein requirements increase -> as well as what two vitamins/minerals?
Definition
Calcium and Iron
Term
During ________, growth and nutrient needs stabilize. Therefore it is an important time for education to preserve health and to prevent or delay the onset of chronic disease.
Definition
Adulthood
Term
During ________, growth and nutrient needs stabilize. Therefore it is an important time for education to preserve health and to prevent or delay the onset of chronic disease.
Definition
Adulthood
Term
What are the major risk factors for "The Aging Adult" for undernutrition/overnutrition?
Definition
Poor physical/mental health, social isolation, alcoholism, limited functional ability, poverty, and polypharmacy
Term
Important nutritional features of the older years are a decrease in energy requirements due to loss of _____ ______ _____ (the most metabolically active tissue) and and increase in ______
Definition
Lean Body Mass
Fat Mass
Term
What vitamins are essential for fetal growth?
Definition
Iron Folate and Zinc
Term
_______ immigrants have increased risk of becoming overweight and obese as they adapt to a diet in the US that is higher in saturated fats + calories.
Definition
Hispanic
Term
_______ women have lower risk for osteoporosis than _______ women.
Definition
black/white
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