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Gen Med Exam 1
Spring 2011
30
Health Care
Undergraduate 3
03/02/2011

Additional Health Care Flashcards

 


 

Cards

Term

Stomach

Definition

  • Hollow organ lUQ
  • storage and disgestion of food
  • Rate of gastric emptying affected by exercise, food consumption, and temperature

Term
Liver
Definition
Large Solid Organ RUQ
Makes Bile (fat digestion)
meatbolizes toxins; aids in digestion; makes clotting factors; stores glycogen; cholesterol metabolism; regulates immune response
CANNOT survive without
Term
Spleen
Definition
Solid LUQ
fist size
circulatory/lymph systems
Fx destruction of RBC's makes lymphocytes to fight encapsulated organisms
CAN live w/o
need immunizations against pneumonia and meningitis
Term
Gallbladder
Definition
Hollow RUQ
holds bile
major role is to emulsify and digest fat
Term
Pancreas
Definition
solid organ mid-epigastric
above umbilicus below zyphoid behind liver and stomach
CANNOT live w/o
Term
Acinar Cells
Definition
Digestive enzymes
exocrine from pancreas
Term
Pancreatic Alpha Cells
Definition
Endocrine
produce glucagon
Term
Pancreatic Beta Cells
Definition
Endocrine
produce insulin
Term
Small Intestine
Definition
Hollow structure
3 segments (duodenum, jejunum, ileum)
21 feet long
digestion and absorption of water and nutrients
Term
Large Intestines
Definition
Consists of cecum, colon, rectum
encircle small intestine
anus richly innervated

cecum-ascending-transverse-descending-sigmoid-rectum
Term
Appendix
Definition
Tubular structure RLQ
Attached to cecum
easily obstructed
fecal matter ahas no where to go because of only one open end
gets inflammed and ruptures
no major function
Term
Ileo-cecal valve
Definition
SI communicates with LI
RLQ
Term
Stomach Physiology
Definition
HCL, enzyme secretion
food broken down into smaller units
Term
SI physiology
Definition
additional enzymes
liver and pancreas contribute
water, salt, vitamins, minerals, fatty acids, simple sugars, AA absorbed
absorption almost complete
Term
LI Physiology
Definition
water and sodium conserved
solidify waste products
Term
Upper GI symptoms
Definition
Belching
Nausea
Vomiting
Hematemesis (Bright Red) Coffee Ground (indicates blood)
Dyspepsia (heart burn)
Term
Lower GI Symptoms
Definition
loose stools
diarrhea (watery, bloody, mucous, oily)
fecal urgency
rectal bleeding
bloating
constipation (3 days w/o)
melena (black tary stools)
pain
cramping
Term
systemic symptoms & signs
Definition
weight loss (malabsorption)
loss of appetite
jaundice
fever
shock
Term
Shock
Definition
pale
clamy
tachycardia
weak pulse
shallow/rapid breathing
low BP
capillary refill time
Term
SI (Pain Pattern)
Definition
Location: Umbilicus
Quality: crampy
Associate symptoms: bloation, gas, urge to defecate
Term
LI (pain pattern)
Definition
Location: Lower Abdomen
Quality: constant or colicky
Associate Symptoms: bloating, gas, urge to defecate
Term
RED FLAGS abdominal pain
Definition
Vomiting Bright RED or Coffee Ground
Severe pain w/ fever 101+
inability to keep down fluids 24-36 hours
discoloration to flank or umbilical
shock
Term
Abdominal Trauma
Definition
uncommon but can be life-threatening
liver and spleen most susceptible
hollow organs-peritonitis
solid organs-bleed profusely shock
Term
Cullen Sign
Definition
Discoloration/External Bruising of the umbilicus region
Term
Gray Turner Sign
Definition
Discoloration/External Bruising of the flanks
Term
"Wind Knocked Out"
Definition
blow to epigastric region
temporary diaphragmatic spasm
shortness of breath
hip flexed position gets diaphragm to relax
Term
Spleen Trauma
Definition
most commonly injured organ in SPORT
Rib Fx 10, 11, 12
Kehr's sign
Removed spleen RTP 3 weeks
Salvage takes longer (months) but better for the athlete
Term
Liver Trauma
Definition
range from minor to fatal
Don't ignore right shoulder pain and persistent RUQ
3-6 months
Term
Nausea and Vomiting (due to exercise)
Definition
Vomiting center (4th ventricle of brain)
holding food, decreased gastric emptying, overactivity of vagal nerve, build up of acid in blood
treatment
dietary modifications, antacids, anti-histamines
Term
GERD
Definition
Decreased LES contributors
meds, intense exercise, alcohol, caffeine, smoking, fatty food, emotional stress
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