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GI AND URINARY SYSTEM
N/A
177
Anatomy
Professional
08/06/2013

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Term
a double walled seromembraneous sac
Definition
peritoneum
Term
outer layer that adheres to abdominal and greater pelvic walls and to inferior surface of diaphragm
Definition
parietal layer
Term
inner layer that is reflected over and around organs
Definition
visceral layer
Term
connects lips to gums
Definition
frenulum
Term
formed by palatine bones, separates the oral and nasal cavaties
Definition
hard palate
Term
consists of mucous membrane and completely separates nasal cavity and nasopharynx during swallowing
Definition
soft palate
Term
total of 20 teeth
total of 32 teeth
Definition
children;
adults/ permanent teeth
Term
largest salivary gland
paired
lies immediately below and infront of ear
Definition
parotid
Term
the parotid gland is drained by
Definition
Stenson's Duct
Term
located below the angle of the mandible; paired
Definition
Submandibular Gland
Term
the submandibular gland is drained by
Definition
Wharton's Duct
Term
the smallest salivary gland, located under floor of mouth
Definition
sublingual gland
Term
the sublingual gland is drained by
Definition
Ducts of Rivinus/ Duct of Bartholin
Term
we produce ____ mL of saliva daily
Definition
1000-1500
Term
the salivary glands are regulated by
Definition
medulla oblongata
Term
saliva is made up of
Definition
water, salt, proteins, ptyalin
Term
the pharynx communicates with
Definition
2 nasal
2 tympanic
mouth
larynx
esophagus
Term
3 divisions of the pharynx
Definition
nasal
oral
laryngeal
Term
the esophagus is ___ cm long
Definition
24
Term
the esophagus is __ cm wide
Definition
1.9
Term
begins midline, left, right, left
posterior to the trachea
Definition
esophagus
Term
the esophagus passes through the hiatus of the diaphragm at the level of ___, then enters the ___ at the level of T11
Definition
T10;
esophagogastric junction
Term
the area of digestion most susceptible to obstruction
Definition
esophagus
Term
the stomach encroaches upon esophagus through esophageal hiatus
Definition
hiatel hernia
Term
in patients with portal hypertension that exists in distal 1/3 of esophagus
Definition
varices
Term
the most dilated portion of the digestive system
Definition
stomach
Term
four layers of stomach
Definition
fibrous
muscular coat
submucosal
mucosal
Term
connects peritoneum to muscular coat, blood vessels, and lymphatics
outter most layer
Definition
fibrous layer
Term
circular, longitudinal, and oblique muscles
Definition
muscular coat
Term
composed of areolar connective tissue
extends to ruguae
Definition
submucosal layer
Term
inner layer, soft and pink
forms rugae and protects lining
Definition
mucosal layer
Term
four portions of the stomach
Definition
cardia
fundus
body
pylorus
Term
opening between esophagus and stomach q
Definition
cardiac orifice
Term
immediate area around opening of stomach
Definition
cardia
Term
most superior portion, lies above transverse plane
Definition
fundus
Term
bound by oblique, longitudinal, and circular muscles
inner layer composed of rugae folds
Definition
body
Term
end of the stomach/ beginning of small intestine
between the sulcus intermedius and pyloric valve
Definition
pyloric antrum
Term
the notch found on the lesser curvature
Definition
incisura angularis
Term
when fundus is filled with air
Definition
meganblase
Term
the indentation of the greater curvature
Definition
sulcus intermedius
Term
the stomach can hold
Definition
1 quart
Term
digestion in the stomach takes
Definition
2-3 hours
Term
the erosion of mucous membranes by acidity of gastric juices
Definition
peptic ulcers
Term
inflammation of stomach lining, treated by change in diet
Definition
gastritis
Term
inflammation of stomach/ intestines treated by medicine
Definition
gastroenteritis
Term
surgical removal of part of stomach usually due to cancer or gross overweight
Definition
gastrectomy
Term
the small intestine is about ___ meters long
Definition
6.5
Term
the most superior and widest portion
Definition
duodenum
Term
the duodenum is ____ long
Definition
8-10 in
Term
the duodenum forms a C loop around the
Definition
head of the pancreas
Term
the duodenum joins the jejunum at the duodeno-jejunic flixure at the
Definition
angle of treitz
Term
where the common bile and pancreatic ducts empty into the small intestine
Definition
duodenal papilla
Term
the orifice where the biliary and pancreatic ducts empty into the small bowel
Definition
ampulla of vater
Term
the jejunum is suspended by
Definition
ligament of treitz
Term
the jejunum is ___ long
Definition
7-8 ft
Term
the jejunum is lined with
Definition
villi
Term
the most distal and smallest portion of the small intestine
Definition
ileum
Term
the ileum terminates at
Definition
the ileo-cecal valve
Term
the ileum is approximately ___ long
Definition
16 ft
Term
length of the adult male SB
Definition
22'6"
Term
length of the adult female SB
Definition
23'4"
Term
the distal ileum is the early site of
Definition
Chrohn's disease
Term
also known as a blind pouch, the most proximal portion of the colon
Definition
cecum
Term
the ascending colon is ___ in width than the cecum
Definition
smaller
Term
the largest and most movable part of the colon
Definition
transverse color
Term
projects downward on the left, smaller in diameter
Definition
descending colon
Term
the sigmoid colon is __ long
Definition
40 cm
Term
the rectum has transverse folds known as
Definition
Houston's valves (3)
Term
the anal canal is __ long
Definition
4 cm
Term
the anal canal terminates at
Definition
ani externus (sphincter)
Term
the largest gland in the body
Definition
liver
Term
1.4-1.6 kg
Definition
male liver
Term
1.2-1.4 kg
Definition
female liver
Term
the right lobe of the liver is __ times larger than the left
Definition
6
Term
the ___ separates the right and left lobes of the liver
Definition
falciform
Term
located under the surface of the right lobe
Definition
quadrate lobe
Term
located on the posterior surface of the right lobe
Definition
caudate lobe
Term
the fossa on the right lobe of the liver is for the ___
Definition
gallbladder, porta, and inferior vena cava
Term
forms the chief mass of the liver, is the functional unit of the liver
Definition
lobules
Term
stores glycogen, iron, and vitamins
filtrates blood
produces blood protiens
detoxifies wastes
maintains blood sugar homeostasis
Definition
liver
Term
the liver produces ___ bile per day
Definition
1-3 pints
Term
the liver is most commonly studied by
Definition
nuclear medicine
Term
lies on the inferior surface of the right lobe of liver
Definition
gallbladder
Term
the gallbladder is ___ long and holds ___ ounces
Definition
75-100 mm
2
Term
the gallbladder is emptied by the
Definition
cystic duct
Term
the cystic duct is approximately __ long
Definition
1.5 in
Term
the common bile duct is formed by the
Definition
common hepatic and cystic ducts
Term
the common bile duct is approximately __ long
Definition
3 inches
Term
the function of the gallbladder is to
Definition
store and concentrate bile
Term
consists of a head, body, and tail
usually larger in males
Definition
pancreas
Term
make of most of the pancreas
contain the islets of Langerhans
Definition
ancini ducts
Term
an accessory ducts that opens directly into the duodenum above pancreatic ducts, does not usually remain patent
Definition
Duct of Santorini
Term
the pancreas produces about ____ml of pancreatic juices a day
Definition
1200-1500
Term
the pancreas is emptied by
Definition
The duct of Wirsung
Term
the pancreas is directly stimulated by
Definition
the vagus nerve
Term
essential to normal growth
located in the anterior portion of the neck
Definition
thyroid
Term
the thyroid has a ___ appearance
Definition
butterfly shaped
Term
the thyroid is regulated by the
Definition
pituitary gland
Term
small oval discs located on either side of the thyroid that regulate calcium
Definition
parathyroid glands
Term
located in anterior mediastinum, larger in children and reduces with age
Definition
thymus gland
Term
the thymus gland produces ___ that fight infection
Definition
antibodies
Term
located on the medial, superior aspect of kidneys and composed of outer/inner sections
Definition
adrenal glands
Term
outer portion of adrenal glands
produces corticosteriods that regulate salt, water, carbs, fats, and protiens
Definition
cortex
Term
inner portion of adrenal glands that secrete adreneline and norepinepherine
Definition
medulla
Term
the pituitary gland is also known as the
Definition
hypophysis
Term
the pituitary gland is located in the
Definition
sella turcica
Term
the leader of the endocrine system
Definition
the pituitary gland
Term
posterior and superior to the pituitary gland, also part of the 3rd ventricle
affects the development of puberty
Definition
pineal gland
Term
exocrine function of the pancreas
Definition
produce pancreatic juices for chemical digestion
Term
endocrine function of the pancreas
Definition
secrete insulin to regulate sugar metabolism
Term
ovaries produce __ and ___
Definition
estrogen
progesterone
Term
testes produce ___ and __
Definition
testosterone and androsterone
Term
2 things contrast media must do
Definition
alter photon absorption
be non toxic
Term
contrast media retardants
Definition
probanthine
glucagon
Term
contrast media accelerators
Definition
cold isotonic solution
water soluable mixtures
Term
patient prep for UGI
Definition
NPO after midnight
Term
patient prep for SBS
Definition
NPO after midnight possible mild laxative
Term
patient prep for a BE
Definition
liquid diet 24-36 hours prior
use laxatives/suppository
possible cleansing enema prior
Term
for barium swallows, the consistency of the barium will be __-__% w/v
Definition
30-50%
Term
in an AP UGI, we see __ in the body and __ in the fundus
Definition
air, barium
Term
in a PA UGI, we see air in the __ and barium in the ___
Definition
fundus, body
Term
for an LPO UGI, oblique the patient ___ degrees to the left
Definition
45 degrees
Term
a right lateral UGI will show a profile view of the __ and a lateral view of the ___
Definition
pylorus
duodenum
Term
CR for a Gordon's/ PA Axial UGI
Definition
35-45 degrees cephalic
Term
small bowel series are done after
Definition
UGIs
Term
for a BE, do not inflate the cuff with more than ___ of air
Definition
50-80 ccs
Term
the RPO position is used primarily to open up the _____
Definition
left colic flexure and descending colon
Term
the LPO position is done to ___
Definition
open up the right colic/hepatic flexure and ascending colon and sigmoid
Term
CR for LPO/RPO BE
Definition
centered at the iliac crest of the elevated side 1-2 inches lateral to the midline of the elevated side
Term
a L Lateral is taken for BE to demonstrate
Definition
the rectum and rectosigmoid junction
Term
CR for PA Axial Sigmoid
Definition
30-40 degrees caudad entering midline at level of ASIS
Term
AP Axial sigmoid
Definition
30-40 degrees cephalic entering 2 inches below level of ASIS
Term
decubitus views are taken when
Definition
doing double contrast studies
Term
ERCP stands for
Definition
endoscope retrograde cholangiopancreatogram
Term
ERCP is a study of
Definition
the pancreas and biliary tree through the mouth by catheterizing the ampulla of vater
Term
surgical cholangiography is also called
Definition
immediate or operative cholangiography
Term
T-Tube cholangiography is done ____ days after surgery
Definition
3-7
Term
the primary function of the kidneys
Definition
elimination
Term
the kidneys excrete ___ ml of urine a day
Definition
1500
Term
lose apprx ___ calories a day urinating
Definition
60
Term
location of upper pole of kidney
Definition
T12
Term
location of lower pole of kidney
Definition
L3
Term
during respiration, kidneys move ___
Definition
1/2 to 1 1/2 inches
Term
medial border of kidney is
Definition
concave
Term
lateral border of kidney is
Definition
convex
Term
point of entry/ exit on the medial border
Definition
hilum
Term
fibrous covering of the kidney
Definition
renal capsule
Term
8-15 cone shaped masses made of collecting tubules
Definition
pyramids
Term
apex of the pyramid which extends into the minor calyx, contains 7-50 collecting tubules
Definition
renal papilla
Term
4-13 chambers into which renal papilla extends
Definition
minor calyx
Term
2-3 large chambers formed by joining of minor calyx
Definition
major calyx
Term
single large funnel shaped internal chamber of kidney formed by major calyces
Definition
renal pelvis
Term
internal portion of hilum, contains calyces, blood vessels, and nerves
Definition
renal sinus
Term
the functional units of the kidneys
formed by glomeruli convoluted tubules
Definition
nephrons
Term
formed by branches of afferent arterioles and bring blood for filtration
Definition
Bowman's Capsule (Glomerulus)
Term
kidneys can filter entire blood supply in __ minutes
Definition
5
Term
originates in renal glomeruli
Definition
proximal tubules
Term
formed by the ascending limb of loop of Henle, empties into the collecting tubules
Definition
distal convoluted tubules
Term
the collecting tubules collect urine from the
Definition
distal convoluted tubules
Term
ureters are __ long
Definition
10-12 inches
Term
may form if the kidney is not allowed to drain
Definition
hydronephrotic kidney
Term
other names for an IVU
Definition
IVP or urogram
Term
normal range for BUN levels
Definition
8-25 mg/100ml
Term
normal range for creatinine levels
Definition
.6-1.5 mg/100ml
Term
scout film for an IVU is performed for
Definition
positioning, technique and patient prep
Term
the gravitational method for IVUs creates ___
Definition
urine stasis (stoppage of normal flow)
Term
Hypertensive IVP are accomplished to rule out ____ and ___
Definition
renal artery stenosis and
renal hypertension
Term
for nephrotomography, increase the mAs by ____
Definition
50-100%
Term
contrast for a cystogram
Definition
water soluable, non injectable with added antibiotic
Term
for pediatric patients, approximately ___ cc of contrast per pound of body weight but no more than ___cc
Definition
.7
1.7
Term
all media utilized in urography is
Definition
water solulable
Term
the idodine content in non injectable contrast is __%
Definition
29%
Term
it takes __ to __ cc on contrast to distend the bladder
Definition
250-500
Term
a test to evaluate how well the kidneys are filtering urea/nitrogen
Definition
BUN
Term
indicates the reabsorption rate of kidneys
Definition
Creatinine
Term
reactions will generally occur within ___ of a contrast injection
Definition
5 minutes
Term
severe reactions to contrast are treated with
Definition
epinephrine
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