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Lesson 9 -The Digestive System
Gastroenterology for the medical assistant
82
Medical
Undergraduate 1
04/09/2010

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Term
Gastroesophageal Reflux Disease (GERD)
Definition
Called heartburn. Involves backflow of acidic stomach contents up into the esophagus, causing irritation.
Term
Hiatal Hernia
Definition
A protrusion of the stomach upward through the diaphram. Can become strangulated (cutting off blood flow).
Term
Peptic Ulcer Disease
Definition
Ulceration (breakdown of the mucous membrane)in the lower esophagus, stomach, or duodendum. Often caused by the H. pylori bacteria.
Term
Gastritis
Definition
Inflammation of the lining of the stomach. Can be acute or chronic.
Term
Pyloric Stenosis
Definition
Narrowing of the pyloric sphincter, interfering with the emptying of the stomach into the small intestine. May develop in infants (present at birth) or adults.
Term
Abdominal Hernia
Definition
A protrusion of the intestine forward through the abdominal wall.
Term
Appendicitis
Definition
Inflammation and infection of the appendix. Often happens when food gets stuck in the appendix. Usual treatment is surgical removal of appendix.
Term
Diverticular Disease
Definition
Includes diverticulosis, which is a development of tiny pouchlike herniations at the end of the large intestines, and diverticulitis which is inflammation and infection of the herniations.
Term
Hemmorrhoids
Definition
Varicose veins (enlarged veins due to failure of the valves in the veins) in the anal area.
Term
Crohn Disease
Definition
An inflammatory bowel disease (IBL). Inflammation and swelling deep into the lining of any part of the GI tract.
Term
Ulcerative Colitis
Definition
An inflammatory bowel disease (IBL). Chronic inflammation of the innermost lining of the rectum and colon.
Term
Irritable Bowel Syndrome (IBS)
Definition
An inflammatory bowel disease (IBL). Disorder marked by alternating episodes of constipation and diarrhea.
Term
Hepatitis A (virus)
Definition
Inflammation of the liver spread by the fecal oral route. There is a vaccine and prognosis is good with treatment.
Term
Hepatitis B (virus)
Definition
Inflammation of the liver spread through blood and bodily fluids. Major cause of chronic liver disease and liver cancer. There is a vaccine and prognosis is usually good.
Term
Hepatitis C (virus)
Definition
Inflammation of the liver spread through blood. Many patients develop chronic liver disease or infection. There is no vaccine.
Term
Hepatitis D (virus)
Definition
Inflammation of the liver. Only occurs in a patient with Hepatitis B. There is no vaccine and no direct treatment.
Term
Hepatitis E (virus)
Definition
Inflammation of the liver spread through the fecal-oral route. There is no vaccine or direct treatment. Prognosis is usually good.
Term
(1) Cholelithaiasis and (2) Cholecystitis
Definition
(1) Gallstones in the gallbladder, liver, and/or biliary ducts.
(2) Inflammation of the gallbladder due to obstruction of the bile ducts by stones or sludge.
Term
Acute Pancreatitis
Definition
Inflammation of the pancreas when the enzymes of the pancreas become activated before they leave the pancreas and start eating the tissue of the pancreas.
Term
Celiac Disease
Definition
Gluten (found in wheat, oats, and barley) intolerance. Causes damage in the lining of the small intestine when gluten is swallowed. Main treatment is a gluten-free diet.
Term
Anorexia Nervosa
Definition
Physical and mental disorder involving intense fear of weight gain and severe limitation of what one chooses to eat.
Term
Bulimia
Definition
Physical and mental disorder involving chronic binge eating and purging.
Term
Food Poisoning
Definition
Also called dysentery. General term for all causes of food poisoning including bacteria, toxins, insecticides, etc.
Term
E. Coli Infection
Definition
A form of food poisoning often caused by the O157:H7 strain. Common carrier is undercooked beef.
Term
Campylobacter Infection
Definition
A form of food poisoning caused by the Campylobacter bacteria. Common carrier is undercooked poultry.
Term
Salmonella Infection
Definition
A form of food poisoning caused by the salmonella organism. Common carriers are undercooked meat and eggs.
Term
Oral Cancer
Definition
Any cancerous growths in the mouth region. Primary risk factor is use of chewing tobacco.
Term
Esophageal Cancer
Definition
Cancerous growth in the lower esophageal lining. Usually is squamous cell carcinoma, sometimes adenocarcinoma.
Term
Gastric Cancer
Definition
Cancerous growth in the stomach wall. Only 20% survive 5 years after diagnosis.
Term
Colorectal Cancer
Definition
One of the most common types of cancer. Cancerous growth in the large intestine and rectal area. 90% of cases are in those over 50 years of age.
Term
Liver Cancer
Definition
Cancerous growth in the liver. Usually spreads to the liver from another site. Primary cause is hepatitis B and C.
Term
Pancreatic Cancer
Definition
Cancerous growth in the pancreas. Usually is a tumor in the endocrine glands within the pancreas. Prognosis is often poor.
Term
Stool Specimen Test
Definition
A patient collects an uncontaminated sample of their stool and it is sent to a lab fo analysis.
Term
Fecal Occult Blood Test (Stool Card)
Definition
A test for hidden blood in a patient's stool. Patient smears a card 3 diffrent times and then it is sent to a lab for analysis.
Term
Flexible Sigmoidoscopy
Definition
A procedure using a flexible scope to view the sigmoid colon and obtain biopsies to test for deseased tissue.
Term
Cleansing Enema
Definition
A procedure to evacute the colon in preparation of lower GI procedures.
Term
Helicobacter Pylori Test
Definition
A blood test for the antibodies to H.Pylori, or a gastric biopsy for a culture and sensitivity test.
Term
Liver Function Test (LFT)
Definition
A blood test to dertimine the Liver's ability to perform its many functions.
Term
Upper GI X-Ray
Definition
Viewing of the esophagus, stomach, and throat via an x-ray using a contrast medium. The patient should eat nothing past midnight the night before the test (NPO).
Term
Lower GI X-Ray
Definition
A procedure to visualize the large intestine via x-ray using a contrast medium. The patient should not eat dairy products and should be on a liquid diet for 24 hours before the examination.
Term
Gallbladder Ultrasound (gallbladder sonography)
Definition
The ultrasound sends sound waves into the abdomen near the gallbladder to produce an image of the bodies internal structures.
Term
Upper Endoscopy
Definition
Observational procedure of the esophagus, lower esophageal sphincter, and the stomach.
Term
What are the functions of the GI system?
Definition
Intake of food and water, digestion (breakdown) of food, absorption of nutrients and water into the bloodstream, management of blood sugar levels, and disposal of waste.
Term
What is the route food takes through the body?
Definition
Mouth, pharynx, esophagus, lower esophageal sphincter, stomach, pyloric sphincter, small intestine, large intestine and rectum.
Term
Uvula
Definition
A mass of soft tissue hanging from the upper mouth that prevents food from entering the nasal cavity.
Term
Pharynx
Definition
A funnel shaped ccanal that connects the mouth to the esophagus.
Term
Epiglottis
Definition
Cartilage that prevents food and water from entering the larynx.
Term
Esophagus
Definition
A long tube-like structure that connects the mouth to the stomach.
Term
Lower Esophageal Sphincter
Definition
Also called the cardiac sphincter. Muscle that separates the esophagus from the stomach.
Term
Stomach
Definition
Made up of the fundus, and body which are used to store food, and the pylorus which is where most of the digestion occures.
Term
Small Intestine
Definition
Consist of the duodenum (upper), the jejunum (middle), and the ileum (lower).
It is the where most of the absorbtion of water and nutrients takes place.
Term
Villi
Definition
Fingerlike projections in the small intestine that absorb water and nutrients.
Term
Colon
Definition
The large intestine facilitates the passage of stools. It consists of the cecum, ascending, transverse, decending, and sigmoid colon.
Term
Gallbladder
Definition
The gallbladder acts as a storage device for bile. The bile is then secreted to break down fats in the duodenum.
Term
Liver
Definition
Produces bile, glycogen, and blood lipids. The liver also stores glycogen and filters drugs and alcohol.
Term
Pancreas
Definition
The pancreas secretes trypsin, lipase, and amylase to neutralize stomach acid. It also secretes insulin and glucagon
to monitor blood sugar levels.
Term
Alimentary Canal
Definition
The entire canal from the mouth to the anus.
Term
Adnominal Cavity
Definition
Holds the stomach, large intestine, small intestine, rectum and anus. The cavity is lined with peritoneum.
Term
Glucagon
Definition
A hormone secreted by the pancreas that releases glycogen from the liver in response to low blood sugar levels
Term
Absorption
Definition
The transporting of water and nutrients from the GI tract to the bloodstream.
Term
Bolus
Definition
A mass of chewed food.
Term
Gastroenterology
Definition
The study of the digestive tract and its accessory organs.
Term
Mastication
Definition
Chewing
Term
Defacation
Definition
Excretion of fecal matter.
Term
Chyme
Definition
A mixture of chewed food, saliva and other digestive juices.
Term
Digestion
Definition
Chemical and physical breakdown of food.
Term
Deglutition
Definition
Swallowing
Term
Insulin
Definition
A hormone that is secreted by the pancreas in response to high blood sugar that allows glucose to pass from the bloodstream into tissues.
Term
Peristalsis
Definition
Wavelike muscle contractions that move food through the GI tract.
Term
Enema
Definition
Introduction of a solution to the rectum to stimulate bowel movement.
Term
Hypoglycemia
Definition
Condition of too little glucose (sugar) in the blood.
Term
Emesis
Definition
Vomiting
Term
Epigastric
Definition
Above the stomach.
Term
Bile
Definition
Produced in the liver, stored in the gallbladder and secreted to the stomach to break down fats.
Term
BM
Definition
Bowel Movement
Term
NPO
Definition
Nothing By Mouth (Latin: Nulle per os)
Term
GI
Definition
Gastrointestinal
Term
IBD
Definition
Irritable Bowel Disease
Term
ALT and AST
Definition
Liver Enzyme Tests
Term
ac and pc
Definition
Before meal and after meal.
Term
What is the pH of stomach acid?
Definition
Average of 1.7. Chronic antacid use can raise this (1.5-2.5).
Term
Hyperglycemia
Definition
Condition of having too much sugar (glucose) in the blood.
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