4C part 2 Flashcards

1
Q

the term inflammatory bowel disease is used to designate what two related inflammatory intestinal disorders

A

Crohn disease

Ulcerative colitise

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2
Q

a condition in which the mucosal later of the colon nerniates through the muscularis layer

A

Diverticulosis

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3
Q

what causes diverticulosis

A

results from high intraluminal pressure on areas of weakness in the bowel wall

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4
Q

what is the most common complaint of diverticulitis

A

lower left Quadrant pain, nausea, tenderness of lower left quadrant, slight fever, elevated white blood cell count

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5
Q

what are some complications of diverticulitis

A

perforation with peritonitis
hemorrhage
bowel obstruction

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6
Q

what causes acute appendicitis

A

inflammation of the veriform appendix due to an obstruction with stool or twisting of the organ or its blood supply

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7
Q

what are the symptoms of acute appendicitis

A

pain in lower right Quadrant, fever, rebound, tenderness

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8
Q

______ can occur of swollen appendix bursts before surgery

A

peritonitis

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9
Q

what are the major mechanical causes of intestinal obstruction

A

1) herniation of segment in umbilical or inguinal regions
2) adhesion between loops of intestine
3) volvulus
4) intussusception

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10
Q

________ refers to blood in the vomitus

A

hematemesis

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11
Q

the word _______ comes from the greek work for “black” and refers to the passage of black are tarry stools

A

Melena

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12
Q

______ or hidden, blood can only be detected by chemical means

A

Occult

it can be caused by gastritis, peptic ulcers, or lesions of the intestine

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13
Q

what is the most common cancers in the western world

A

adenocarcinoma of the colon and rectum

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14
Q

when is the peak incidence of adenocarcinoma of the colon rectum

A

60s and 70s

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15
Q

what is the progression of adenocarcinoma

A

normal mucosa —->polyp—–>cancer—–>metastatic tumor

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16
Q

what are predisposing factors of adenocarcinoma

A

polyp
long standing UC
genetic factors
low fiber, high animal fat diet

17
Q

where does the defecation reflex begin

A

sigmoid colon and the rectum

18
Q

the defecation reflex does not involve the ________

A

brain