ABD Overview Flashcards
A condition in which the RBC count or the hemoglobin is decreased.
Anemia
Drug therapy in which anticoagulation medications are given to a Pt to slow the rate at which the Pts blood clots.
Anticoagulation therapy
A collection of abdominal fluid within the peritoneal cavity.
Ascites
The cells in the adrenal medulla that secrete epinephrine and norepinephrine.
Chromaffin cells
The information gathered by obtaining a clinical history.
Clinical findings
A Pts signs and symptoms, pertinent illnesses, past surgeries, LAB findings, and the results of other diagnostic testing.
Clinical history
Disorders that result from the bodys inability to coagulate or form blood clots also referred to as bleeding disorders.
coagulopathies
An imaging modality that uses x-ray to obtain cross sectional images of the body in multiple planes; also referred to as CT or CAT scan.
Computed tomography
A sonographic technique employed to evaluate a mass based on its stiffness, ultimately providing a prediction as to whether a mass is more likely malignant or benign.
Elastography
A means of looking inside the body using an endoscope.
Endoscopy
A collection of abdominal fluid within the peritoneal cavity that may be associated with cancer.
Exudate ascites
A distinctive line seen within a cyst representing the layering of two different fluid densities.
Fluid-fluid level
Hormone produced by the stomach lining that is used to regulate the release of digestive acid.
Gastrin
a LAB value that indicates the amount of RBC in the blood.
Hematocrit
The bodys ability or tendency to maintain internal equilibrium by adjusting its physiologic processes.
Homeostasis
A condition that results from the overproduction of thyroid hormones.
Hyperthyroidism
A condition that results from the underproduction of thyroid hormones.
Hypothyroidism
Something located within the lumen or opening of an organ or structure.
Intraluminal
Located within the parietal peritoneum.
Intraperitoneal
Cancer that causes lesions to develop on the skin and other places; often associated with AIDS.
Kaposi sarcoma
An elevated WBC count.
Leukocytosis
disease or enlargement of the lymph nodes.
Lymphadenopathy
Build up of lymph that is most likely caused by the obstruction of lymph drainage.
Lymphedema
The displacement or alteration of normal anatomy that is located adjacent to a tumor.
Mass effect
The space between the liver and the RT kidney; also referred to as the posterior RT subhepatic space.
Morrison pouch
Having many cavities.
Multiloculated
Small solid internal projections of tissue originating from the wall of the cyst.
Mural nodules
Hospital acquired infections.
Nosocomial infections
A diagnostic imaging modality that utilizes the administration of radionuclides into the human body for an analysis of the function of organs or for the treatment of various abnormalities.
Nuclear medicine
Large cells of glandular origin.
Oncocytes
A procedure that uses a needle to drain fluid from the abdominal cavity for diagnostic and/or therapeutic reasons.
Paracentesis
The portion of the peritoneum that lines the abdominal and pelvic cavities.
Parietal peritoneum
Endocrine gland located in the brain that that secretes melatonin.
Pineal gland
A diagnostic imaging modality that uses ionizing radiation for imaging bones, joints, organs, and some other soft tissue structures.
Radiography
Posterior to the peritoneum.
Retroperitoneal
Fluid that is secreted by the serous membrane
Serial fluid
An objective evidence of a disease such as LAB findings and fever.
Signs
Information gathered by performing a sonographic examination.
Sonographic findings
The space between the UB and the pubic bone; also referred to as the retropubic space.
Space of Retzius
A gel pad that is used to provide some distance between the xdcr face and the skin surface, allowing superficial structures to be imaged more clearly.
Standoff pad
Any subjective evidence of a disease such as nausea, weakness, or numbness.
Symptoms
A procedure that uses a needle to drain fluid from the pleural cavity for either diagnostic or therapeutic reasons.
Thoracentesis
Gland of the immune and lymphatic system located in the chest.
Thymus gland
A collection of abdominal fluid within the peritoneal cavity often associated with cirrhosis.
Transudate ascites
Substances produced by cancer cells or organs in response to cancer.
Tumor markers
Having a single cavity.
Unilocular
The portion of the peritoneum that is closely applied to each organ.
Visceral peritoneum
A radiographic examination used to evaluate the lower urinary tract, where a contrast agent is instilled into the UB by means of urethral catheterization.
Voiding cystourethrogram
A congenital disorder that causes a person to retain excess copper
Wilson disease
What is the normal echogenicity of the ABD organs from brightest to darkest:
- renal sinus
- pancreas
- spleen
- liver
- renal cortex
- renal pyramids
- GB
Without echoes (ex: GB, simple renal cyst).
Anechoic
Having both cyst and solid components (ex: hemorrhagic cyst, hepatic cyst).
Complex
Structure that produces echoes (ex: fatty liver, chronic renal disease)
Echogenic
Consisting of different composition (ex: graves disease, diffuse liver metastasis).
Heterogeneous
Consisting of uniform composition (ex: normal liver, normal testicle).
Homogeneous
Having many echoes (ex: cavernous hemangioma, angiomyolipoma).
Hyperechoic
Having few echoes (ex: hepatic adenoma, thyroid adenoma).
Hypoechoic
Having the same echogenicity (ex: focal nodular hyperplasia).
Isoechoic
What are the normal ranges for basic patient care assessment?
- Body temp?
- Adult pulse?
- Adult BP?
- Adult respiration?
Body Temp 98.6 (oral)
Adult pulse 60-100 beats/minute
Adult BP <120/80
Adult respiration 12-20 breaths/minute
What are the 10 vital rules of surgical asepsis to remember?
- Always know which area and items are sterile and which are not.
- If the sterility of an object is questionable, it is considered non sterile.
- If you recognize that an item has become non sterile, act immediately.
- A sterile field must never be left unmonitored, if it is left unattended, it is considered non sterile.
- A sterile person does not lean across a sterile field.
- A sterile field ends at the level of the table top.
- Cuffs on a sterile gown are not considered sterile.
- If one sterile person must pass another, they must pass back-to-back.
- Coughing, sneezing, or excessive talking over a sterile field leads to contamination.
List the 5 intraperitoneal organs:
- GB
- Liver (except for bare area)
- Ovaries
- Spleen (except for hilum)
- Stomach
List the 12 retroperitoneal organs:
- ABD lymph nodes
- Adrenal glands
- AO
- Ascending/descedning colon
- Duodenum
- IVC
- KID
- PANC
- Prostate gland
- Ureters
- UB
- UT
What are the 7 pathologies associated with ascites?
- Acute cholecystitis
- Cirrhosis
- CHF
- Ectopic pregnancy
- Malignancy
- Portal hypertension
- Ruptured AAA
Transitional cell carcinoma is commonly found in all of the following locations except for:
a. liver
b. renal pelvis
c. urinary bladder
d. ureter
a. liver
A PT with cholecystitis most likely has an elevation in which of the following labs?
a. alpha-fetoprotein
b. WBC count
c. lactate dehydrogenase
d. chromaffin
b. WBC count
The neuroblastoma is a malignant pediatric mass commonly found in the:
a. kid
b. liver
c. testicle
d. adrenal gland
d. adrenal gland
What is the substance produced by a cancerous tumor or an organ or structure in response to cancer?
a. oncocyte
b. tumor marker
c. lymphadenopathy
d. homeostatin
d. tumor marker
The pheochromocytoma is a benign mass commonly located in the:
a. testicle
b. thyroid gland
c. adrenal gland
d. liver
c. adrenal gland
A tumor that is of similar echotexture to normal liver tissue is discovered in the liver of an asymptomatic PT, what is the echogenocity of the tumor?
a. echogenic
b. hypoechoic
c. isoechoic
d. hypodense
c. isoechoic
Which of the following is not considered to be an intraperitoneal organ?
a. liver
b. pancreas
c. GB
d. spleen
b. pancreas
Which of the following are not considered retroperitoneal organs?
a. ABD lymph nodes
b. adrenal glands
c. kid
d. ovaries
d. ovaries
What is another name for Morrison pouch?
Posterior right sub hepatic space.
The hypernephroma may also be referred to as:
Renal cell carcinoma
A type of reverberation artifact caused by several small, highly reflective interfaces, such as gas bubbles, describes:
a. mirror image artifact
b. posterior shadowing
c. comet tail artifact
d. ring-down artifact
c. comet tail artifact
The term cholioangiocarcinoma denotes:
bile duct carcinoma
Which of the following occurs when the doppler sampling rate (pulse-repetition frequency) is not high enough to display the doppler frequency shift?
a. doppler noise
b. aliasing
c. mirror image
d. twinkle artifact
b. aliasing
The hepatoma is a:
a. benign tumor of the spleen
b. benign tumor of the liver
c. malignant tumor of the pancreas
d. malignant tumor of the liver
d. malignant tumor of the liver
The hepatoblastoma is a:
a. benign tumor of the pediatric liver
b. malignant tumor of the adult liver
c. malignant tumor of the pediatric liver
d. malignant tumor of the pediatric adrenal gland
c. malignant tumor of the pediatric liver
Which of the following is the space located between the pancreas and the stomach?
a. Morrison pouch
b. lesser sac
c. space of retzius
d. pouch of Douglas
b. lesser sac
What is another name for Wilms tumor?
Nephroblastoma
An angiosarcoma would most likely be discovered in the:
a. rectum
b. GB
c. spleen
d. pancreas
c. spleen
Which of the following is not an endocrine organ or structure?
a. thymus
b. pancreas
c. thyroid
d. spleen
d. spleen
Which of the following is an artifact that alters the echogenicity of the tendon?
a. acoustic enhancement
b. anisotropy
c. ring-down artifact
d. mirror image artifact
b. anisotropy
The gastrinoma would most likely be discovered in the:
a. pancreas
b. adrenal gland
c. stomach
d. spleen
a. pancreas
Which is considered to be an intraperitoneal organ?
a. LT kid
b. AO
c. IVC
d. liver
d. liver
Which of the following is considered to be a malignant testicular neoplasm?
a. neuroblastoma
b. hepatoma
c. yolk sac tumor
d. hamartoma
c. yolk sac tumor
Which of the following is caused by the bending of the ultrasound beam when it passes through an interface between two tissues with vastly dissimilar speeds of sounds and the angle of the approach is not perpendicular?
a. comet tail
b. refraction
c. reverberation
d. acoustic enhancement
b. refraction
These potential spaces extend alongside the ascending and descending colon on both sides of the ABD:
a. paracolic gutters
b. periumbillical gutters
c. greater gutters
d. pericentric gutters
a. paracolic gutters
This common tumor of the kidney consists of blood vessels, muscle, and fat.
Angiomyolipoma
Which of the following is not a salivary gland?
a. thyroid gland
b. parotid gland
c. submandibular gland
d. sublingual gland
a. thyroid gland
Which of the following is not a pediatric malignant tumor?
a. hepatoblastoma
b. neuroblastoma
c. pheochromocytoma
d. nephroblastoma
c. pheochromocytoma
A tumor that consists of tissue from all three germ cell layers is the:
a. pheochromocytoma
b. hamartoma
c. adrenal rest tumor
d. teratoma
d. teratoma AKA dermoid
Which of the following lab values would be most helpful in evaluating a PT who has suffered from recent trauma?
a. WBC count
b. alpha-fetoprotein
c. blood urea nitrogen
d. hematocrit
d. hematocrit
The insulinoma is a:
a. malignant pediatric adrenal tumor
b. benign pancreatic tumor
c. malignant pediatric tumor
d. benign liver tumor
b. benign pancreatic tumor
A tumor that consists of a group of inflammatory cells best describes the:
a. hematoma
b. hepatoma
c. lymphoma
d. granuloma
d. granuloma
A tumor that consists of a focal collection of blood best describes:
a. hematoma
b. hamartoma
c. lipoma
d. angiomyolipoma
a. hematoma
Which of the following is a tumor marker that maybe be used in cases of suspected testicular malignancy?
a. BUN
b. creatinine
c. human chorionic gonadotropin (beta-hCG)
d. calcitonin
c. human chorionic gonadotropin (beta-hCG)
The malignant testicular tumor that consists of trophoblastic cells is the:
a. choriocarcinoma
b. yolk sac tumor
c. teratoma
d. insulinoma
a. choriocarcinoma
What is the artifact most likely encountered posterior to a gallstone?
a. acoustic enhancement
b. shadowing
c. ring-down
d. reverberation
b. shadowing
A collection of ABD fluid within the peritoneal cavity often associated with cancer is termed:
a. transudate ascites
b. chromaffin ascites
c. peritoneal ascites
d. exudate ascites
d. exudate ascites
Which of the following is not a rule of surgical asepsis?
a. if you recognize that an item has become non sterile, act immediately.
b. if one sterile person must pass another, they must pass face to face.
c. a sterile field must never be left unmonitored. if a sterile field is left, it is considered non sterile.
d. a sterile person does not lean across a sterile field.
b. if one sterile person must pass another, they must pass face to face.
Which of the following occurs behind strong, granular, and irregular surfaces like crystals, calculi, or calcifications?
a. tinkle artifact
b. refraction
c. anisotropy
d. side lobes
a. twinkle artifact
Which of the following has both an endocrine and an exocrine function?
a. adrenal glands
b. spleen
c. pancreas
d. duodenum
c. pancreas