Abdomen/Upper GI Flashcards

1
Q

what is the purpose of the GI tube

A

decompression feeding (gavage)
Lavage (cleaning)
Gastric analysis

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2
Q

what is the most common N-G tube

A

salem sump

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3
Q

whats the difference between a PEG and PEJ tube

A

percutaneous endoscopic gastrostomy
PEG- ends in stomach
PEJ- ends in jejunum

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4
Q

describe achalasia

A

failure of esopho-gastric sphincter to open
food fills esophagus

S/SX: nocturnal regurgitation of undigested foods

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5
Q

what % of patients have RLQ pain

A

96%

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6
Q

S/Sx of appendicitis

A

anorexia
RLQ pain

looks like fecolith -fecal stone (radiopaque)

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7
Q

what causes ascites & treatment

A

cirrhosis
Liver Ca
hepatitis

additive pathology

diuretics, shunts, drainage

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8
Q

describe atresia

A

congenital
dead end of tubular structure

Double bubble stomach (frequent fistulas)

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9
Q

describe cholelithiasis and S/Sx

A

gall/bile stones
less than 15% show up

abodomen, right shoulder, or mid scapula pain

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10
Q

describe ulcerative colitis & S/Sx

A

inflammation and ulcerations in the colon mucosa
S/sx: abdomen pain, diarrhea, hematochezia

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11
Q

where is colon cancer most common and what does it look like

A

most common in the rectosigmoid area looks like apple core

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12
Q

describe an inguinal hernia

A

bowel going through abdominal wall (pushed out belly button)

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13
Q

describe gastroenteritis

A

inflammation of the lining of the stomach and or small bowel

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14
Q

describe hirschsprung disease & S/Sx

A

lack of innervation of colon
aganglionic- lack of nerves cause muscle to move poop

Obstipation

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15
Q

describe intussusception & S/sx

A

telescoping of the bowel
idopathic

obstruction and ischemia

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16
Q

describe an ileus obstruction & S/Sx

A

adynamic
failure of normal peristalsis

idiopathic
stacked coins
NV, abdominal discomfort

17
Q

describe colon polyps

A

Tissue neoplasia projecting into lumen of bowel

18
Q

describe chrons disease

A

Irritable bowel syndrome
aka regional enteritis

affects section of bowel

looks like cobble stones on barium studies

19
Q

describe ulcers & S/Sx

A

erosions of stomach and small bowel

pain
nausea
coffee ground emesis
hematochezia

20
Q

describe volvulus

A

twisting of bowel loop
common in elderly

21
Q

describe zenkers (freddy) diverticulum

A

diverticulum in back of throat