Acute Abdomen Flashcards
What are the 2 main chemicals at work in the lumen of the stomach
Hydrochloric Acid from parietal cells
Pepsin (from pepsinogen secreted by chief cells)
What do hydrochloric acid and pepsin do in the lumen of the stomach
What are the 3 hormones that stimulate parietal cells
Gastrin, Histamine, & acetylcholine
What do gastrin, histamine, & acetylcholine do
What is the site of most small intestine absorption
duodenum
What is responsible for most of the chemical digestion and regulates the rate of stomach emptying
duodenum
What are the hormones of the small intestine
Secretin & cholecystokinin
What to secretin and cholecystokinin do
What is responsible for absorbing remaining water from undigested food matter, transporting undigested food, and absorbing vitamins produced by bacteria
large intestine
List the hormones of the pancreas (islets of langerhans)
insulin, glucagon, & somatostatin
What is insulin produced by and what does it do
produced by beta cells to decrease blood glucose levels
what is glucagon produced by and what does it do
produced by alpha cells and increases blood glucose levels
what is somatostatin produced by and what does it do
produced by delta cells and suppresses release of GI hormones
Describe conjugated bilirubin
Describe unconjugated bilirubin
Describe the etiology & RFs for esophagitis
Describe the clinical presentation of esophagitis
Describe the diagnostic testing of esophagitis
Describe the treatment for esophagitis
Describe the etiology of Boerhaave’s syndrome
Describe the presentation of Boerhaave’s syndrome
Describe the diagnostic testing for boerhaave’s syndrome
Describe the treatment for boerhaave’s syndrome
Describe the etiology of mallory-weiss tear
Describe the presentation of mallory-weiss tear
Describe the diagnostic testing for a mallory-weiss tear
Describe the treatment of a mallory-weiss tear
Describe the etiology & RFs of esophageal varices
Describe the presentation of esophageal varices
Describe the diagnosis & treatment for esophageal varices
Describe the presentation of distal/diffuse esophageal spasm
Describe the diagnostic testing for distal/diffuse esophageal spasm
Describe the treatment for distal/diffuse esophageal spasm
list the definition and etiology of gastritis
describe the presentation of gastritis
Describe the diagnostic testing and treatment for gastritis
Describe the etiology of peptic ulcer disease
Describe the presentation of peptic ulcer disease
Describe the diagnostic testing and treatment for peptic ulcer disease
Describe zollinger ellison syndrome
Describe proton pump inhibitors (list 3, MOA, side effects, interactions)
Describe H2 receptor antagonists (list 3, MOA, side effects, interactions)
Describe misoprostol use, MOA, CIs
Describe antacid MOA
neutralizes acid and prevents pepsinogen to pepsin conversion
Describe bismuth compounds (pepto bismol)
Describe sucralfate
Describe the etiology and epidemiology of pyloric stenosis
Describe the clinical presentation of pyloric stenosis
Describe the diagnosis and treatment of pyloric stenosis
Describe the etiology & RFs for cholecystitis
Describe the presentation of cholecystitis