Alimentary / GI System Flashcards
Esophagus lies _____ to the trachea.
posterior
Esophagus is made out of ___________, and ____________ muscle.
skeletal, smooth
Skeletal muscle is voluntary or involuntary?
voluntary
Smooth muscle is voluntary or involuntary?
involuntary
Esophageal atresia
malformation of esophagus
fistula
abnormal passageway connecting two organs
atresia
absence of opening
mastication
chewing
deglutition
swallowing
First step of digestion
mastication (chewing)
dysphagia
difficulty swallowing
esophageal varices
swollen, varicose veins at the distal (lower) end of the esophagus
esophagitis
inflammation of the esophagus
GERD
gastro-esophageal reflux disease
esophageal reflux
(chronic) return of stomach contents into the esophagus
linx ring
many patients who suffer from GERD often get a “linx ring”, which acts like a closing passage way & stretches to allow food, and closes to ensure no reflux
esophageal diverticula
outpouchings of the esophageal wall
- mushroom looking
Zenker’s (esophageal diverticula)
outpouchings in the top/ proximal esophagus
Midesophageal (Traction) Diverticula
outpouchings in the mid esophagus
Epiphrenic diverticula
outpouching found in the lower/ distal esophagus
diverticula
one
diverticulum
multiple (2+)
divertriculitis
multiple (2+) and inflammed
esophageal achalasia
an abnormal condition in which the lower esophageal sphincter fails to relax properly due to SWELLING or OBSTRUCTION and prevents food from going into stomach “blockage”
perforation
tear in the muscle lining of the duodenum
Mallory-Weiss syndrome (“Apple Core” effect)
a tear or laceration of mucous membrane where stomach & esophagus meet
If pt is in LPO position, where is barium and where is air located in the stomach?
Barium in the fundus (top)
Air in the pylorus ( bottom)
If pt is in RAO position, where is barium and where is air located in the stomach?
Air in fundus (top)
Barium in pylorus (bottom)
If pt is in AP position, where is barium and where is air located in the stomach?
Barium in the fundus (top)
Air in the pylorus ( bottom)
If pt is in PA position, where is barium and where is air located in the stomach?
Air in fundus (top)
Barium in pylorus (bottom)
If pt is in Right Lateral position, where is barium and where is air located in the stomach?
Air in fundus (top)
Barium in pylorus (bottom)
If pt is in Left Lateral position, where is barium and where is air located in the stomach?
Barium in the fundus (top)
Air in the pylorus ( bottom)
RAO:
Barium in ____
Air in _____
Barium in pylorus
Air in fundus
LPO:
Barium in ____
Air in ____
Barium in fundus
Air in pylorus
AP:
Barium in ____
Air in ____
Barium in fundus
Air in pylorus
PA:
Barium in ____
Air in ____
Barium in pylorus
Air in fundus
Left Lateral
Barium in ____
Air in ____
Barium in fundus
Air in pylorus
Right Lateral
Barium in ____
Air in ____
Barium in pylorus
Air in fundus
Best position to lie down when stomach is full?
RAO
gastritis
inflammation of the stomach
gastroentroitis
inflammation of the stomach and small bowel lining
Peptic Ulcer Disease (PUD)
Chronic irritation, burning pain, and possibly form an ulcer
- involves stomach (lesser curvature) and duodenum
- caused by the action of acid and enzyme pepsin secreted by the stomach
gastric ulcer
ulcer located in the stomach
- can be benign (not dangerous)
- can be malignant (dangerous)
hiatal hernia
a condition in which a portion of the stomach protrudes upward into the chest, through an opening in the diaphragm
inguinal hernia
bowel goes through inguinal muscle into scrotum
How long is small intestine?
18-20 ft
How long is duodenum?
10 inches
How long is the jejunum?
8 ft
How long is ileum?
10-12 ft
Duodenum is..
A - Superior
B - In the middle
C - Inferior
A - Superior
Jejunum is…
A - Superior
B - In the middle
C - Inferior
B - In the middle
Ileum is…
A - Superior
B - In the middle
C - Inferior
C - Inferior
crohn’s disease
a chronic autoimmune disorder that is most often found in the ileum and in the colon
- cobblestone appearance
- AKA regional enteritis
celiac disease
- malabsorption in the small intestine
- sensitive to wheat products
- non-uniform appearance on image
4 Regions of the large intestine
- cecum
- colon
- rectum
- anus
Positive contrast agent:
Barium
Negative contrast agent:
Fizzies (or air)
Which parts of the colon are anterior?
Sigmoid and Transverse colon
Which parts of the colon are posterior?
Ascending colon, descending colon, & rectum
Small Bowel Obstruction (SBO)
blockage in the intestinal tract
partial bowel obstruction includes…
liquid, stool, and gas (may pass)
complete bowel obstruction
prevents passage of all contents and fluid through the bowel, nothing will be able to pass
What are two ways we can identify the ileus?
- step ladder affect
- stacked coin appearance
intussusception
(SMALL OR LARGE) bowel folds in on itself
- in some cases small intestine can fold into the colon
volvulus
(SMALL OR LARGE) bowel twist on itself; torsion
ulcerative colitis
chronic inflammation of the colon with presence of ulcers
- tube like appearance
- no haustral markings