ch 13 lecture Flashcards

1
Q

Small bowel is how long

A

15-23 feet in length

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2
Q

Shortest, widest, and most fixed part of the small intestine

A

duodenum

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3
Q

Where is duodenum located

A

Mostly in RUQ and a little in LUQ (1/5 of small bowel)

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4
Q

Springy, tight & circular fold, coiled- feathery appearance

A

Jejunum

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5
Q

Where is jejunum located

A

Makes up 2/5 of small bowel. Starts at duodenjejunal junction which is located in the LUQ under transverse colon

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6
Q

What are the small finger like projections in the jejunum

A

villi

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7
Q

Has a smoother and less feathery appearance than jejunum

A

Ileum

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8
Q

Where is ileum located

A

Some in the RUQ and then mostly in LLQ and RLQ. 3/5 of small bowel.

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9
Q

The terminal ileum joins large intestine at ____

A

ileocecal valve

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10
Q

Ileocecal valve sphincter controls what

A

dumping of contents into cecum and prevents reflux

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11
Q

Diameter is larger than small intestine and is located around the periphery of the abdomen

A

Large intestine

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12
Q

3 band muscles in large intestine

A

Taeniae coli

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13
Q

Drapes/pouches that pull the colon up

A

haustra

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14
Q

A large pouch located inferior to the ileocecal valve

A

cecum

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15
Q

What is attached to the cecum and is a small wormlike tube

A

Appendix

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16
Q

Vermiform means

A

wormlike

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17
Q

4 parts of colon

A

Ascending, transverse, descending, sigmoid

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18
Q

Part that ascends towards the liver, ends at the hepatic flexure

A

Ascending colon

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19
Q

Located horizontal from the hepatic flexure to the splenic flexure

A

Transverse colon

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20
Q

Located from the splenic flexure and travels down to the sigmoid colon

A

Descending colon

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21
Q

The last part of the colon which then turns into the rectum

A

Sigmoid colon

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22
Q

Goes from the sigmoid to the anus

A

Rectum

23
Q

How long is the rectum

A

4.5 inches long

24
Q

Final 1.5 inches of the intestine which terminates at the anus.

A

Anal canal

25
Q

Function of small & large intestine

A

Digestion, absorption, reabsorption, and elimination

26
Q

What function does small intestine do

A

Mostly digestion, absorption, and reabsorption

27
Q

What function does large intestine do

A

Mostly elimination

28
Q

Studies the form and function of the small bowel system. Must be timed in order to check on the function

A

Small Bowel Series (Small bowel follow through)

29
Q

Contraindications of Small bowel follow through

A

perforated bowel, bowel obstructions, pregnancy

30
Q

If barium has reached the _____ fluoro is performed and spot films taken

A

ileocecal valve

31
Q

Why are patients encouraged to walk the halls

A

Get their bowels to move the barium better

32
Q

Prelim shot for small bowel

A

Part of chest & abdomen

33
Q

Why are prone shots taken for small bowel

A

Spreads the intestines

34
Q

If UGI is taken along with small bowel, you start the time when?

A

First cup of barium has been drank

35
Q

Injection of a nutrient or medicinal liquid into the bowel

A

Enteroclysis

36
Q

Nasogastric tube is passed through the patient’s nose through the esophagus, stomach, and duodenum, and into the jejunum

A

Intubation

37
Q

Contraindications of barium enema

A

perforated bowel, bowel obstructions, pregnancy

38
Q

Single contrast BE has what kind of barium mixture

A

Thin

39
Q

Patient prep for BE

A

laxatives, KUB, prepare for enema

40
Q

What should be ready before calling in the doctor

A

Barium bag, tip lubricated, trash can, paddles, gloves, towels/washcloths, gowns, shield

41
Q

What is a barium boat

A

Catches the barium- plastic bottom that is blown up with O2 tank (looks like an inner tube)

42
Q

Why should you check the enema balloon

A

It may not inflate once in the patient, or it may burst

43
Q

What position is patient in for insertion

A

Sims

44
Q

How do you drain the barium

A

Put bag in trash and have patient lay on left side so barium flows out

45
Q

What happens if you release tip on the toilet instead

A

Pressure hasn’t been released so barium will get on you

46
Q

Rectal shot single barium

A

Left lateral- shoot tube to bucky with them laying on left side

47
Q

Rectal shot double barium

A

Have them lay supine or prone and shoot cross table

48
Q

Single BE bag

A

Powder barium & H2O

49
Q

Double contrast BE has what kind of barium

A

Thick

50
Q

What is the difference between double and single

A

Everything the same except double contrast media and bag, tip, and overheads

51
Q

Study of anus and rectum that is conducted during the evacuation and defecation

A

Defecography

52
Q

Possible Single BE shots

A

Scout, Fluoro, AP/PA or both, Sigmoid, Left Lateral

53
Q

Possible Double BE shots

A

Scout, Fluoro, AP/PA or both, obliques, sigmoid, Right Decub, Left Decub, Ventral/Dorsal Rectrum Decub