Chapter 16: GI and Urologic Emergencies Flashcards

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1
Q

Remember that the patient is in pain and is probably anxious; he or she requires all your skills of rapid assessment and:

A

emotional support

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2
Q

Diverticulitis occurs in which quadrant?

A

LLQ

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3
Q

An aortic aneurysm will occur in which area of the body?

A

lower back and lower quadrants

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4
Q

When forming a general impression of the patient during the initial assessment, which important “scale” information should be included?

A

AVPU

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5
Q

Use OPQRST to ask the patient what makes the pain better or worse. The “S” stands for:

A

severity of pain

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6
Q

During the baseline vital sign check, the last vital sign to change is:

A

blood pressure

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7
Q

Remember, the condition of a patient with an acute abdomen can change:

A

rapidly from stable to unstable

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8
Q

During the focused physical exam, the first step listed to assess the abdomen is:

A

explain to the patient what you are about to do

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9
Q

Where will you find localization of pain for a patient with a kidney stone?

A

radiating to the genitalia

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10
Q

A bladder infection called cystitis is more common than kidney infection, especially in women. Patients with cystitis usually have ____ pain

A

lower abdominal

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11
Q

When the waste product that is normally excreted into the urine remains in the blood, this can lead to

A

uremia

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12
Q

The type of pain where the patient experiences tenderness when direct pressure is applied but severe pain when that pressure is released is called:

A

rebound tenderness

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13
Q

In which condition does the junction between the esophagus and the stomach tear, causing severe bleeding and potentially death?

A

mallory-weiss syndrome

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14
Q

3 systems in the abdominal cavity

A

GI, reproductive, urinary

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15
Q

the abdominal cavity contains __ and ___ organs

A

solid and hollow

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16
Q

the liver, spleen, pancreas, kidneys and ovaries are ___ organs

A

solid

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17
Q

the gall bladder, stomach, SI, LI, and urinary bladder are __ organs

A

hollow

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18
Q

an injury to a solid organ will cause

A

shock and bleeding

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19
Q

breach into a hollow organ will cause

A

contents to leak and contaminate the abdominal cavity

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20
Q

function of the GI system

A

digestion

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21
Q

digestion begins when

A

food is put into the mouth and chewed

22
Q

the ___ is the main organ of the digestive system

A

stomach

23
Q

the liver aids in

A

digestion

24
Q

the liver secretes

A

bile

25
Q

the liver also stores ____ and filters toxins

A

glucose

26
Q

the gallbladder stores

A

bile

27
Q

the ___ is where digestive juices from the pancreas and liver mix

A

SI

28
Q

the ____ is where water is absorbed and stool is formed

A

LI/colon

29
Q

the spleen has to ___ and filters ___

A

no digestive function and filters blood

30
Q

the ____ controls discharge of waste material filtered from blood by kidneys

A

urinary system

31
Q

____ are retroperitoneal

A

kidneys

32
Q

the kidneys regulate ___ and ___

A

acidity and BP

33
Q

the average adult forms ___ L of urine a day

A

1.5-2

34
Q

the _____ is the membrane that lines the abdominal cavity

A

parietal peritoneum

35
Q

the ______ is the membrane that covers organs

A

visceral

36
Q

____ is the sudden onset of abdominal pain

A

acute abdomen

37
Q

peritonitis usually causes

A

ileus

38
Q

___ is the paralysis of muscular contractions in the intestines

A

ileus

39
Q

acute pain, nausea, vomiting, and distended abdomen are signs of

A

peritonitis

40
Q

____ is the inflammation of abnormal pockets at weak areas in lining of the colon

A

diverticulitis

41
Q

____ is gallbladder inflammation

A

cholecystitis

42
Q

cholecystitis pain is in

A

RUQ

43
Q

functions of the ___:

  • part of the lymphatic system
  • filters blood
  • RBC development
  • blood reservoir
A

spleen

44
Q

perceiving pain at a distant point of the body

A

referred pain

45
Q

___ is inflammation of the appendix

A

appendicitis

46
Q

appendicitis is characterized by

A

rebound tenderness

47
Q

acute adrenal failure is a

A

sudden decrease in function (can be reversed)

48
Q

chronic renal failure is

A

progressive over months and years

49
Q

chronic renal failure is often caused by

A

diabetes or high BP

50
Q

3 main causes of hernia

A

congenital defect
surgical wound that didn’t heal properly
natural weakness

51
Q

muscle spasms of the abdomen causes

A

guarding