Chapter 18 - Gastrointestinal And Ironic Emergencies Flashcards

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1
Q

_____________ pain is a common complaint.

A

Abdominal

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2
Q

The cause of abdominal pain is often ____________ to identify.

A

Difficult

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3
Q

Abdominal cavity contains __________ and _________ organs that make up 3 systems.

A

solid

Hollow

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4
Q

Name the 3 systems that make up the abdominal cavity.

A

Gastrointestinal system
Genital system
Urinary system

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5
Q

Name the solid organs in the abdominal cavity.

A
Liver
Spleen
Pancreas
Kidneys
Ovaries in women
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6
Q

Injury to a solid organ can cause _____ and ________.

A

shock

Bleeding

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7
Q

Hollow organs in the abdominal cavity are

A
Gallbladder
Stomach
Small intestine
Large intestine
Urinary bladder
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8
Q

If there is a perforation of hollow organs, the contents will _______ and ______ the abdominal cavity.

A

leak

Contaminate

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9
Q

The gastrointestinal system is responsible for what process?

A

Digestion

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10
Q

When does digestion begin?

A

When food is put into the mouth and chewed.

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11
Q

The ________ glands secrete saliva and begin to break food down.

A

Salivary glands

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12
Q

Food travels down the esophagus to the __________.

A

Stomach

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13
Q

The_________ is the main organ of the digestive system.

A

Stomach

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14
Q

The ___________ juices break down food in the stomach.

A

Gastric

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15
Q

The________ stage in digestion.

A

Liver

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16
Q

The liver secretes _____ to aid in digestion of fats.

A

Bile

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17
Q

The liver filters _____ substances produced by digestion.

A

Toxic

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18
Q

The liver creates ___________ stores.

A

Glucose

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19
Q

The liver produces substances necessary for _____ ______ and ________ ________.

A

Blood clotting

Immune function

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20
Q

The gallbladder is reserved for ______.

A

Bile

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21
Q

Three sections of the small intestine are ________, ___________, and __________.

A

Duodenum
Jejunum
Ileum

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22
Q

The ________ is where digestive juices from a pancreas and liver mixed

A

Duodeum

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23
Q

The pancreas secretes __________ that break down startches, fats, and proteins.

A

enzymes

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24
Q

The pancreas releases __________ which is responsible for breaking down starches into sugars.

A

amylase

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25
Q

__________________ is produced in the pancreas - it neutralizes stomach acid in the duodenum.

A

Bicarbonate

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26
Q

_________ is also produced in the pancreas. It relgulates the amount of glucose in the bloodstream.

A

Insulin

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27
Q

__________ plays a major role in absorbtion of digestive products.

A

Jejunum

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28
Q

Jejunum does much of the work in the __________ intestine.

A

small

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29
Q

The ________ absorbs nutrients that were not absorbed before the liver and Jejunum.

A

Lleum

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30
Q

The ________ absorbs bile acid so they can be returned to the liver for future use and vitamin B12 for making nerve cells and red blood cless.

A

Illeum

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31
Q

The _______ is part of the large intestine.

A

Colon

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32
Q

Food not broken down and used moves into the colon as a ________ product.

A

waste

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33
Q

__________ moves the waste matter through the intestines.

A

Peristalsis

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34
Q

Water is __________ and stool is formed as it passes through the the rectum to the anus and is defecated.

A

absorbed

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35
Q

The ________ is located in the abdomen but has o digestive function.

A

spleen

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36
Q

The spleen is part of the ___________ system.

A

lymphatic

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37
Q

The spleen plays a significant role in relation to red blood cells and ________ system.

A

immune

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38
Q

The spleen assists in __________ of blood.

A

filteration

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39
Q

The spleen aids in development of _____ ______ _____.

A

red blood cells

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40
Q

The spleen serves as blood ________.

A

reservoir.

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41
Q

The spleen produces ________.

A

antibodies

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42
Q

The _________ system holds reproductive organs.

A

genital

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43
Q

Name the parts of the male reproductive system.

A
testicles
epididymis
vas deferentia
seminal vesicles
prostate gland
penis
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44
Q

Name the parts of the female reproductive system.

A
ovaries
fallopian tubes
uterus
cervix
vagina
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45
Q

The _________ system controls discharge of certain waste materials filtered from blood by the kidneys.

A

urinary

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46
Q

Name the solid organs in the urinary system.

A

kidneys

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47
Q

Name the hollow organs in the urinary system.

A

ureters
bladder
urethra

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48
Q

There are ______ kidneys, _____ on each side.

A

two

one

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49
Q

The _________ lie on the posterior muscular wall of the abdomen behind the peritoneum in the retroperitoneal space.

A

kidneys

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50
Q

The _______ play an important role in the regulation of acidity and blood pressure.

A

kidneys

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51
Q

The ________ rid the body of toxic waste.

A

kidneys

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52
Q

The _________ controle balance of fluid and electrolytes.

A

kidneys

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53
Q

Blood flow is ______ in kidneys.

A

high

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54
Q

_________ join each kidney to the bladder.

A

Ureters

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55
Q

_________ are small, hollow, muscular tubes.

A

Ureters

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56
Q

Peristalsis moves ________ to the bladder.

A

urine

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57
Q

The urinary bladder is located immediately behine the ______ _________.

A

public symphysis

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58
Q

The bladder empties to the outside of the body through the _________.

A

urethra

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59
Q

Male: Urethra passes from the anterior base of the bladder through the _______.

A

penis

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60
Q

Female: Urethra opens at the front of the _______.

A

vagina

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61
Q

Normal adults form ___ to ___ L of urine per day.

A

1.5 - 2

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62
Q

The abdominal cavity is lined by a membrane called the _________.

A

peritoneum

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63
Q

The peritoneum also covers organs of the _______.

A

abdomen

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64
Q

The parietal peritoneum lines the walls of the __________ _______.

A

abdominal cavity

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65
Q

The Visceral peritoneum covers the ________.

A

organs

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66
Q

The presence of foreign material (blood, pus, bile, pancreatic juice, amniotic fluid_ can irritate the peritoneum, causing _________.

A

peritonitis

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67
Q

Acute abdomen refers to the sudden onset of ____________ pain.

A

abdominal

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68
Q

Acute abdomen is often associate with severe, progressive problems requiring ________ __________.

A

medical attention

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69
Q

Peritonitis (inflammation of the peritoneum) typcially causes ________.

A

ileus

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70
Q

_________ is paralysis of the muscular contractions that normally propel material through the intestine.

A

Illeus

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71
Q

Retained gas and feces in the intestine can casue _______ __________.

A

abdominal distention

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72
Q

In the presence of IIleus, the stomach can only empty itself by __________.

A

vomiting (emesis)

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73
Q

Peritonitis is frequently associated with ________ and _______.

A

Nausea

vomiting

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74
Q

Peritonitis is associated with loss of _____ ______ into the abdominal cavity.

A

Bodily fluid

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75
Q

A patient with peritonitis may present with _____________ and ____________.

A

tachycardia

hypotension

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76
Q

When peritonitis is accompanie by hemorrgage, look for signs of _________.

A

shock

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77
Q

____________ is the inflammation in small pockets at weak areas in the muscle walls.

A

Diverticulitis

78
Q

A ________ may be present in diverticulitis or gallbladder inflammation

A

fever

79
Q

Cholecystitis is inflammation of the _____________.

A

gallbladder

80
Q

Acute appendicitis, the patient’s temperature may be within normal limits until it ________.

A

ruptures

81
Q

Two different types of _______ supply the peritoneum.

A

nerves

82
Q

Abdominal pain can have different _________.

A

qualities

83
Q

The perietal peritoneum is supplied by the same nerves that supply the skin of the _________.

A

abdomen

84
Q

The ________ peritoneum can perceive pain, touch pressure, heat and cold - can easily identify and localize a point of irritation.

A

parietal

85
Q

The ___________ peritoneum is supplied by the autonomic nervous system.

A

visceral

86
Q

The __________ peritoneum nerves are far less able to localize sensation - patients will not be able to describe exactly where the pain is (referred pain).

A

visceral

87
Q

11 common causes of acute abdomen

A
ulcers
gallstones
pancreatitis
appendicitis
gasrointestinal hemorrhage
esophagitis
esophageal varices
mallory-wise tear
gastroenteritis
diverticulitis
hemorrhoids
88
Q

________ are caused when the protective layer of mucus erodes, allowing acid to eat into the organ.

A

Ulcers

89
Q

3 causes of peptic ulcers are:

A

Helicobacter pylori infection
chronic use of nonsteroidal anti-inflammatory drugs
alcohol and smoking

90
Q

If ulcers erosion is severe, it can lead to _______ bleeding.

A

gastric

91
Q

Peptic ulcers affect men and women equally but occur more frequently in the ___________ population.

A

geriatric

92
Q

Peptic ulcers are described as burning, gnawong pain in the stomach that subsides or diminishes immediately after ________.

A

eating

93
Q

These are common signs of peptic ulcers.

A

nausea
vomiting
belching
heartburn

94
Q

True or false:

Some ulcers heal without intervention.

A

True

95
Q

The __________ is a storage pouch for digestive juices and waste from the liver.

A

gallbladder

96
Q

______________ may form, and if the blockage does not pass, it can lead to severe inflammation of the gallbladder, called cholecystitis.

A

Gallstones

97
Q

Cholecystitis is a condition in which the wall of the gallbladder is __________.

A

inflamed

98
Q

The gallbladder can ________ in severe cases.

A

rupture

99
Q

______________ presents as a constant, severe pain in the right upper or midabdominal region and may refer to the right upper back, flank, or shoulder area.

A

Cholecystitis

100
Q

_______________ symptoms may appear 30 minutes after a fatty meal and at night.

A

Cholecystitis

101
Q

Symptoms for cholecystitis include the following:

A
nausea
vomiting
indigestion
bloating
gas
belching
102
Q

People at higher risk for developing cholecystitis include:

A
women
older adults
obese people
people of Scandinavian descent
Native American
Hispanic descent
103
Q

___________________ is inflammation of the pancreas.

A

Pancreatitis

104
Q

_______________is caused by obstructing gallstone, alcohol abuse, and other diseases.

A

Pancreatitis

105
Q

Severe pain of pancreatitis is located……..

A

upper left and right quadrants - often radiating to the back

106
Q

Signs and syptoms of ____________ are:

A

nausea
vomiting
abdominal distention
tenderness

107
Q

Pancreatitis may have sepsis or hemorrhage. Look for __________ or ___________.

A

fever

tachycardia

108
Q

______________ is inflammation or infection in the appendix.

A

Appendicitis

109
Q

____________ can cause tissues to die, causing an abscess, peritonitis, or shock.

A

Appendicitis

110
Q

_____________ pain is initially more generalized, dull, and diffuse and may center in the umbilical area - pain later localized to the right lower quadrant.

A

Appendicitis

111
Q

Signs and symptoms of appendicitis are:

A
nausea
vomiting
anorexia
fever
chills
rebound tenderness
112
Q

What is rebound tenderness?

A

result of peritoneal irritation

assessed by pressing down gently and firmly on abdomen (paitent will feel pain when the pressure is released)

113
Q

________________ ______________ is bleeding within the gastrointestinal tract.

A

Gastrointestinal hemorrhage

114
Q

___________ ____________ can be acute (may be short term and more severe) or chronic (longer duration and less severe).

A

Gastrointestinal hemorrhage

115
Q

True or False: all complains of gastrointestinal hemorrhage should be considered serious.

A

True

116
Q

Gastrointestinal hemorrhage can occur in the _______ or ______ gastrointestinal tract.

A

upper

lower

117
Q

Bleeding in the upper gastrointestinal tract occurs from ___________ to the _________.

A

esophagus

upper small intestine

118
Q

Hematemesis is frequently seen in patients with ________ gastrointestinal bleeding.

A

upper

119
Q

Lower gastrointestinal bleeding occurs between the upper part of the ______ ________ and the ______.

A

small intestine

anus

120
Q

__________ _________ often manifests as melena, or dark tarry stools.

A

Gastrointestinal bleeding

121
Q

_____________ occurs when the lining of the esophagus becomes inflamed by infection or acids from the stomach.

A

Esophagitis

122
Q

What does GERD stand for?

A

Gastroesophageal reflux disease

123
Q

__________ is a condition in which the sphincter between the esophagus and the stomach opens, allowing stomach acid to move up into the esophagus.

A

Gastroesophageal reflux diesease (GERD)

124
Q

What is another name for acid relux disease?

A

Gastroesophageal reflux disease (GERD)

125
Q

Gastroesophageal reflux disease (GERD) can cause a burning sensation within the chest also known as ________.

A

heartburn

126
Q

Patient may report pain in swollowing due to _________.

A

Esophagitis

127
Q

Esophagitis symptoms include:

A

heartburn
nausea
vomiting
sores in the mouth

128
Q

Esophageal varices occur when the amount of pressure within the blood vessels surrounding the esophagus __________.

A

increases

129
Q

When blood flow is blocked in the portal vessels, vessels dilate, causing the capillary network of the esophagus to begin ___________.

A

leaking

130
Q

What is hematemesis?

A

vomiting blood

131
Q

If pressure continues to build in the blood vessels surrounding the esophagus, the vessel walls may fail, causing massive upper gastrointestinal bleeding and _____________.

A

hematemesis

132
Q

Initially, esophagitis patient’s show signs of ________ disease.

A

liver

133
Q

Signs of liver disease are:

A
fatigue
weight loss
jaundice
anorexia
edema in the abdomen
abdominal pain
nausea
vomiting
134
Q

Esophagitis is a _____________ disease process and can take years before the patient feels discomfort.

A

gradual

135
Q

A rupture of varices in Esophagitis is far more sudden and can cause:

A
sudden onset of discomfort in throat
severe difficulty swallowing
vomiting of bright red blood
hypotension
signs of shock
136
Q

__________-_________ syndrome is a junction tear between the esophagus and the stomach

A

Mallory-Weiss

137
Q

Mallory-Weiss syndrome causes severe bleeding and possibly _______.

A

death

138
Q

The primary risk factors of Mallory-Weiss syndrome is _________ and _________.

A

alcholohism

eating disorders

139
Q

Mallory-Weiss syndrome is prevalent in ______ adults and _______ children.

A

older

older

140
Q

__________ is the principal symptom in Mallory-Weiss syndrome.

A

Vomiting

141
Q

Extreme cases of Mallyory-Weiss syndrome show signs and symptoms of:

A

shock
upper abdominal pain
hematemesis
melena

142
Q

___________ is infection combined with diarrhea, nausea and vomiting.

A

Gastroenteritis

143
Q

Gastroenteritis is caused by _______ or _________ organisms which enter the body through contaminated food and water.

A

bacterial

viral

144
Q

Gastroenteritis can be caused by noninfectious conditions such as:

A

adverse medication reactions
toxin exposure
chemotherapy

145
Q

what are the 2 types of gastroenteritis?

A

infectious

noninfectious

146
Q

___________ is the principla symptom in both infectious and noninfectious gastroenteritis.

A

Diarrhea

147
Q

Gastroenteritis signs and symptoms are:

A
large dumping-type diarrhea or frequent small liquid stools
diarrhea containing blood or pus
abdominal cramping
nausea
vomiting
fever
anorexia
148
Q

_____________ was first recognized around 1900 when the amount of processed foods eaten wehre increased.

A

Diverticulitis

149
Q

With diverticulitis, the consistency of stools became more solid, requiring more intestinal contractions, increasing pressure in the ______.

A

colon

150
Q

With diverticulitis ________ in the colonic walls result from increased intestinal contractions.

A

bulges

151
Q

Fecal matter in the colon get caught in bulges, and bacteria gather there, causing ________and ________.

A

inflammation

infection

152
Q

Diverticulitis main symptom is _______ _____ and is located where?

A

abdominal pain

left side, lower abdomen

153
Q

Signs of diverticulitis are:

A
fever
malaise
body aches
chills
nausea
vomiting
154
Q

___________ are created by sweolling and inflammation of blood vessels surrounding the rectum.

A

Hemorrhoids

155
Q

Hemorrhoids may result from conditions that _______ pressure on the rectum or ittitation of the rectum.

A

increase

156
Q

___________ may be caused by increased pressure caused by pregnancy, straining at stool, and chronic constipation.

A

Hemorrhoids

157
Q

With hemorrhoids, _______ can cause irritation.

A

diarrhea

158
Q

____________ present as bright red blood during defecation with minimal bleeding and is easy to control.

A

Hemorrhoids

159
Q

With Hemorrhoids, patients may experience ________ and a small ______ on the rectum.

A

itching

mass

160
Q

Cystitis is __________ inflammation and is common, especially in women.

A

bladder

161
Q

Another name for Cystitis is _____ _____ _____.

A

urinary tract infection (UTI)

162
Q

Cystitis (UTI) is caused by ________ infection.

A

bacterial

163
Q

Cystitis (UTI) pain is felt in the ______ _____ of the abdomen.

A

lower quadrant

164
Q

Cystitis (UTI) may report and urgency and frequency in __________.

A

urination

165
Q

Cystitis (UTI) can become a serious problem if infection spreads to the ________ or ________.

A

urethra

kidneys

166
Q

The _________ play a major role in maintaining homeostasis and eliminate waste from the blood.

A

kidneys

167
Q

When kidneys fail, ______ results.

A

uremia

168
Q

When uremia results, ________ remains in the blood.

A

urea (waste products)

169
Q

Kidney ______ can grow over time and cause blockage.

A

stones

170
Q

Kidney stones are _________ chemicals in the urine.

A

crystallized

171
Q

Kidney stones can cause a blockage which can lead to _________.

A

swelling

172
Q

Kidney stone pain is caused by the stone moving through the _______.

A

ureter

173
Q

What 2 ways are kidney stones removed?

A

on its own

surgically

174
Q

Acute kidney failure is…….

A

sudden decrease in function.

175
Q

Acute kidney failure occurs from:

A
hemorrhage
dehydration
trauma
shock
sepsis
heart failure
medications
drug abuse
kidney stones
176
Q

True or False: Acute kidney failure is reversible with prompt diagnosis and treatment.

A

True

177
Q

This type of kidney failure is irreversible, progressive, develops over months and years, if often caused by diabetes and hypertension, the tissue shrinks and function diminishes, and eventually dialysis or transplant is required to remove waste from the bloodstream.

A

chronic

178
Q

Symptoms of chronis kidney failure is:

A
altered level of consciousness
seizure
coma
lethargy
nausea
headaches
cramps
edema in the extremities and face
179
Q

Femals may have acute abdominal pain in the lower quadrant due to:

A

overies, fallopian tubes, uterus

180
Q

The _________ lies immediately behind the peritoneum.

A

aorta

181
Q

What does AAA stand for?

A

abdominal aortic aneurysm

182
Q

_______ areas can result in abdominal aortic aneurysm (AAA) - which is very difficult to detect. Use extreme caution when trying to access or detect AAA.

A

Weak

183
Q

Development of an abdominal aortic aneurysm is ______. If it tears or ruptures, massive hemorrhage may occur. Pain is described as tearing. Handle patient gently during assessment and transport.

A

slow

184
Q

______________, especially in the lower lungs, can cause ileus and abdominal pain.

A

Pneumonia

185
Q

A ________ is a protrusion of an organ or tissue through a hole or opening into a body cavity where it does not belong.

A

hernia

186
Q

________ can occur as a result of a congential defect (such as around the umbilicus), a surgical wound that has failed to heal properly, a natural weakness in a area (such as the groin).

A

hernia

187
Q

True or False: Hernias always produce a noticeable mass or lump.

A

False

188
Q

______hernias pose little risk and can be pushed back intot he body cavity.

A

Reducible

189
Q

__________hernias cannot be pushed back in and are compressed by surrounding body tissue.

A

Incarcerated

190
Q

______________ of an incarcerated hernia is a serious medical emergency because blood supply is compromised by the compressed surrounding tissue.

A

Strangulation

191
Q

Serious hernia signs and symptoms include:

A

a formerly reducible mass that is no longer reducible
pain at the hernia site
tenderness when the hernia is palpated
red or blue skin discoloration over the hernia