Chapter 3 Flashcards
abdomn
abdomen
acr
point
acu
sharp, severe
aden
gland
adip
fat
amni
amnion
angi
vessel
arteri
vessel
arthr
joint
axill
armpit
bi
life
blephar
eyelid
bronch
bronchial tubes
chron
time
col
colon
cyst
urinary bladder
encephal
brain
erythr/o
red
hem
blood
hepat
liver
hydr
water
inguin
groin
isch
to hold back
lapar
abdomen
laryng
larynx
leuk
white
lymph
lymph
mamm
breast
mast
breast
morph
shape, form
muc
mucus
my
muscle
myel
spinal cord
necr
death
nephr
kidney
neuro
nerve
neutro
neutrophil
nucle
nucleus
opthalm
eye
oste
bone
ot
ear
path
disease
periton
peritoneum
phag
to eat, swallow
phleb
vein
plas
formation
pleur
lung
pneumon
lungs
pulmon
lungs
radi
x rays
rect
rectum
ren
kidney
rhin
nose
sarc
flesh
splen
spleen
staphyl
clusters
strept
twisted chains
thorac
chest
thromb
clot
tonsill
tonsils
trache
trachea
ven
vein
cele
hernia
types of hernias
Hiatal, Inguinal, Umbilical, Omphalocele, Rectocele, Cystocele
hiatal hernia
portion of the stomach periodically (if sliding) pushing up through space in diaphragm into the thoracic cavity and return to abdominal cavity
why are hiatal hernias bad?
pain to pt, reflux
inguinal hernia
defect in inguinal canal(where spermatic cord enters into scrotum) - part of bowel protrudes through defect
pt complaints of inguinal hernia
lower abd pain, testicular pain (test by having pt bend over/cough - provider feels for hernia push against hand)
umbilical hernia
in developing baby contents pass through umbilical space (usually with defect or weakness)
ophalocele
most/all of abd contents have protrudes through opening and living outside baby’s abdomen. must be surgically corrected
cystocele
protrusion of bladder onto the urinary area and pushing onto urethra. Causes pressure onto vaginal canal. Pt complaints of incomplete emptying of bladder, leakage. Can be corrected
rectocele
rectum is protruding and putting pressure on vaginal canal. Pt complaints of constipation
amniocentesis
amniotic fluid is removed with a needle from the sac, analyzed for karyotyping/genetic abnormalities/infection/defects. Early as 10 wks of pregnancy.
amnion sac
sac that surrounds the embryo
risk of amniocentesis
loss of pregnancy
steps to get to amniocentesis
pt gets a US (family history suggests as well)
Needle passed through cavity into amniotic sac, fluid is withdrawn, fluid is tested
Corionic Villus Sampling
aspiration of a small amount of tissue from the chorion of the placenta. (done at 8 weeks). Less invasive. faster results
reasons to get amniocentesis
preparation, know for risks/defects/type of delivery/etc.
streptococcus
berry shaped bacterium, grows in twisted chains
staphylococci
berry shaped bacterium, grow in small clusters like grapes
diplococci
berry shaped bacterium, organized into pairs
Neisseria Gonorrhea
type of diplococci
causes gonorrhea – an STI
morphology of Neisseria Gonorrhea
gram negative diplococci with adjacent side concave or pear shaped - seen intracellularly
Erthrocytes
red blood cells - made in bone marrow
carry oxygen to tissues - contains hemoglobin
anemia S/S
SOB w Exertion
leukocytes
WBC, many types
eosinophils
granulocyte
stain red - most active in allergic or parasite disorders, 3% total leukocytes
basophils
granulocyte
stain blue, help with inflammation, rare
neutrophil
granulocyte
stain blue and red, phagocyte - engulf/eat bad stuff, 60% leukocytes, polys/polynucular cells
lymphocytes
agranulocyte
make Ab - attach to foreign cells, B/T Cells
Monocytes
agranulocyte
destroy cell debris, become macrophage
platelet (thrombocyte)
clotting
CBC
blood test via venipuncture
assess all cell types, can be done with differential (more info)
leukocytosis
abnormal condition of an increase in number of WBC
not a disease - SIGN of illness, occurs in MANY conditions (viral/bact/parasitic/fungal infxn, cancer, hemorrhage, exposure to Rx)
Leukemia
abnormal increase in cancerous WBC (different from leukocytosis)
pt present with sudden acute illness
acute leukemia
pt asymptomatic for month-year
chronic leukemia
fever, chills, extreme weakness/fatigue, infxn
Anemia
“no blood”
Reduction in # of RBC
types of anemia
Sickle cell, iron deficiency, autoimmune, etc (all have different Tx)
Aplastic Anemia
bone marrow fails to produce erythrocytes, leukocytes, thrombocytes
50% idiopathic, can be from toxic exposure, radiation, drugs, virus
anemia categorization
MCV (mean corpuscular volume)
MCV
tells you size of the cell
normocytic
normal size of cell (test for anemia) - chronic disease, Early IDA, hemoglobinopathies, primary marrow disease, deficiencies,
microcytic
iron deficient, chronic infxns, thalassemias, hemoglobinopathies, sideroblastic anemia
macrocytic
megaloblastic, liver disease/alcohol/hemoglobinopathies, metabolic disease,
ischemia
holding back of blood from portion of body
cause of ischemia
mechanical injury to blood vessel, blood clots, gradual occlusion (2nd to atherosclerosis)
common type of ischemia
myocardial ischemia (secondary to atherosclerosis)
splenomegaly
organ in LUQ, made of lymph/bl vessels
disposes of dying RBC and manufactures WBC, can be enlarged with infection and other medical conditions
splenectomy
spleen removal
more susceptible to illness due to decreased WBC, recommend specific vaccines for these pts
important about spleen
LARGE blood supply - don’t want to injure this
cause of splenomegaly
mononucleosis, leukemia, cancer
Achondroplasia
Inherited disorder
bones of arms and legs fail to grow to a normal size secondary to a defect in cartilage and bone
type of dwarfism
pts will have short limbs, typical size head and body - typical intelligence
how is achondroplasia dx
in utero by ultrasound
ptosis
eyelid muscles are weak, pt cannot keep eye open
blepharoptosis
laparoscopy
minimally invasive
telescope inserted into abd for surgery
abd distended with CO2
other small incisions are made in abd for insertion of other instruments
indications for laparoscopy
cholecystectomy, hysterectomy, appendectomy, tubal ligation, nissen fundoplication, exploratory surg
other names for laparoscopy
peritoneoscopy, minimally invasive surg
tracheotomy
incision (to cut into) into the trachea
tracheostomy
opening the trachea, indwelling tube placed
tonsillitis
inflammation of tonsils
viral or bacterial
streptococcal pharyngitis is common
tonsils appear enlarged (erythematous, exudates)
tonsillectomy
surgical removal of the tonsils
exudates
tonsils stones
adenoids
means resembling glands - neither endocrine or exocrine
lymphatic tissue in pharnyx close to nose and nasal passages
adenoids removal indications
enlargement = blockage
pain
adenoidectomy
removal of adenoids