Chapter 3 Flashcards

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1
Q

Mucosa

A

Mucous membrane that produces thin mucus. It lines the oral cavity and the entire gastrointestinal system.

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2
Q

Tongue

A

Large muscle that fills the oral cavity and assists with eating and talking, as it mixes food particles with saliva.

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3
Q

Palate

A

Roof of Mouth. Hard palate (bone) and soft palate (posterior soft tissue) form the roof of the oral cavity. The soft palate ends in the fleshy hanging uvula. The soft palate senses food particles in the posterior oral cavity just before they are swallowed.

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4
Q

Pharynx

A
Throat. A passageway for food particles and air. It is between the oral cavity and the esophagus. 
INCLUDES: 
Nasopharynx (posterior to nasal cavity)
Oropharynx (posterior to oral cavity
Laryngopharynx (posterior to larynx)
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5
Q

Oral Cavity

A

The gastrointestinal system begins in the mouth or oral cavity
Lined with mucosa
Contains the teeth, gums, tongue, hard palate, and soft palate.

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6
Q

Alimentary Canal

A

Another name for the gastrointestinal system

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7
Q

Digestive system

A

Another name for the gastrointestinal system.

AKA digestive tract.

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8
Q

Gastrointestinal (GI) system

A

The structures of the gastrointestinal system include the oral cavity (teeth, gums, tongue, hard palate, soft palate), salivary glands (parotid, sublingual, submandibular), pharynx, esophagus, stomach, small and large intestines, rectum, anus, and the accessory organs.

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9
Q

Larynx

A

Structure below the pharynx. It is closed during swallowing when muscles in the neck pull it up to the epiglottis, a lid-like structure, so that swallowed food particles go into the esophagus and stomach.

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10
Q

Cardia

A

First part of the stomach where the stomach joins the esophagus.

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11
Q

Chyme

A

Semisolid mixture of food particles, saliva, and digestive enzymes in the stomach and small intestine.

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12
Q

Esophagus

A

Flexible tube approximately 10 inches in length that connects the pharynx to the stomach. It contains the lower esophageal sphincter.

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13
Q

Fundus

A

Rounded, top part of the stomach

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14
Q

Lower esophageal sphincter

A

Muscular ring at the distal end of the stomach. It closes to keep chyme in the stomach or opens to let chyme flow into the duodenum.

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15
Q

Pyloric Sphincter

A

Muscular ring at the distal end of the stomach. It closes to keep chyme in the stomach or opens to let chyme flow into duodenum.

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16
Q

Pylorus

A

Narrowed, last part of the stomach where it joins the duodenum. It contains the pyloric sphincter.

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17
Q

Rugae

A

Thick, deep folds in the gastric mucosa that expand to accommodate a large amount of swallowed food particles.

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18
Q

Stomach

A

Large, elongated sac in the upper abdominal cavity. It is between the esophagus and the small intestine.

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19
Q

Anus

A

External opening of the rectum. The anal sphincter is under voluntary control.

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20
Q

Appendix

A

Long, thin pouch on the exterior wall of the cecum. It contains lymphoid tissue and is part of the immune response; it does not play a role in digestion.

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21
Q

Cecum

A

Short sac that is the first part of the large intestine.

The appendix is attached to the cecum’s external wall.

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22
Q

Colon

A

Second and longest part of the large intestine. It includes the ascending colon, transverse colon, descending colon and sigmoid colon.

Ascending colon -> Transverse colon -> descending colon -> sigmoid colon

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23
Q

Duodenum

A

The 10-inch, C-Shaped, first part of the small intestine. It is between the stomach and the jejunum.

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24
Q

Ileum

A

Third and final part of the small intestine. It is 12 feet long and is located between the jejunum and the cecum of the large intestine.

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25
Q

Jejunum

A

Second part of the small intestine. It is an 8-foot coiled segment between the duodenum and the ileum.

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26
Q

Haustra

A

Puckered pouches in the intestinal wall that expand to receive large amounts of waste materials.

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27
Q

Large intestine

A

Large, tubular structure in the abdominopelvic cavity. It is about 5 feet in length and is located between the small intestine and the anus. The large intestine includes the cecum, colon, rectum, and anus.
AKA Large Bowel

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28
Q

Lumen

A

Central, open area inside a tubular structure such as the esophagus, small intestine, and large intestine.

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29
Q

Rectum

A

Short, straight segment that is the last part of the large intestine. Between the sigmoid colon and the outside of the body.

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30
Q

Small intestine

A

Long, tubular structure in the abdominopelvic cavity. Between stomach and large intestine.

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31
Q

Villi

A

Thousands of microscopic, thin structures in the mucosa that project into the lumen of the small intestine.

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32
Q

Abdominopelvic Cavity

A

Continuous cavity within the abdomen and pelvis. It contains the largest organs of the gastrointestinal system. Lined with the peritoneum.

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33
Q

Bile

A

Thick, yellow-green digestive enzyme produced by the liver; it flows through the bile ducts and is stored in the gallbladder.
Bile contains the yellow pigment bilirubin, and the green pigment biliverdin.

Bil/i-, Bill/o-, Chol/e-

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34
Q

Bile ducts

A

Bile from the liver flows through the common hepatic duct into the common bile duct.

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35
Q

Gallbladder

A

An accessory organ of the gastrointestinal system.

Teardrop-shaped, dark green sac posterior to the liver.

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36
Q

Liver

A

An accessory organ of the gastrointestinal system. The liver is a large, dark red-brown organ in the RUQ of abdominal cavity. It contains hepatocytes that produce bile.

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37
Q

Mesentery

A

Thick, fan-shaped sheet of peritoneum that supports loops of the jejunum and ileum.

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38
Q

Omentum

A

Broad, fatty covering of peritoneum that supports the stomach and protects the small intestine.

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39
Q

Pancreas

A

Accessory organ of the gastrointestinal system. The pancreas is a yellow, elongated, triangular organ posterior to the stomach.
Secretes amylase, lipase, and protein-digesting enzymes through the pancreatic duct into the duodenum. The pancreas is also a gland of the endocrine system.

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40
Q

Peritoneum

A

Double-layered serous membrane that lines the abdominopelvic cavity and surrounds the gastrointestinal organs.
It secretes peritoneal fluid, a watery fluid that fills the spaces between the gastrointestinal organs,

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41
Q

Absorption

A

Process by which water and fluids in the oral cavity move into the blood that is in blood vessels under the tongue.
Also, in the stomach, water and some liquid/dissolved drugs are absorbed.

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42
Q

Amylase

A

Digestive enzyme in saliva that begins the digestion of carbohydrates in the oral cavity.
Amylase is also secreted by the pancreas, and it further breaks down complex sugar molecules into glucose.

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43
Q

Bile

A

Digestive enzyme released by the gallbladder. Bile breaks down fats in the chyme into small fat globules

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44
Q

Chemical Digestion

A

Digestive process that involves digestive enzymes, acids, and other substances to chemically break down food. It includes emulsification.

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45
Q

Cholecystokinin

A

Hormone produced by the duodenum when it receives fatty chyme from the stomach. Cholecystokinin stimulates the gallbladder to release bile, and it also stimulates the pancreas to secrete its digestive enzymes into the duodenum.

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46
Q

Chyme

A

Semisolid mixture of food particles, saliva, and digestive enzymes in the stomach and small intestine.

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47
Q

Defecation

A

Process by which undigested food fibers, waste materials, and water are eliminated from the body as a bowel movement or feces or stool.
The passage of flatus (Gus) my also occur.

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48
Q

Deglutition

A

Process Of swallowing for particles and moving them into the pharynx.
This is part of mechanical digestion.

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49
Q

Digestion

A

Process of breaking down food into nutrients that can be used by the body.
Digestion begins in the oral cavity and continues throughout the small intestine.

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50
Q

Elimination

A

Process in which food fibers, waste materials, and water are eliminated from the body in a solid form. Also known as defecation.

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51
Q

Emulsification

A

Process in which bile breaks down fats in the chyme into small fat globules. This is part of chemical digestion.

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52
Q

Enzymes

A

Substances that speed up chemical reactions. Enzymes are produces by the salivary glands, stomach, small intestine, and pancreas. An enzyme name usually ends in -ase.

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53
Q

Gastric

A

Hormone produced by the stomach. It stimulates the release of hydrochloric acid and pepsinogen.

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54
Q

Glucose

A

Simple sugar that is the only source of energy that body cells can use

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55
Q

Hydrochloric acid

A

Strong acid produced by the stomach. It breaks down food fibers and converts pepsinogen to pepsin.

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56
Q

Intrinsic factor

A

Substance produced by the stomach. It helps the stomach absorb vitamin B12 from foods.

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57
Q

Lactase

A

Digestive enzyme produced by the small intestine.

It breaks down complex sugar molecules and the sugar in milk to the simple sugar glucose.

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58
Q

Lipase

A

Digestive enzyme secreted by the pancreas.

It breaks down small fat globules into fatty acids.

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59
Q

Mastication

A

The teeth tear, chew, and grind food in the oral cavity. The tongue moves food particles and mixes them with saliva.
This is part of mechanical digestion.

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60
Q

Mechanical digestion

A

Digestive process that involves some type of physical force and movement.
It includes mastication, deglutition, and peristalsis.

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61
Q

Pepsin

A

Digestive enzyme in the stomach that breaks down protein foods.

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62
Q

Pepsinogen

A

Inactive substance produced by the stomach.

It is converted by hydrochloric acid to the digestive enzyme pepsin.

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63
Q

Peristalsis

A

Coordinated waves of smooth muscle contractions of the esophagus, stomach, and intestines.
Peristalsis moves food particles,chyme, waste materials, and water through the gastrointestinal system.
Peristalsis is part of mechanical digestion.

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64
Q

Anorexia

A

Decreased appetite because of disease or the gastrointestinal side effect of a drug.
The patient is aid to be anorexic.

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65
Q

Dysphagia

A

Painful eating or difficulty swallowing. Painful eating can be caused by an infection in the mouth, poorly fitting dentures, or radiation therapy to the mouth for cancer.

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66
Q

Polyphagia

A

Excessive overeating due to an overactive thyroid gland, diabetes mellitus, or a psychiatric illness.
Treatment: Correct the underlying cause.

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67
Q

Glossitis

A

Infection or inflammation of the tongue. This can be caused by a bacterial or viral infection, food allergies, abrasive or spicy foods, or a vitamin B deficiency.

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68
Q

Sialolithiasis

A

A stone (sialolith) forms in the salivary gland and becomes lodged in the duct, blocking the flow of saliva.

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69
Q

Stomatitis

A

Inflammation fo the mucosa in the oral cavity. Stomatitis can be caused by poorly fitting dentures or by an infection.

70
Q

Dyspepsia

A

Mild, temporary epigastric pain, sometimes with gas or nausea.
Also known as indigestion.

71
Q

Esophageal varix

A

Swollen, protruding vein in the mucosa of the esophagus. Liver disease causes blood to back up in the large vein from the intestines to the liver, so the blood takes an alternate route through smaller veins in the esophagus, but eventually these veins become engorged.

72
Q

Gastritis

A

Acute or chronic infection or inflammation of the stomach due to a bacterial infection, spicy foods, alcohol, or excess acid production.

73
Q

Gastroenteritis

A

Acute infection or inflammation of the stomach and intestines.
There is abdominal pain, nausea and vomiting, and diarrhea. It is caused by a virus or a bacterium.

74
Q

Gastroesophageal reflux disease

A

Chronic inflammation and irritation due to reflux of stomach acid back into the esophagus because the lower esophageal sphincter does not close tightly.

75
Q

Heartburn

A

Temporary, mild inflammation of the esophagus due to reflux of stomach acid back into the esophagus

76
Q

Hematemesis

A

Vomiting (emesis) of blood caused by bleeding in the stomach or esophagus.

77
Q

Nausea and Vomiting (N&V)

A

Nauseas is an unpleasant, quesadilla feeling in the stomach. It is caused by infection or inflammation of the stomach or by motion sickness that affects the inner ear. Vomiting or emesis s the expelling of chyme from the stomach through the mouth.

78
Q

Peptic ulcer disease (PUD)

A

Chronic irritation, burning pain, and erosion of the mucosa with the formation of an ulcer. An esophageal ulcer, a gastric ulcer in the stomach, and a duodenal ulcer are all peptic ulcers.

79
Q

Stomach cancer

A

Cancerous tumor of the stomach that begins in glands in the gastric mucosa, and so it is categorized as an adenocarcinoma.

80
Q

Ileus

A

Absence of normal peristalsis in the small and large intestines.

81
Q

Intussusception

A

Telescoping of one segment of intestine inside the lumen of the next segment.There is vomiting and abdominal pain. The cause is unknown.

82
Q

Volvulus

A

Twisting of the intestine around itself. There is vomiting and abdominal pain. Also known as malrotation.

83
Q

Appendicitis

A

Infection and inflammation of the appendix as waste materials become trapped in the lumen of the appendix.

84
Q

Colon cancer

A

Cancerous tumor of the colon. It occurs when colonic polyps or ulcerative colitis become cancerous.

85
Q

Diverticulum

A

Weakness in the wall of the colon where the mucosa forms an abnormal pouch or tube-shaped sac that opens into the lumen of the colon.

86
Q

Gluten sensitivity Enteropathy

A

Autoimmune disorder and toxic reaction to the gluten found in certain grains inflammatory response.
Also known as celiac disease.

87
Q

Inflammatory bowel disease (IBD)

A

Chronic inflammation of various parts of the small and large intestines.

88
Q

Polyposis

A

Condition of numerous polyps. Polyps are small, fleshy, benign or pre-cancerous growths in the mucosa of the colon.

89
Q

Hemorrhoids

A

Swollen, protruding veins in the rectum (internal hemorrhoids) or on the skin around the anus.

90
Q

Proctitis

A

Inflammation of the rectum due to radiation therapy done to treat cancer. It can also be cause by ulcers or infection.

91
Q

Rectocele

A

The wall of the rectum protrudes into the adjacent vaginal wall, causing it to collapse inwardly and block the vaginal canal in a female.

92
Q

Constipation

A

Failure to have regular, soft bowel movements.

93
Q

Diarrhea

A

Abnormally frequent, loose, and sometime watery feces.

94
Q

Flatulence

A

Presence of excessive amounts of flatus (gas) in the stomach or intestines.

95
Q

Hematochezia

A

Blood in the feces.

Source can be an ulcer, cance, Crohn disease, or a polyp.

96
Q

Steatorrhea

A

Greasy, frothy, foul-smelling feces that contain undigested fats.
Because of deficiency of the enzyme lipase.

97
Q

Hernia

A

Defect and weakness in the muscle of the diaphragm or the abdominal wall. The defect allows the intestine and the peritoneum around it to bulge through, causing swelling and pain.

98
Q

Peritonitis

A

Infection and inflammation of the peritoneum. It occurs when an ulcer, diverticulum, or cancerous tumor breaks through the wall of the stomach or intestine or when an infected appendix ruptures.

99
Q

Ascites

A

Accumulation of ascitic fluid in the abdominopelvic cavity.
Liver disease causes a backup of blood and increased blood pressure in veins of abdomen. This pressure pushes fluid out of the blood into the abdominopelvic cavity.

100
Q

Cirrhosis

A

Chronic, progressive inflammation and finally irreversible degeneration of the liver, with enlargement, nodules, and scarring. Liver function is severely impaired.

101
Q

Hepatitis

A

infection and inflammation of the liver from the hepatitis virus. There is weakness, anorexia, nausea, fever, dark urine, and jaundice.

102
Q

Hepatomegaly

A

Enlargement of the liver due to cirrhosis, hepatitis, or cancer.

103
Q

Jaundice

A

Yellowish discoloration of the skin and whites of the eyes.

Increased level of unconjugated bilirubin in the blood that enters the tissues, giving them a yellow color.

104
Q

Obstructive jaundice

A

Gallstone is obstructing the flow of bile in the bile ducts.

105
Q

Liver cancer

A

Cancerous tumor of the liver. This is usually a secondary cancer that began in another part of the body and spread to the liver.

106
Q

Gallbladder Cancer

A

Also known as Cholangiocarcinoma

Cancerous tumor in the ducts of the gallbladder.

107
Q

Cholangitis

A

Acute or chronic inflammation of the bile ducts because of cirrhosis or gallstones.

108
Q

Cholecystitis

A

Acute cholecystitis occurs when a galls tone blocks the cysti clutch of the gall bladder.

109
Q

Cholelithiasis

A

The presence of gallstones in the gallbladder.

When bile is too concentrated, it forms a thick sediment that becomes small gallstones and then larger gallstones.

110
Q

Pancreatic cancer

A

Cancerous tumor (adenocarcinoma) of the pancreas.

111
Q

Pancreatitis

A

Infection of inflammation of the pancreas. There is abdominal pan and nausea and vomiting.

112
Q

Albumin

A

Blood test for albumin, the major protein molecule in the blood. It is part of the panel of blood tests known as liver function tests.

113
Q

CLO test

A

Gastric mucosa rapid screening test to detect the presence of the bacterium Helicobacter pylori.
A biopsy of the patient’s gastric mucosa is placed on a test pad that contains urea.

114
Q

Culture and sensitivity (C&S)

A

Fecal test in which sample of the patient’s feces is swabbed onto a culture dish that constrains a nutrient medium for growing bacteria.

115
Q

Fecal occult blood test

A

Fecal test for occult (hidden) blood in the feces. The feces are tested with the chemical reagent Guaiac.

116
Q

Gastric analysis

A

Stomach test to determine the amount of hydrochloric acid in the stomach.

117
Q

Liver function tests (LFTs)

A

Panel of individual blood tests performed at the same time to give a comprehensive picture of the function of the liver.
Includes:
Albumin, Bilirubin, ALP (Alkaline phosphatase), ALT (Alanine transaminase) and AST (Aspartate Transaminase), GGT or GGRP (gamma-glutamic transpeptidase), and Prothrombin time

118
Q

Bilirubin test

A

An elevated blood level occurs with liver disease or gallstones

119
Q

ALP (Alkaline Phospatase)

A

An enzyme that is found in both liver cells and bone cell. An elevated blood level occurs with liver disease or bone disease.

120
Q

ALT (Alanine transaminase) and AST (aspartate transaminase)

A

Enzymes that are mainly found in the liver. Elevated blood levels occur when damaged liver cells release these enzymes.

121
Q

GGT or GGTP (gamma-glutamic transpeptidase)

A

An enzyme that is mainly found in the liver. An elevated blood level occurs when damaged liver cells release the enzyme into the blood.

122
Q

Prothrombin time

A

Prothrombin is a blood clotting factor produced by the liver;

123
Q

Ova and Parasites (O&P)

A

Fecal test to determine if there is a parasitic infection in the gastrointestinal system. Ova are the eggs of parasitic worms. They can be seen in the feces or by examining a fecal sample under a microscope.

124
Q

Barium enema (BE)

A

Radiologic procedure that uses a liquid contrast medium (barium) inserted into the rectum.

125
Q

Cholangiography

A

Radiologic procedure that uses an iodinated contrast dye to outline the bile ducts.

126
Q

Cholangiogram

A

The x-ray image of gallstones in the gallbladder and bile ducts or thickening of the gallbladder wall.

127
Q

Intravenous cholangiography

A

The iodinated contrast dye is injected intravenously, travels through the blood to the liver, and is excreted with bile into the gallbladder.

128
Q

Percutaneous transhepatic cholangiography

A

A needle is passed through the skin of the abdomen, and the iodinated contrast dye is injected into the liver.

129
Q

Endoscopic retrograde cholangiopancreatograhpy (ERCP)

A

An endoscope and a catheter are used to inject iodinated contrast dye to visualized the common bile duct and pancreatic duct.

130
Q

Cholescintigraphy

A

Nuclear medicine procedure that uses a radioactive drug given intravenously to detect areas of decreased uptake related to an obstruction in the cystic duct.

131
Q

Computerized axial tomography (CAT, CT Scan)

A

Radiologic procedure that uses x-rays to create images of abdominal organs and structures in many thin, successive “slices”

132
Q

Flat plate of the abdomen

A

Radiologic procedure that uses an x-ray without contrast dye. The patient lies in the supine position on the x-ray table for this procedure.

133
Q

Gallbladder Ultrasound

A

Radiologic procedure that uses ultra high-frequency sound waves (not x-rays) to create images of the gallbladder.

134
Q

Magnetic Resonance Imaging (MRI)

A

Radiologic procedure that uses a strong magnetic field to align protons in the atoms of the patient’s body.

135
Q

Oral cholecystography (OCG)

A

Radiologic procedure that uses tablets of iodinated contrast dye taken orally.

136
Q

Upper Gastrointestinal series (UGI)

A

Readiologic procedure that uses a liquid contrast medium (barium) that is swallowed. Barium coats the walls of the esophagus, stomach, and duodenum. Fluoroscopy is used to follow the barium through the small intestine.

137
Q

Insertion of nasogastric (NG) tube

A

Procedure to insert a long, flexible nasogastric tube through the nose into the stomach.

138
Q

Enema

A

Procedure to insert water into the rectum to stimulate a bowel movement and relieve constipation.

139
Q

Antacid drug

A

Treats heartburn by neutralizing acid in the stomach

140
Q

Antibiotic drug

A

Treats gastrointestinal infections caused by bacteria. Antibiotic drugs are not effective against viral gastrointestinal infections.

141
Q

Antidiarrheal Drug

A

Treats diarrhea by slowing down peristalsis, which increases water absorption from feces.

142
Q

Antiemetic Drug

A

Treats nausea and vomiting and motion sickness

143
Q

Drug for gallstones

A

Dissolves gallstones (instead of surgical removal)

144
Q

H2 blocker drug

A

Treats gastroesophageal reflux disease (GERD) and peptic ulcer disease by blocking H2 (histamine 2) receptors in the stomach that trigger the release of hydrochloric acid.

145
Q

Laxative drug

A

Treats constipation by softening the feces or by adding dietary fiber.

146
Q

Proton pump inhibitor drug

A

Treats gastroesophageal reflux disease and peptic ulcer disease by blocking the final step in the production of hydrochloric acid.

147
Q

Abdominocentesis

A

Procedure to remove fluid from the abdomen using a needle inserted into the abdominal cavity.
It is done to relieve abdominal pressure from fluid associated with ascites.

148
Q

Appendectomy

A

Procedure to remove the appendix because of appendicitis.

149
Q

Bariatric surgery

A

Procedure to treat severe obesity. It limits food intake and nutrient absorption by decreasing the size of the stomach.

150
Q

Gastric balloon

A

A gastric balloon is swallowed up inflated and the inflated once it is in the stomach.

151
Q

Adjustable Gastric Band

A

An adjustable gastric band is placed across the upper part of the stomach to decrease its total size.

152
Q

Gastric sleeve

A

A gastric sleeve removes 80% of the stomach. This is also known as a gastroplasty.

153
Q

Biopsy

A

Procedure to remove a small piece of tissue from an ulcer, polyp, mass, or tumor.

154
Q

Bowel resection and anastomosis

A

Procedure to remove a section of diseased intestine and rejoin the intestine.

155
Q

Cholecystectomy

A

Procedure to remove the gallbladder.

156
Q

Laparoscopic cholecystectomy

A

Uses laparoscope that is inserted through tiny incisions in the abdominal wall.

157
Q

Choledocholithotomy

A

Procedure to make an incision in the common bile duct to remove a gallstone.

158
Q

Colostomy

A

Procedure to remove the diseased part of the colon and create a new opening in the abdominal wall where feces can leave the body.

159
Q

Ileostomy

A

If part of the ileum and colon are removed and a stoma created, the procedure is known as an ileostomy.

160
Q

Endoscopy

A

Procedure that uses an endoscope to internally examine the gastrointestinal system.

161
Q

Exploratory laparotomy

A

Procedure that uses a long abdominal incision to pen the abdominopelvic cavity widely so that it can be explored for evidence of trauma or disease of any of the gastrointestinal organs.

162
Q

Gastrectomy

A

Procedure to remove all of part of the stomach because of a cancerous or benign tumor.

163
Q

Esophagoscopy

A

Visualization and examination of the esophagus

Through nose or mouth

164
Q

Gastroscopy

A

Visualization and examination fo the stomach

Through nose or mouth

165
Q

Esophagogastroduodenoscopy

A

Visualization and examination of the esophagus first, followed by the stomach, and then the duodenum.
Through nose or mouth

166
Q

Sigmoidoscopy

A

Visualization and examination of the rectum and sigmoid colon using a sigmoidoscope.
Scope through the rectum

167
Q

Colonoscopy

A

Visualization and examination of the entire colon using a colonoscope.

168
Q

Gastroscopy

A

Procedure to create a temporary or permanent opening from the abdominal wall into the stomach to insert a gastrostomy feeding tube.
Done for patients who have had an NG tube for some time but still cannot eat on their own.

169
Q

Hemorrhoidectomy

A

Procedure to remove hemorrhoids from the rectum or from around the anus.

170
Q

Herniorrhaphy

A

Procedure that uses sutures or surgical mesh to close a defect in the abdominal muscle wall where there is a hernia.

171
Q

Jejunostomy

A

Procedure to create a temporary or permanent opening from the abdominal wall into the jejunum to insert a jejunostomy feeding tube.