Chapters 16 & 17 Flashcards
Abd
Abdomen
BM
Bowel Movement
BRB
Bright Red Blood
Emesis
Vomiting
GI
Gastrointestinal
GI Cocktail
a mixture of liquid antacid, viscous lidocaine, and an anticholinergic primarily used to treat indigestion
Hematemesis
Vomiting blood
Hematochezia
Blood in stool
Lithiasis
Formation of mineral concretions (stone) in the body
Melena
Black, tarry stool
N/V/D
Nausea, vomiting, diarrhea
Peritoneal Cavity
Space between the parietal peritoneum and visceral peritoneum- separates organs in abd cavity from abd wall
Post-Tussive Emesis
Vomiting after coughing
BS
Bowel Sounds
Caput Medusae
Dilated veins seen on the abdomen of a patient with cirrhosis of the liver
Distention
Sensation of elevated abdominal pressure and volume
Guarding
Tensing of the abdominal wall muscles to guard inflamed organs within the abdomen from the pain of pressure upon palpation; can be voluntary or involuntary.
Hepatomegaly
Enlargement of the liver
Hepatosplenomegaly
Enlargement of the liver and spleen
LLQ
Left Lower Quadrant
LUQ
Left Upper Quadrant
McBurney’s Point Tenderness
Site of extreme sensitivity in acute appendicitis, situated in the normal area of the appendix midway between the umbilicus and the anterior iliac crest in the right lower quadrant of the abdomen
Murphy’s Sign
Finding associated with acute cholecystitis which causes pain on inspiration when the examiner’s fingers are place on the RUQ at the location of the gallbladder
Obturator Sign
Indication of appendicitis in which the internal rotation of the right leg at the hip and knee causes abdominal discomfort
Psoas Sign
Indication of appendicitis in which passive extension of the thigh of a patient lying on his side with knees extended causes abdominal pain
Rebound Tenderness
Pain upon removal of pressure rather than application of pressure to the abdomen
Rectal Exam
Internal examination of the rectum
Rigidity
Stiffness of the muscles in the belly area, which can be felt when touched or pressed
RLQ
Right Lower Quadrant
Rovsing’s Sign
Indication of acute appendicitis in which pressure on the left lower quadrant of the abdomen causes pain in the RLQ
Anoscopy
Method to view the anus, anal canal, and lower rectum. Used to diagnose internal hemorrhoids, anal fissures, masses
Appendectomy
Surgical removal of the appendix
Ascites
Accumulation of fluid in the peritoneal cavity
C. Diff
Clostridium Difficile- bacterium that can cause symptoms ranging from diarrhea to life-threatening inflammation of the colon most commonly affecting older adults in hospitals or in long term care facilities and typically occurs after use of antibiotic medications
Cholecystectomy
Surgical removal of the gallbladder
Cholecystitis
Inflammation of the gallbladder; gallbladder can often be visualized by a RUQ ultrasound
Cholelithiasis
Gallstones
Cirrhosis
Consequence of chronic liver disease characterized by scarring leading to loss of liver function
Colitis
swelling (inflammation) of the large intestine (colon)
Colonoscopy
Endoscopic examination of the large bowel and the distal part of small bowel with a CCD camera or a fiber optic camera on a flexible tube passed through the anus
Colostomy
Surgical procedure that brings one end of the large intestine out through the abdominal wall causing stools moving through the intestine to drain into a bag
Crohn’s Disease
Type of inflammatory bowel disease that may affect any part of the gastrointestinal tract from mouth to anus, causing a wide variety of symptoms
Diverticulitis
Small, bulging sacs or pouches of the inner lining of the intestine (diverticulosis) that become inflamed or infected
Diverticulosis
Condition of having diverticula in the colon, which are out-pocketings of the colonic mucosa and submucosa through weakness of muscle layers in the colon wall
EGD
Esophagogastroduodenoscopy- procedure that visualizes the upper part of the gastrointestinal tract up to the duodenum
Enema
Procedure of introducing liquids into the rectum and colon via the anus often used to treat constipation
Gastritis
Lining of the stomach becomes inflamed or swollen
Gastroenteritis
Inflammation of the gastrointestinal tract involving both the stomach and small intestine resulting in diarrhea, vomiting and abdominal cramps
Gastroparesis
Condition that reduces the ability of the stomach to empty its contents, but there is no blockage (obstruction)
GERD
Gastroesophageal Reflux Disease- stomach acid comes back up from the stomach into the esophagus. Also call acid reflux or heartburn.
H. Pylori
Helicobacter Pylori- bacteria associated with peptic ulcers, gastritis and possibly gastric cancer
Hemorrhoids
Mass of dilated veins in the anorectal area (internal or external)
Hepatitis C
Viral disease that leads to swelling (inflammation) of the liver
Hernia
Sac formed by the lining of the abdominal cavity (peritoneum) that comes through a hole or weak area in the fascia, the strong layer of the abdominal wall that surrounds the muslce
Hydronephrosis
Swelling of kidney due to a backup of urine; often detected by renal ultrasound
IBS
Irritable Bowel Syndrome- functional bowel disorder characterized by chronic abdominal pain, discomfort, bloating, and alteration of bowel habits
Ileostomy
Surgical opening constructed by bringing the end or loop of small intestine (ileum) out onto the surface of the skin
NG Tube
Nasogastric Tube- a plastic tube inserted through the nose, past the throat, and down into the stomach that is used for feeding, administering drugs or draining stomach contents
OG Tube
Orogastric Tube- a plastic tube inserted through the mouth, past the throat, and down into the stomach similar to NG tube
Pancreatitis
Inflammation of the pancreas
Paracentesis
Procedure involving needle drainage of fluid from peritoneal cavity in the abdomen
PEG Tube
Percutaneous Endoscopic Gastrotomy Tube- Surgically inserted through a small incision in the abdomen into the stomach and is used for long-`term enteral nutrition. Also call G-Tube
PEG-J Tube
Percutaneous Endoscopic Gastrojejunostomy Tube- surgically inserted through the abdomen and into the jejunum (the second part of the small instestine) AKA J-Tube
SBO
Small Bowel Obstruction- small intestine becomes partially or totally blocked
Stool Guaiac Test
Detects hidden (occult) blood in the stool
Varices
Dilated veins in the distal esophagus or proximal stomach caused by elevated pressure in the portal venous system, typically from cirrhosis
Antacids
medication that neutralizes stomach acidity
Antiemetic
Drugs used for the treatment of nausea
H2 Receptor Blockers
Prevents the release of stomach acid
PPI
Proton Pump Inhibitors- reduce gastric acid production
Adnexa
Ovaries and fallopian tubes
Amenorrhea
Absence of menstrual cycle
BCP
Birth Control Pill
Cervical
Pertaining to the cervix
Decreased urine Output
Producing less urine or urinating less often
Dysmenorrhea
Painful menstruation
Dyspareunia
Pain with sexual intercourse
Dysuria
Feeling of pain, burning, or discomfort upon urination
Enuresis
Inability to control urination
Flank Pain
Pain on either side of the body between the upper abdomen and the back
GPA
Gravida- number of pregnancies Para- number of viable births Abortus- number of pregnancies lost for any reason including abortions or miscarriages
Gravid
Being pregnant
GU
Genitourinary
Hematuria
Blood in urine
Inguinal
Pertaining to the groin region
IU
Intrauterine
LMP
Last Menstrual Period
LNMP
Last Normal Menstrual Period
Menorrrhagia
An abnormally heavy and prolonged menstrual period
Nocturia
Need to get up in the night to urinate
Os
Opening of the cervical canal into the vagina
Overflow Incontinence
Bladder never empties and small amounts of urine leak continuously
Para
Number of viable offspring born to a woman
Pelvic Pain
Pain that occurs mostly in the lower abdominal area
Perineum
Area between the anus and the scrotum in the male and between the anus and the vulva in the female
Polyuria
Excessive urination
Renal
Pertaining to the kidneys
STD
Sexually Transmitted Disease
Urinary frequency
Need to urinate many times, both in normal and less than normal volumes
Urinary Hesitancy
Difficulty beginning the flow of urine
Urinary Incontinence
Involuntary leakage of urine
Urinary Retention
Lack of ability to urinate
Urinary Urgency
Sudden, compelling urge to urinate
CVA Tenderness
Costovertebral Angle Tenderness- elicited when gently tapping the area of the back overlying the kidney producing pain
Female Exam
External: visual inspection of external genitalia noting appearance and herpetic lesions, ulcerations or exorations
Speculum exam: a speculum (instrument for opening and widening certain passages of the body) is used to open the vagina and aid in visualizing interior walls of the vagina and the cervix, including the os and noting whether it is open or closed
Bimanual: examiner inserts two fingers into the vagina and places the other hand on the abdomen to feel the internal pelvic organs mainly the uterus and ovaries noting cervical motion tenderness (CMT) and adnexal tenderness/masses
Wet prep: vaginal discharge is placed onto a slide and placed under a microscope so that it can be checked for signs of infection
Male Exam
External Exam: visual inspection of the external gentalia including penis, scrotum and perineal area noting appearance and herpetic lesions, ulcerations or excoriations
Manual exam: palpation of bilateral scrotum, testes and epididymis noting tenderness
Rectal exam: assess tenderness or abnormalities of the prostate
Abortion
Termination of pregnancy by the removal or expulsion from the uterus of a fetus or embryo prior to viability
AKI
Acute Kidney Injury- rapid loss of kidney function that occurs over a few hours or days
ARF
Acute Renal Failure- rapid loss of kidney function that occurs over a few hours or days
Bartholin’s Cyst
Formed when Bartholin’s gland located on each side of the vaginal opening is blocked, causing a fluid filled cyst to develop
BTL
Bilateral Tubal Ligation- surgical procedure for sterilization; fallopian tubes are blocked
BV
Bacterial Vaginosis- disease of the vagina caused by overgrowth of bacteria
Chlamydia
Common sexually transmitted infection caused by the bacterium Chlamydia trachomatis
CKD
Chronic Kidney Disease- slow loss of kidney function over time
CRF
Chronic Renal Failure- slow loss of kidney function over time
Cystitis
Inflammation of the lining of the bladder
D&C
Dilatation and Curettage- involves dilating the uterine cervix so that the lining tissue (endometrium) of the uterus can be removed by scraping
Eclampsia
Seizures that occur in a pregnant woman that are not related to a preexisting brain condition
Ectopic Pregnancy
Implantation of the fertilized ovum outside the uterine cavity
Endometriosis
Cells from the lining of the uterus (endometrium) appear and flourish outside the uterine cavity, most commonly on the ovaries
Epididymitis
Inflammation of the epididymis
Foley Catheter
Flexible tube with two lumens that is passed through the urethra and into the bladder
Gonorrhea
Common sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae
HD
Hemodialysis- method for extracorporeal removing waste products such as creatinine, urea, and free water from the blood when the kidneys are in renal failure
Hysterectomy
Surgical removal of the uterus
IUD
Intrauterine Device-a type of birth control in which a T-shaped device is inserted into the uterus to prevent pregnancy
IUP
Intrauterine Pregnancy
Miscarriage
spontaneous loss of a fetus before the 20th week of pregnancy
Nephrolithiasis
Kidney stones
Ovarian Torsion
Rotation of the ovary that occludes the ovarian artery and/or vein
PID
Pelvic Inflammatory Disease- generic term for inflammation of the uterus, fallopian tubes, and/or ovaries
Preeclampsia
Hypertension arises in pregnancy
Priapism
Persistent, usually painful, erection that lasts for more than four hours and occurs without sexual stimulation
Prostatitis
Inflammation of the prostate
Pyelonephritis
Specific type of (UTI) that generally begins in urethra or bladder and travels up to kidneys
SAB
Spontaneous Abortion. AKA miscarriage
Testicular Torsion
Twisting of the spermatic cord, which cuts off the blood supply to the testicle and surrounding structures within the scrotum
Threatened Miscarriage
Condition that suggests a miscarriage might take place before the 20th week of pregnancy
Trichomoniasis
Sexually transmitted infection caused by the single celled protozoan parasite Trichomonas vaginalis
TURP
Trans-Urethral Resection of Prostate- an instrument is inserted up the urethra to remove the section of the prostate that is blocking urine flow
UA
urine analysis
UTI
Urinary Tract Infection- infection anywhere along urinary tract