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Systemics 2 > Digestive Disorders > Flashcards

Digestive Disorders Flashcards

1
Q

Diarrhea sees an increase in ___ movements and a decrease in ____ movements.

A

increase: propulsive
decrease: segmental

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2
Q

Multiple, patchy ulcerations most commonly affected the ileum & ileocecal area resulting in scarring & thickening of the bowel describes…

A

Crohn’s disease

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3
Q

Broad areas of ulcerations of the mucosa from the descending colon to rectum, with periods of pain, bloody diarrhea and remission describes…

A

ulcerative colitis

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4
Q

Outpouchings in the wall of the colon or small intestine is called…

A

diverticulosis

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5
Q

Nausea, vomiting, low grade fever and LRQ pain could indicate…

A

appendicitis

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6
Q

Differentiate IBS and IBD

A

IBS does not see inflammation and scarring/thickening of the mucosa, whereas IBD does. IBS is more of a functional issue.

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7
Q

This disease is believed to be caused by segmental smooth mm spasm of the bowel, increasing pressure to cause mucosal extrusions at the weakest points in the muscular wall.

A

Diverticulosis

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8
Q

H. Pylori overgrowth is a common cause of…

A

peptic ulcers

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9
Q

Which muscle can compress the large colon when hypertrophied?

A

iliopsoas

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10
Q

Where do psoas major triggerpoints refer?

A

low back parallel to the spine
groin
front of thighs

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11
Q

What type of hernia is most common in infants?

A

umbilical hernia (d/t defective umbilical ring)

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12
Q

What/where is McBurney’s point?

A

2/3s the distance from the navel to the right ASIS

It will be maximally tender in cases of acute appendicitis

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13
Q

The hepatic flexure is found on the ___ side of the body.

A

right

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14
Q

The splenic flexure is found on the ___ side of the body.

A

left

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15
Q

What is the function of gastrin?

A

stimulates production of gastric acid to secrete pepsinogen & HCl acid

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16
Q

What stimulates release of gastrin?

A

food arriving in the stomach

17
Q

What is the function of secretin? Where is it released?

A

in the S.I./duodenum

it regulates acidity - stimulating release of sodium bicarb and bile from the liver

18
Q

What does CCK do?

A

stimulates release of pancreatic enzymes in response to fat in the chyme

19
Q

What does GIP (gastric inhibitory peptide) do?

A

decreases stomach churning to slow stomach emptying AND induce insulin secretion

20
Q

What is the function of motilin?

A

has a role in fat metabolism - stimulates production of pepsin

21
Q

__% of population suffers from constipation

A

25%

22
Q

A board-like abdomen would mean…

A

there is a medical emergency! peritonitis, appendix rupture… sign of peritoneal inflammation

23
Q

Where will diverticulitis pain be felt?

A

LLQ or epigastric region, often referring to the back

24
Q

IBS pain is/is not relieved after a bowel movement.

A

IS

25
Q

What is Rovsing’s sign?

A

Pain felt in the RLQ upon palpation of the left side of the abdomen, indicating acute appendicitis

26
Q

What is Carnett’s sign?

A

when you palpate an abdominal site with flexed abdominal muscles… if there is increased pain, the source is muscular. if there is no increased pain, the source is visceral

27
Q

How would you test for rebound tenderness? What else is this sign called?

A

apply pressure to McBurney’s point quickly/briefly, remove hands and see if pain felt on RELEASE of the palpation rather than when pressure is applied

if abdominal mm spasm/pain upon release, suggestive of appendicitis

Blumberg’s sign

28
Q

True or false: bleeding is common with Crohn’s disease

A

false

29
Q

True or false: ulcerative colitis usually occurs in the lower right abdomen

A

FALSE, lower left

30
Q

True or false: ulcerative colitis sees continuous inflammation limited to the large intestine, penetrating the inner lining of the intestine only

A

true

31
Q

Which digestive disease presents with cobblestoning?

A

Crohn’s

32
Q

Violent, bloody diarrhea is a hallmark symptom of…

A

ulcerative colitis

33
Q

True or false: Crohn’s disease may have anal fistulae, abscesses, and ulcers, but the rectum is often spared

A

true

34
Q

True or false: Crohn’s disease may involve any segment of the GI tract from mouth to anus

A

true

Systemics 2 (6 decks)

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