GI Flashcards

1
Q

What is the peritoneum?

A

Membrane lining the walls of the abdominal and pelvic cavities

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2
Q

what is the retroperitoneal space?

A

Space near the posterior abdominal wall and the peritoneum

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3
Q

Which kidney sits lower and may possibly be palpable?

A

The right

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4
Q

Symptoms of gastroenteritis?

A

N/V, diarrhea, abd pain, fever.

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5
Q

Possible causes of gastroenteritis?

A

Virus, bacteria, parasite, medications, food intolerances

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6
Q

What is gastroenteritis?

A

Inflammation of the GI tract . Aka food poisoning or stomach flu.

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7
Q

What kind of bowel sounds could you expect with gastroenteritis?

A

Hyperactive

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8
Q

What is referred pain?

A

Location is not always at the site of the affected organ

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9
Q

Which organs are considered solid organs?

A

Liver, pancreas, kidney, adrenal glands, and spleen

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10
Q

Which organs are considered hollow organs?

A

Stomach, gall bladder, colon, small intestine, and bladder

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11
Q

Solid vs hollow organs?

A

Solid don’t change shape unless it is pathological and hollow organs can change normally with the body.

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12
Q

6 Fs we should think about when we see distended abdomen?

A

Fat, fluid, flatus, fetus, feces, and fatal growths

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13
Q

When would we hear tympany?

A

Percussing over air; hollow organs that stretch

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14
Q

If unsure if the abdomen is filled with fluid what do we do next?

A

Ask patient to roll to the side and notice where the air bubble goes . It will shift to the flank.

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15
Q

Possible causes of absent bowel sounds?

A

Obstruction

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16
Q

Decreased motility will produce what kind of sounds?

A

Hypoactive-quiet gurgling <4 in 1 min

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17
Q

Increased motility will produce what kind of sounds?

A

Hyperactive- high pitched , loud > 35

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18
Q

Where should we listen for vascular bruits?

A

Aorta, renal arteries, iliac arteries, and femoral arteries

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19
Q

What is the normal span of the liver?

A

6-12cm

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20
Q

What screening method do we use for alcohol abuse?

A

C-cut down
A-annoyed
G-guilty
E- eye opener

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21
Q

What are the classic findings of alcoholism?

A
HSM
Ascites
Caput medusa 
Spider angiomas 
Peripheral edema
Palmar erythema 
Erythematic or bulbous nose
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22
Q

Which quadrant? - bladder

A

Suprapubic/ hypogastric

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23
Q

Which quadrant? -descending colon

A

LUQ and LLQ

24
Q

Which quadrant? - ovaries, uterus, Fallopian tubes

A

RLQ and LLQ

25
Q

Which region ? - prostate and spermatic cord

A

Hypogastric/suprapubic

26
Q

Which quadrant? -small intestine

A

RLQ and LLQ

27
Q

Which quadrant? -sigmoid colon

A

LLQ

28
Q

Which quadrant? -ureters

A

All

29
Q

Which quadrant? -appendix

A

RLQ

30
Q

Which quadrant? - ascending colon

A

RLQ and RUQ

31
Q

Which quadrant? -cecum

A

RLQ

32
Q

Which quadrant? -rectum

A

RLQ

33
Q

Which quadrant? -duodenum

A

RUQ

34
Q

Which quadrant? -gall bladder

A

RUQ

35
Q

Which quadrant? -liver

A

RUQ

36
Q

Which quadrant? - kidneys

A

RUQ and LUQ

37
Q

Which quadrant? - head of pancreas

A

RUQ

38
Q

Which quadrant? -transverse colon

A

RUQ and LUQ

39
Q

Which quadrant? - body and tail of pancreas

A

LUQ

40
Q

Which quadrant? -spleen

A

LUQ

41
Q

Which quadrant? - stomach

A

LUQ

42
Q

How does stress affect the GI system?

A

Increased cortisol levels during stress (fight or flight response) will suppress the GI system

43
Q

Complaints of epigastric pain can involve which organs?

A

Stomach, duodenum, pancreas, biliary tree, or liver

44
Q

Visceral periumbilical pain can come from which organs?

A

Small intestine, appendix, or proximal colon

45
Q

Visceral hypogastric pain can come from which organs?

A

Colon, bladder, or uterus

46
Q

Visceral suprapubic or sacral pain can come from which organs?

A

The rectum

47
Q

Visceral RUQ or epigastric pain can come from which organs?

A

Biliary tree and liver

48
Q

What are adhesions?

A

Bands of scar like tissue that binds two parts of tissue that are not normally together which can be a common complication after surgery

49
Q

What is a positive Rovsing’s sign indicative of acute appendicitis?

A

Referred rebound tenderness in the RLQ when pressing the LLQ

50
Q

What is Murphy’s test used for?

A

Acute cholecystitis

51
Q

What is a positive Murphy’s sign?

A

pain on inspiration as gall bladder is palpated

52
Q

What is the psoas sign when assessing for appendicitis?

A

placing hand above right knee and asking patient to lift knee and abd pain will be present

53
Q

Patient with an acute bowel obstruction may complain of pain where?

A

Small bowel: periumbilical or upper abdominal

Colon: lower abdominal or generalized

54
Q

Acute bowel obstructions are most commonly caused by what?

A

(1) adhesions or hernias (small bowel) or (2) cancer or diverticulitis (colon)

55
Q

Patient with acute cholecystitis may complain of pain where?

A

Right upper quadrant or epigastrium; may radiate to the right shoulder of interscapular area