GI Tract Flashcards
name of where the esophagus and the stomach attach
gastroesophageal junction
where is the GE junction located on sono
post. to left lobe
ant to aorta
3 parts of the small intestine
duodenum
jejunum
ileum
parts of the colon
asecnding
transverse
descending
sigmoid
normal sono observation of the gi tract
compressable
peristalsis
little to no color doppler
normal gi tract wall measurement
3mm
wall layers of the gut inner to outer
superficial mucosa
deep mucosa
submucosa
muscularis propria
serosa
clinical findings of appendicitis
- rebound tenderness
- elevated white blood cells
- N&V
- abdominal pain (RLQ,epigastric)
sono findings of appendicitis
wall measuring >3
>6 diameter outer to outer
non compression
fluid
hyperemic flow
location of an inguinal hernia
groin
bowel protudes into groin
incisional hernia
bowel protrudes into a surgical site
linea alba hernia
bowel protrudes into the fascia of the linea alba
umbilical hernia
bowel protrudes into the umbilicus
spigelian hernia
bowel protudes into a weakend area in the lower of the rectus muscle
between the umbilicus and the symphysis pubis
what technique is used to show hernias
valsalva
complications of hernias
incerceration
strangulation
ischemia of the bowel
“olive” sign
enlarged pyloric muscle may be palpable during a physical exam
other causes of nonbilious vomiting in an infant
midgut malrotation
pylorospasm
gastroesopheal reflux
clinical findings on pyloric stenosis
- first born male 2-8 weeks
- non bilious projectile vomiting
- weight loss
- constipation
- dehydration
- insatiable appetite
sono appearance of pyloric stenosis
- trans donut sign
- pseudocervix sign in long
- wall measuring >3mm
- length >1.7 mm
clinical findings of intussusception
- vomiting
- palpable abdominal mass
- red currant jelly stools
- leukocytosis
- intermittent abd pain
< 2 yrs of age
sono findings of intussusception
- non compressible target shaped mass with alternating rings of echogenicity
sono findings of intestinal obstruction
distended fluid filled loops of bowel
abrupt termination
increased peristalsis with to and fro motion
clinical findings of chrons disease
episodes of diarrhea
abd pain
weight loss
rectal bleeding
sono findings of chrons
bowel wall thickening
non compressible bowel
hyperemic bowel
most common gastric cancer
adenocarcinoma
clinical findings of gastric cancer
weight loss
abd pain
anorexia
vomiting
rectus sheath hematoma can happen from
child birth
sneezing
coughing
urination
intercourse
clinical findings of rectus sheath hematoma
abd pain
palpable abd mass
discoloration skin
decreased hematocrit
malrotation of the mid gut
the sma and smv are reversed
treatment for intussesception
air or contrast enema
surgery w/ gangrene
clinical findings od acute appendicitis
identifying feature of the colon
haustra- folds in the colon
what is ileus
lack of peristalsis bowel movement
the orifice of the appendix opens into
the cecum
what part of the gi tract will you most likely see in the RLQ
cecum
which visceral artery is most commonly involved w/ aneurysmal formation
splenic artery
abd bruit
murmurs heard during auscultation of the aorta
arcuate ligament syndrome
occurs when the arc-shaped band of tissue in the chest area (median arcuate ligament) presses on the celiac artery that sends blood to the upper abdomen
