GI WB W/ IMAGES Flashcards

1
Q

List the sequential parts of the digestive system.

A

Mouth, pharynx, esophagus, stomach, small intestine (duodenum, jejunum, and ileum), and large intestine (cecum;ascending, transverse, and descending colon; and rectum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The lower end of the esophagus is a circular muscle that acts as a sphincter, constricting the tube so that the entrance to the stomach, at the _______, is generally closed. This helps to prevent gastric acid from moving up into the esophagus.

A

Cardiac orifice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The pylorus is further subdivided into the _____ , the _____canal, and the ______ sphincter.

A

antrum, pyloric, pyloric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The duodenal bulb is peritoneal, supported by the hepatoduodenal, and passes ________ to the common bile duct, gastroduodenal artery, common hepatic artery, hepatic portal vein, and head of the pancreas.

A

anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The common bile duct joins the pancreatic duct to enter the_______.

A

ampulla of vater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The arteries that supply the esophagus include the inferior _____ branch of the ______ artery that supplies the upper esophagus; the descending _______ aorta that supplies the midesophagus; and the ______ branch of the celiac axis and the left inferior ______ artery of the abdominal aorta that supplies the lower end of the esophagus.

A

Thyroid, subclavian, thoracic, gastric, phrenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The ______ outlines the small intestine and contains the superior mesenteric vessels, nerves, lymphatic glands, and fat between its two layers.

A

mesentery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The nutrients are transported to the liver after they are absorbed by the _____ ; the liver processes ans stores the nutrients.

A

blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The three layers of smooth muscle in the wall enable the stomach to mash and churn food and move it along with_____.

A

peristalsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Gastric glands secrete gastric juice containing________ acid and ______

A

hyrochloric, enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The hormone _____ , which is released by the stomach mucosa, stimulates gastric acid secretion.

A

gastrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Gastrointestinal hormones include ________ and ________.

A

choleystokinin, secretin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

______ within the large intestine devour the chyme and it turn produce vitamins that can be absorbed and used by the body.

A

bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The most common laboratory data the sonographer may come across in a patient with gastrointestinal disease relate to the presence of _____ in the stool.

A

blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

As a result of chronic blood loss, ____ may be present.

A

anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The _________ junction is seen on the sagittal scan to the left of the midline as a bull’s-eye or target-shaped structure anterior to the aorta, posterior to the left lobe of the liver, and inferior to the hemidiaphram.

A

gastroesophgeal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The gastric _____ can be seen as a target shape at the midline.

A

antrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The sonographer usually cannot see the small bowel with ultrasound; the valvulae conniventes may be seen as linear echo densities spaced 3 to 5 mm apart. This is called the _______ and can be seen in the duodenum and jejunum.

A

“keyboard sign”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The appendix is located on the abdominal wall under _________

A

McBurney’s point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Localized collection of pus surrounded by inflamed tissue.

A

abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

process of nutrient molecules passing through wall of intestine into blood or lymph system.

A

absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

also known as the digestive tract; includes the mouth, pharynx, esophagus, stomach, duodenum, and small and large intestine.

A

alimentary tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

a fecalith or calcification located in the appendix

A

appendicolith

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

accumulation of serous fluid in the abdomen

A

ascites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

entrance of the esophagus into the stomach

A

cardiac orifice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

hormone secreted into the blood by the mucosa of the upper small intestine; stimulates contraction of the gallbladder and pancreatic secretion of enzymes

A

cholecystokinin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

inflammation of the bowl, accompanied by abscess and bowl wall thickining

A

Crohn’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

a pouchlike herniation through the muscular wall of a tubular organ that occurs in the stomach, the small intestine, or most commonly, the colon

A

diverticulum

29
Q

first part of the duodenum

A

duodenal bulb

30
Q

calcified deposit within the appendix; appendicitis can develop when the appendix becomes blocked by hard fecal matter

A

fecalith

31
Q

endocrine hormone released from the stomach (stimulates secretion of gastric acid)

A

gastrin

32
Q

helps support the lesser curvature of the stomach

A

gastrohepatic ligament

33
Q

helps support the greater curvature of the stomach

A

gastrophrenic, gastrosplenic & lienorenal ligaments

34
Q

ligament between the stomach and the spleen; helps support the stomach and spleen

A

gastrosplenic ligament

35
Q

double fold of the peritoneum attached to the duodenum, stomach, and large intestine; helps support the greater curve of the stomach; known as the fatty apron

A

greater omentum

36
Q

normal segmentation of the wall of the colon

A

haustra

37
Q

collection of blood

A

hemorrhage

38
Q

ascending colon rises from the right lower quadrant to bend at this point to form the transverse colon

A

hepatic flexure

39
Q

membranous extension of the peritoneum that suspends the stomach and duodenum from the liver; helps to support the lesser curvature of the stomach

A

lesser omentum

40
Q

ligament between the spleen and the kidney that helps support the greater curvature of the stomach

A

lienorenal ligament

41
Q

malignancy of the lymph nodes, spleen, or liver

A

lymphoma

42
Q

located by drawling a line from the right anterosuperior iliac spine to the umbilicus; at approximately the midpoint of this line lies the root of the appendix

A

McBurney’s point

43
Q

site of maximum tenderness in the right lower quadrant; usually seen with appendicitis

A

McBurney’s sign

44
Q

congenital sac or blind pouch found in the lower portion of the ileum

A

Meckel’s diverticulum

45
Q

a fold from the parietal peritoneum that attaches to the small intestine, anchoring it to the posterior abdominal wall

A

mesentery

46
Q

fifth layer of bowel

A

mesothelium

47
Q

first layer of bowel

A

mucosa

48
Q

third layer of bowel

A

muscularis

49
Q

dilated fluid-filled bowel loops without peristalsis

A

paralytic ileus

50
Q

rhythmic dilation and contraction of the gastrointestinal tract as food is propelled through it

A

peristalsis

51
Q

a small tumor-like growth that projects from a mucous membrane surface

A

polyp

52
Q

muscle that connects the stomach to the proximal duodenum

A

pyloric canal

53
Q

inner folds of the stomach wall

A

rugae

54
Q

released from small bowel as antacid; stimulates secretion of bicarbonate

A

secretin

55
Q

forth layer of bowel; thin, loose layer of connective tissue, surrounded by mesothelium covering the intraperitoneal bowl loops

A

serosa

56
Q

the transverse colon travels horizontally across the abdomen and bends at this point to form the descending colon

A

splenic flexure

57
Q

one of the layers of the bowl, under the mucosal layer, contains blood vessels and lymph channels

A

submucosa

58
Q

characteristic of gastrointestinal wall thickening consisting of an echogenic center and a hypoechoic rim

A

target sign

59
Q

normal segmentation of the small bowel

A

valvulae conniventes

60
Q

inner folds of the small intestine

A

villi

61
Q

Describe the technique sonographers use to observe the upper GI tract

A
  • drink 10-40 oz of H2O through a straw after baseline study of the upper ABD (the straw helps reduce air ingestion)
  • Pt. is in upright position (causes air to rise to stomach fundus)
  • lower GI tract requires no prep
  • to image lower colon, pt may be given a H2O enema
62
Q

describe the measures that should be taken if a patient presents with a “cystic” mass in the LUQ

A

several measurements can be taken to determine if the mass is the fluid-filled stomach or another mass arising from adjacent organs.

  1. give pt. a carbonated drink to see bubbles in the stomach
  2. ask the clinician to place a nasogastric tube for drainage
  3. watch for “stomach” to change shape or size w/ ingestion of fluids
  4. alter pt position - scan in upright or left or right lateral decubitus position
  5. watch for peristalsis
  6. ask the patient to drink water to see the swirling effect.
63
Q
A
64
Q
A
65
Q
A
66
Q

id the anatomic structure signified by the arrows

duodenum, when filled w/ small amount of fluid (arrows)

*serves as excellent landmark for the pancreas head

A

id the anatomy that is demonstrated in these images of the small bowel.

valvulae conniventes

67
Q

id the internal structures that are demonstrated in these images of the stomach

A.) Sagital image: fluid filled stomach w/ rugae may be seen along the peripheral margins of the wall

B.) Transverse image of stomach and rugae

A

This image represents what structure?

collapsed stomach

68
Q

id the structures demonstrated in the images recorded over the RLQ

fluid filled loops of bowel

A

Young patient presents with exquisite tenderness over the RUQ. What are the sonographic findings?

Appendicitis