hypertension Flashcards

1
Q

what can the abdominopelvic cavity be divided into?

A

four quadrants and nine areas

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2
Q

4 quadrants of abdominal region?

A

right upper quadrant

right lower quadrant

left upper quadrant

left lower quadrant

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3
Q

what are the 9 regions of the abdominopelvic region?

A

right hypochondriac, epigrastric region, left hypochondriac

right lumbar, umbilicus, left lumbar

right iliac, hypogastric region, left iliac

(perineum is sometimes considered the 10th division)

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4
Q

what organs are in the left upper quadrant?

A

The left upper quadrant is the location of the left portion of the liver, the larger portion of the stomach, the pancreas, left kidney, spleen, portions of the transverse and descending colon, and parts of the small intestine.

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5
Q

what organs are in the right upper quadrant?

A

The right upper quadrant contains the right portion of the liver, gallbladder, right kidney, a small portion of the stomach, portions of the ascending and transverse colon, and parts of the small intestine.

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6
Q

what organs are in the left lower quadrant?

A

The left lower quadrant houses the majority of the small intestine, some of the large intestine, the left female reproductive organs, and the left ureter.

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7
Q

what organs are in the right lower quadrant?

A

right lower quadrant sits the cecum, appendix, part of the small intestines, the right female reproductive organs, and the right ureter

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8
Q

purpose of the divisions of the abdominopelvic region?

A

help diagnose the source of abdominal pain and determine appropriate treatment.

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9
Q

how are the 4 quadrants of the abdominopelvic cavity defined?

A

defined by the intersection of the saggital plane with the umbilical plane (transverse plane through the navel)

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10
Q

pain in the RUQ is associated with?

A

Pain in this region is associated with infection and inflammation in the gallbladder and liver or peptic ulcers in the stomach.

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11
Q

pain in the LUQ region is associated with?

A

Pain in this region is associated with malrotation of the intestine and colon.

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12
Q

pain in the RLQ is associated with?

A

Pain in this region is most commonly associated with appendicitis.

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13
Q

pain in the LLQ is associated with?

A

Pain in this region is generally associated with colitis (inflammation of the large intestine) as well as pelvic inflammatory disease and ovarian cysts in females.

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14
Q

organs in the right hypochondriac region?

A

The right hypochondriac region contains the right portion of the liver, the gallbladder, the right kidney, and parts of the small intestine.

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15
Q

organs in the left hypochondriac region?

A

left hypochondriac region contains part of the spleen, the left kidney, part of the stomach, the pancreas, and parts of the colon.

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16
Q

organs in the epigastric region?

A

contains the majority of the stomach, part of the liver, part of the pancreas, part of the duodenum, part of the spleen, and the adrenal glands. This region pushes out when the diaphragm contracts during breathing.

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17
Q

organs in the right lumbar region?

A

right lumbar region consists of the gallbladder, the right kidney, part of the liver, and the ascending colon

18
Q

organs in the left lumbar region?

A

left lumbar region consists of the descending colon, the left kidney, and part of the spleen.

19
Q

organs in the umbilical region?

A

umbilical region contains the umbilicus (navel), and many parts of the small intestine, such as part of the duodenum, the jejunum, and the illeum. It also contains the transverse colon (the section between the ascending and descending colons) and the bottom portions of both the left and right kidney

20
Q

organs in the right iliac region?

A

ight iliac region contains the appendix, cecum, and the right iliac fossa. It is also commonly referred to as the right inguinal region. Pain in this area is generally associated with appendicitis

21
Q

organs in the left iliac region?

A

The left illiac region contains part of the descending colon, the sigmoid colon, and the left illiac fossa. It is also commonly called the left inguinal region

22
Q

organs in the hypogastric region?

A

hypogastric region (below the stomach) contains the organs around the pubic bone. These include bladder, part of the sigmoid colon, the anus, and many organs of the reproductive system, such as the uterus and ovaries in females and the prostate in males

23
Q

what is diverticulosis?

A

Diverticulosis is a condition in which there are small pouches or pockets in the wall or lining of any portion of the digestive tract

24
Q

where are the divertula associated with diverticulosis found?

A

The pouches associated with diverticulosis are most often located in the lower part of the large intestine (the colon)

25
Q

how do diverticula occur?

A

These pockets occur when the inner layer of the digestive tract pushes through weak spots in the outer layer. A single pouch is called a diverticulum

26
Q

who is affected by diverticulosis?

A

Diverticulosis is a common condition in the United States that affects half of all people over 60 years of age and nearly everyone by the age of 80. As a person gets older, the pouches in the digestive tract become more prominent

27
Q

where and in who is diverticulosis uncommon?

A

Diverticulosis is unusual in people under 40 years of age. In addition, it is uncommon in certain parts of the world, such as Asia and Africa.

28
Q

causes of diverticulosis?

A

diverticulosis is uncommon in regions of the world where diets are high in fiber and rich in grains, fruits and vegetables, most doctors believe this condition is due in part to a diet low in fiber

29
Q

how might a low fibre diet cause diverticulosis?

A

low-fiber diet leads to constipation, which increases pressure within the digestive tract with straining during bowel movements. The combination of pressure and straining over many years likely leads to diverticulosis

30
Q

symptoms of diverticulosis?

A

It is possible that some people with diverticulosis experience bloating, abdominal cramps, or constipation due to difficulty in stool passage through the affected region of the colon

31
Q

how is the diagnosis of diverticulosis made?

A

diverticulosis is often found incidentally during evaluation for another condition or during a screening exam for polyps.

sigmoidoscopy uses a short tube to examine only rectum and lwoer part of colon. colonoscopy = larger tube to examine whole colon

Diverticulosis can also be seen by other imaging tests, for example, computed tomography (CT) scan or barium x-rays.

32
Q

treatment for diverticulosis?

A

Fortunately, most patients with diverticulosis do not have symptoms, and therefore do not need treatment. When diverticulosis is accompanied by abdominal pain, bloating or constipation, your doctor may recommend a high-fiber diet to help make stools softer and easier to pass

easiest way to increase fiber intake is to eat more fruits, vegetables or grains. Apples, pears, broccoli, carrots, squash, baked beans, kidney beans, and lima beans are a few examples of high-fiber foods.

33
Q

how much fibre should we consume daily?

A

While it is recommended that we consume 20 to 35 grams of fiber daily, most people only get about half that amount.

34
Q

other than diet, what other treatments are there for diverticulosis?

A
  • your doctor may recommend a supplemental fiber product such as psyllium, methylcellulose or polycarbophil. These products come in various forms including pills, powders, and wafers.
  • Supplemental fiber products help to bulk up and soften stool, which makes bowel movements easier to pass.
  • Your doctor may also prescribe medications to help relax spasms in the colon that cause abdominal cramping or discomfort
35
Q

complications of diverticulosis?

A

Diverticulosis may lead to several complications including inflammation, infection, bleeding or intestinal blockage. Fortunately, diverticulosis does not lead to cancer.

36
Q

what is diverticulitis?

symptoms?

A

Diverticulitis occurs when the pouches become infected or inflamed. This condition usually produces localized abdominal pain, tenderness to touch and fever. A person with diverticulitis may also experience nausea, vomiting, shaking, chills or constipation.

37
Q

how is diverticulitis treated?

A

Your doctor may order a CT scan to confirm a diagnosis of diverticulitis. Minor cases of infection are usually treated with oral antibiotics and do not require admission to the hospital

38
Q

what happens if diverticulitis is left untreated?

how is this complication treated?

A

can lead to an abcess outside the colon wall or a generalized infection in the lining of the abdominal cavity, a condition referred to as peritonitis.

Usually a CT scan is required to diagnose an abscess, and treatment usually requires a hospital stay, antibiotics administered through a vein and possibly drainage of the abscess

39
Q

what might repeated attacks of diverticulitis require?

A

Repeated attacks of diverticulitis may require surgery to remove the affected portion of the colon

intestinal blockage may occur in the colon -> surgery may be needed to remove involved part

40
Q

bleeding in colon as a result of diverticula is?

A

Bleeding in the colon may occur from a diverticulum and is called diverticular bleeding. This is the most common cause of major colonic bleeding in patients over 40 years old and is usually noticed as passage of red or maroon blood through the rectum.

41
Q

how is diverticular bleeding treated?

what might be required to determine the cause of bleeding?

A
  • Most diverticular bleeding stops on its own; however, if it does not, a colonoscopy may be required for evaluation.
  • If bleeding is severe or persists, a hospital stay is usually required to administer intravenous fluids or possibly blood transfusions.
  • In addition, a colonoscopy may be required to determine the cause of bleeding and to treat the bleeding.
  • Occasionally, surgery or other procedures may be necessary to stop bleeding that cannot be stopped by other methods