Lecture 11.A. - Gastroenterology Flashcards
Upper GI bleed is considered Proximal to the ligament of ______, which suspends the duodenum at the boarder of the Jejunum. Lower GI Bleeds are anything distal to this ligament.
Treitz
_____ is the term for tarry black stool, and it occurs as a result of digestion of ______ –> thus, it indicates blood in the stool from an _____ (Upper or Lower?) GI Bleed
Melena
Hb
Upper
_______ is the term to describe bloody colored (red) stool caused by ______ (Upper or Lower?) GI Bleed?
Hematochezia
Lower GI Bleed
_____ Blood is the term to describe normal-looking stool with trace amounts of blood.
Occult Blood
Coffee Ground Emesis suggests there was bleeding in the _____ that probably stopped –> Hb is broken down to brown colored ______ by gastric acid.
Stomach
Hematin
Bilious Vomiting is _____ in color –> it should make you suspicious of ______ obstruction that’s causing bile to back up into the stomach.
Green
Intestinal
______, ____-colored stool, and ____-colored urine are the key symptoms of Biliary Obstruction.
Jaundice
Clay-colored stool
Tea-colored urine
_____ hepaticus, an odor from volatile aromatic compounds, may be detectable from patients with chronic _____ disease.
______, from impaired estrogen breakdown, is another sign –> Palmar ______ is another sign, and arises similarly from impaired breakdown of sex hormones.
______ medusae is another sign, and is caused by ______ HTN.
______, or flat frail fingernails, is another sign and is caused by _________.
_______, or abnormal abdominal bloating, is another sign.
Fector Hepaticus
Liver
Gynecomastia
Palmar Erythema
Caput Medusae
Portal HTN
Leukonychia
Hypoalbuminemia
Ascites
What is the difference between Cholelithiasis and Choledocholithiasis?
Cholelithiasis means stones in the gallbladder, while Choledocholithiasis means stones in the bile duct.