NUTRITION & GASTROINTESTINAL TRACT Flashcards
What are the abdominopelvic regions?
Right hypochondriac region
Epigastric region
Left hypochondriac region
Right lumbar region
Umbilical region
Left lumbar region
Right iliac region
Hypogastric region
Left iliac region
What are the abdominopelvic quadrants?
Right upper quadrant
Left upper quadrant
Right lower quadrant
Left lower quadrant
Two Parts of Digestive System
1) GI Tract/Alimentary Canal (mouth to anus; 23-26 ft long)
2) Accessory Organs (outside of or to side of the GI tract, but are connected - teeth, salivary glands, biliary system: liver, gallbladder, panceas)
5 Major Processes of the Digestive System
1) Ingestion/Eating
2) Mechanical & Chemical Digestion
3) Peristalsis
4) Absorption
5) Defecation
Refers to a host of upper abdominal or epigastric symptoms such as pain, discomfort, fullness, bloating, early satiety, belching, heartburn, or regurgitation
Dyspepsia
What are friction rubs?
High pitched and can be heard over the LIVER and SPLEEN during respiration
It is heard as a loud prolonged gurgle
Borborygmi
During assessment, this is the sound that results from the presence of air in the stomach and small intestines
Tympani
During assessment, this heard over organs and solid masses
Dulless
This action is appropriate for identifying areas of tenderness or muscular resistance
Light palpation
This is used to identify masses
Deep palpation
Diagnostic Tests for GI Tract
Serum Lab: CBC, PTT/PT, Triglycerides, LFT, Amylase, lipase etc.
Stool Tests: Stool exam, quantitative study, Fecal Occult Blood testing, Fecal Immunologic test (FIT), Stool DNA testing
Breath Tests: Hydrogen Breath test, Urea Breath test (Helicobacter pylori)
Abdominal Ultrasonography : Endoscopic Ultrasonography (EUS)
Genetic Testing
Imaging Studies:
x-ray and contrast studies
computed tomography (CT) scan
magnetic resonance imaging (MRI) scan
positron emission tomography (PET) scan
scintigraphy (radionuclide imaging)
virtual colonoscopy
Endoscopic Procedures
Manometry and Electrophysiologic Studies
Gastric Analysis, Gastric Acid Stimulation Test, and pH Monitoring
How many hours should the patient fast before ultrasound testing?
8-12 hours
What should a patient eat the evening before the test?
Fat-free meal
When must a barium studies be scheduled?
After ultrasonography
What should be done before the upper gastrointestinal tract study?
clear liquid diet, with nothing by mouth (NPO) from midnight the
night before the study