Test 2 chapter 16 and part 1 of 17 Flashcards

1
Q

Abdominopelvic Cavity has two parts

A

Superior-larger abdominal cavity

Inferior-smaller pelvic cavity

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2
Q

Abdominal cavity is located where

A

Diaphragm to superior aspect of bony pelvis

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3
Q

Abdominal cavity includes

A
  • Stomach
  • Large and Small Intestines
  • Liver
  • Gallbladder
  • Spleen
  • Pancreas
  • Kidneys
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4
Q

Pelvic cavity is located where

A

Within the boney Pelvis

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5
Q

Pelvic cavity includes

A
  • Rectum
  • Sigmoid
  • Urinary bladder
  • Reproductive organs
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6
Q

Abdominopelvic cavity is enclosed by a double-walled sac called

A

Peritoneum

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7
Q

The outer portion of the sac, closest to the abdominal wall and diaphragm

A

Parietal peritoneum

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8
Q

The inner portion of the sac, over/around the actual organs

A

Visceral peritoneum

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9
Q

The two peritoneum fold

A

Mesentary and Omenta

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10
Q

Purpose of Mesentary and Omenta

A

Support the viscera

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11
Q

Space between layers of peritoneum containing serous fluid

A

Peritoneal cavity

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12
Q

Cavity behind the peritoneum

A

Retroperitoneum

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13
Q

The retroperitoneum is found where and contains what

A

Medial and posterior to the abdominal cavity

Contains the pancreas and the kidneys

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14
Q

Abdominal Aortic Aneurysm (AAA)

A

Localized dilation of abdominal aorta

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15
Q

Bowel Obstruction

A

Blockage of bowel lumen

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16
Q

Ileus

A

Failure of bowel peristalsis

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17
Q

Pneumoperitoneum

A

Air in the peritoneal cavity

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18
Q

NPO

A

Nil per os - nothing by mouth

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19
Q

What is the largest gland in the body

A

Liver

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20
Q

The diaphragm’s surface is

A

Convex

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21
Q

The liver eliminates waste from what

A

RBC’s

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22
Q

The position of this gland will vary depending on a persons body habitus

A

Gallbladder

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23
Q

The head of the Pancreas is embedded in the

A

Duodeum

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24
Q

What gland regulates sugar metabolism

A

Pancreas

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25
Q

The Spleen stores

A

Dying or dead RBC’s

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26
Q

This can be viewed with or without contrast

A

Spleen

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27
Q

What are the two part of the Digestive System

A

Alimentary Canal

Accessory Glands

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28
Q

Where is the Alimentary canal located and what does it contain

A

Extends from the mouth to the anus, includes:

  • mouth
  • pharynx
  • esophagus
  • stomach
  • small intestine and large intestine
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29
Q

What are the Accessory glands and what do they do

A

Secrete enzymes into the Alimentary canal, includes:

  • Liver
  • Gallbladder
  • Salivary glands
  • Pancreas
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30
Q

The Diaphragmatic surface of the liver is

A

Convex and conforms to the undersurface of the diaphragm

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31
Q

The Visceral surface of the liver is

A

Concave and rests on the right kidney

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32
Q

What divides the liver into the large right and smaller left lobes

A

Falciform ligament

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33
Q

The 2 minor lobes of the liver, located on the medial side of the right lobe (near the gallbladder) are

A

Caudate lobe-posterior surface

Quadrate lobe-inferior surface

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34
Q

Blood vessels enter and exit the liver through this

A

Porta Hepatis aka Hilum of the liver

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35
Q

Porta hepatis/ Hilum is located

A

transversely between the minor lobes

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36
Q

The Liver and Biliary system have this type of blood supply

A

Dual blood supply

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37
Q

Dual blood is supplied through the

A

Portal vein and Hepatic artery

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38
Q

Where do the Portal vein and Hepatic artery enter the liver

A

At the Porta Hepatis/ Hilum and branch out

39
Q

Portal Vein ends

A

In the Sinusoids

40
Q

Hepatic Artery ends

A

In the Capillaries that communicate with the sinusoids

41
Q

How does the Portal System work

A

Nutrient and bacteria-rich blood from the intestines, gallbladder, pancreas, and spleen converge to liver where liver modifies the blood and sends blood to the inferior vena cava via the haptic veins

42
Q

Liver Functions

A
  • Formation of Bile (1-3 pints per day)
  • Eliminates waste from RBC’s
  • Aids in emulsification and assimilation of fats
  • Produces Glycogen from Glucose
  • Removes poison and bacteria from blood
43
Q

Biliary System

A

Excretory system

consists of Bile ducts and Gallbladder

44
Q

2 main ducts in Biliary system

A

Common Hepatic Duct and Cystic Duct

45
Q

Common Hepatic and Cystic ducts together form

A

The Common Bile Duct

46
Q

Common Bile Duct meets the Pancreatic Duct at

A

Hepatopancreatic Ampulla or Ampulla of Vater

47
Q

The Hepatopancreatic ampulla opens into

A

The duodenum

48
Q

What happens to bile during interdigestive periods

A

Most of the bile goes to the gallbladder

49
Q

What happens to bile during digestion

A

The sphincter relaxes and permits bile to flow into the duodenum

50
Q

This gland is thin-walled and pear shaped sac

A

Gallbladder

51
Q

Gallbladder is located

A

small fossa of the visceral surface of right liver

52
Q

What is the capacity of the Gallbladder

A

2 oz.

53
Q

Purpose of the Gallbladder

A

Concentrates and stores bile, contracts and releases the bile during digestion

54
Q

Radiographically what is the most important info obtained from the Liver?

A

Bile.

55
Q

Elongated gland on posterior abdominal wall extending from the duodenum to the spleen

A

Pancreas

56
Q

Pancreatic head is located

A

Enclosed in the duodenum at L-2-3

57
Q

Pancreatic neck and body location

A

Transverse behind the stomach, in front of the left kidney and terminates near the spleen

58
Q

Can the Pancreas be seen on plain radiographs?

A

No, possibly CT

59
Q

Pancreas is what kind of gland

A

Exocrine, Endocrine

60
Q

Pancreatic Exocrine functions

A

Lobules with duct system

-Produces pancreatic juices

61
Q

Pancreatic Endocrine functions

A

Clusters of Islet cells-Islet of Langerhans

  • Produce insulin and glucagon
  • Does NOT communicate with ducts
62
Q

This organ is not a gland but belongs to the lymphatic system

A

Spleen

63
Q

Ductless, gland-like organ

A

Spleen

64
Q

What does the spleen produce

A

Lymphocytes

65
Q

This organ stores and removes dying or dead RBC’s

A

Spleen

66
Q

Where is the Spleen located

A

Oblique position in the LUQ (left upper quad) below diaphragm and behind the stomach and above the left kidney

67
Q

Biliary Stenosis

A

Narrowing of bile ducts

68
Q

Cholecystitis

A

Inflammation of gallbladder

69
Q

Choledocholithiasis

A

Calculus in common bile duct

70
Q

Cholelithiasis

A

Gallstones

71
Q

Pancreatitis

A

Inflammation of pancreas

72
Q

Chole-

A

Relationship with bile

73
Q

Cysto-

A

Bag or sac

74
Q

Choledocho-

A

Common bile duct

75
Q

Cholangio-

A

Bile ducts in general

76
Q

Cholecyst-

A

Gallbaldder

77
Q

What modality is good for imaging gallstones?

A

Ultrasound

78
Q

Cholegraphy

A

Radiographic study of biliary system

79
Q

Cholecystography

A

Radiographic study of the gallbladder

80
Q

Cholangiography

A

Exam of the biliary ducts

81
Q

All imaging of biliary tract is done with what type of breathing

A

Suspended respiration

82
Q

Nuc-Med studies

A

The function of anatomy

83
Q

What instructions are patients given before a gallbladder ultrasound?

A

NPO nothing by mouth

84
Q

Pre-operative radiologic exam of the biliary tree is called

A

PTC- Percutaneous (through the skin) Transhepatic (through the liver) Cholangiography (exam of the biliary ducts)

85
Q

PTC’s are used for

A

Patients with Jaundice and a CT or ultrasound has shown dilation

86
Q

How is a PTC performed?

A
  • Patient is placed supine
  • Right side prepped (sight of entrance)
  • Local anesthetic
  • Chiba needle (long thin) placed intercostally (between the ribs)
  • Needle is withdrawn under fluro until contrast fills the biliary tree
87
Q

Postoperative (T-Tube) Cholangiography

A

Exams of the biliary tracts using a T-shaped catheter left in the common hepatic and bile duct for post-op drainage

88
Q

When taking a scout KUB during a Post-Op Cholangiogram what do you do differently from a plain radiograph?

A

Center higher than a normal KUB to be sure you included the Liver

89
Q

Endoscopic Retrograde Cholangiopancreatography (ERCP)

A

Used to diagnose biliary and pancreatic conditions.

90
Q

How is an ERCP performed?

A

Endoscope is passed through the mouth and into the duodenum under fluro.
-Pt must be NPO 1-10 hours AFTER the procedure

91
Q

An allergy to iodinated contrast is not a contraindication for ERCP, why?

A

You’re putting the contrast into the biliary not the blood stream. You are less likely to have a reaction when the contrast is not going to enter your blood stream

92
Q

Why might you see a “stump” during an ERCP with contrast?

A

The gallbladder is gone.

93
Q

Right and Left Hepatic form

A

The common hepatic duct

94
Q

What does the Portal Vein do

A

Bring blood from the bowels to the liver