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Gastrointestinal Disorders


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Gastrointestinal Disorders


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[Front]


The digestive tract is also called the ______ ______.
[Back]


Alimentary canal

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Gastrointestinal Disorders - Details

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What does the digestive tract mainly consist of?
Mouth Pharynx Esophagus Stomach Small intestine Large intestine Anus
Which organs aid in the digestive process, but are not considered part of the digestive tract?
Accessory organs; Liver, Gallbladder, Pancreas (and teeth, tongue, salivary glands, appendix)
What are the 3 pairs of salivary glands?
Parotid Submandibular Sublingual
What is the major salivary enzyme?
Salivary amylase (ptyalin)
Where is the stomach located?
Upper left abdominal quadrant
What are the 4 major functions of the large intestine?
1. Completion of absorption of water 2. Manufacture of vitamins 3. Formation of feces 4. Expulsion of feces
What is the function of the veriform appendix?
Stores nonpathologic bacteria until they are needed for digestion
What is bile necessary for?
The emulsification of fats
What is the primary function of the gallbladder?
Store and eject bile into the duodenum for digestion of fats
What is achlorhydria?
Absence of hydrochloric acid in the gastric juice
What are the causes of dental decay?
-Dental plaque -The strength of acids and inability of saliva to neutralize them -Length of time acids are in contact with teeth -Susceptibility to teeth decay
Thrush appears commonly in which indivdual?
Newborn infant who becomes infected while passing through the birth canal
How does candidiasis appear?
Pearly, bluish-white "milk curd" lesions
What are the two common types of cancers of the lip?
Basal cell carcinoma Squamous cell carcinoma
When is a biopsy recommended of a leukoplakia?
If the lesion persists more than 2 weeks
What is GERD?
A backward flow of stomach acid up into the esophagus
When is reflux most common?
Postprandial state (after meals)
What are the 2 major symptoms of GERD?
1. Heartburn (pyrosis) 2. Regurgitation
What can develop if GERD is left untreated?
Barrett's esophagus (precancerous changes in the esophageal lining)
What is the most common symptom of esophageal carcinoma?
Progressive dysphagia over a 6 month period
Define anastomosis
Surgical joining of two ducts, blood vessels, or bowel segments to allow flow from one to the other.
What is achalasia or cardiospasm?
The inability of a muscle to relax, particularly the cardiac sphincter
What is gastritis?
The inflammation of the lining of the stomach
Where do peptic ulcers most commonly occur?
Stomach (gastric ulcer Duodenum (duodenal ulcer)
What does the term peptic ulcer refer to?
Acid in the digestive tract that eroding the mucosal lining of the stomach, esophagus, or duodenum.
What are the most common causes of peptic ulcers?
H. Pylori bacteria NSAIDs Smoking/chewing tobacco Alcohol
List the purpose of nasogastric intubation:
Decompression Feeding Compression Lavage
What is a definite risk factor for gastric cancer?
Infection with H. pylori, especially at an early age
What is dumping syndrome?
Rapid gastric emptying of undigested food to the small intestine; causes distention of the duodenum or jejunum
Dumping syndrome is the direct result of what?
The surgical removal of a large portion of the stomach and pyloric sphincter
What is evisceration?
Protrusion of viscera through the wound
Define tenesmus :
Ineffective and painful straining during defecation
What is NOT usually present in a patient with IBS?
Weight loss and nocturnal symptoms
In diagnosing IBS, what does Rome III criteria include?
Abdominal discomfort at least 3 days/month, in the last 3 months At least two of the following 1. Relief with defecation 2. Onset associated with change in stool frequency 3. Onset associated with stool appearance
Why are antidiarrheal agents preferred for those with ulcerative colitis over anti-cholinergic agents?
Anti-cholinergic drugs can mask obstruction/ contribute to toxic colonic dilation
Where can Crohn's disease occur?
Anywhere in the GI tract; mouth to anus
What is steatorrhea?
Excess fat in the feces