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Ch14 Gen Surgery

Vocabulary/wkbk

QuestionAnswer
ABSORPTION to take in or soak up
ANASTOMOSIS pathological, surgical, or traumatic formation of an opening between two normally separated organs or spaces
ASCITES abnormal collection of fluid in the abdominal cavity
BILE a secretion of the liver that emulsifies fat, preparing them for further digestion and absorptionin the small intestine
CHOLE- combining form that mean bile
CHYLE a white liquid theat consists of products of digestion, chiefly emusified fats, that passes through the small intestine and into the lymphatic system
CHYME the thick, semifluid contents of the stomach form during digestion
-CYSTO prefix or combining form meaning bladder
-DOCHO combinig form meaning intestine
-ECTOMY suffix meaning removal of
EXCISION surgical removal
INCISION cut made with a sharp instrument
LYSIS dissolution, loosening, or destruction of something
NECROSIS tissue death
-OMA suffix meaning tumor
-OSTOMY suffix meaning to create a new opening
-OTOMY suffix meaning to make an incision into
PARIETAL (1)refers to the outer portion of a cavity or organ (2)pertaining to the parietal bone of the cranium (3)pertaining to the parietal lobe of the cerebrum
PERISTALSIS rhythmic contractions of smooth muscle layers that force food through the GI tract, urine through the ureter, and bile through the common bile duct
PERITONEUM a thin serous membrane that lines the abdominal cavity
PORTAL VENOUS SYSTEM venous system that carries blood to a second cappillary bed prior to returning the blood to general circulation
-STASIS suffix meaning stoppage or reductin of the flow of bodily fluids
STENOSIS narrowing or constriction
ULCER a crater-like lesion that is usually circular in shape and penetrates the skin; maybe very deep, resulting from infections or malignant disease processes
VISCERA any organ of a body cavity; ususally refers to the abdominal organs
organs in the RUQ liver head of the pancreas duodenum gallbladder
organs in the LUQ most of the stomach tail of the pancreas spleen
organs in the RLQ appendix sigmoid colon cecum
organs in the LLQ splenic flexure left ovary
identify where the bilateral abdominocrural creases are located between the thigh and the abdomen
anterior pararenal contains pancreas and parts of the duodenum and the colon
perirenal contains structures of urologic and vascular concern
posterior perarenal contains no organs
cardia secretes mucous to ease passage of food
fundus produces hydochloric acid
corpus produces acid and secretes pepsinogen
antrum non-acid producing secretes mucous/gastrin
pylorus food storage area before it passes in the duodenum
the biliary tree outlined during an intraoperative cholangiogram may include rt & lt hepatic ducts, common hepatic duct, cystic duct, common bile duct
what is the function of the sphincter of oddi controls flow of bile into the duodenum
identify the ducts that transport enzymes from the pancreas to duodenum duct of santorini duct wit????
where are the islets of langerhans located, and what is their function -located in the pancreas, -maintain blood sugar
list the functions that are performed by the cells of the liver produce bile, metabolize carbs, fats, and proteins, store sugar as glycogen, store fat soluble vitamins plus iron and copper, synthesize prothrombin & fribrolgen
an indirect hernia occurs at the ______ ______ ring and may extend to the ______ ______ ring internal inguinal, deep inguinal
a direct hernia occurs within hesselbach's triangle
a femoral hernia occurs as a defect in the abdominal wall
inguinal hernias occur ______ the abdominocrural crease above
femoral hernias occur ______ the abdominocrural crease below
varicose veins normal veins that become elongated, dilated, and tortuous
identify the major function of the thyroid gland produces, stores, and releases the hormones T3 & T4
results in tetany when all parathyroid glands are removed
sac or pouch/enlargment of intestinal wall diverticulum
mucosal growth considered a precursor to dysplasia polyp
telescoping of interstine within itself intussception
twisting of bowel volvulus
occurs in the sacrococcygeal area with sinus formation pilonidal disease
difficulty swallowing due to motility disorder dysphagia
hiatal hernia causing mucosal trauma reflux disease
perianal abscess fistula-in-ano
congenital outpouching located in the lieum meckel's deverticulum
chronic condition with weight loss, absecess, or bleeding crohn's disease
surgical intervention for prolonged intubation tracheostomy
splenomegaly splenectomy
severely increased basal metabolic rate (BMR) thyroidectomy
elevated WBC count, rebound tenderness appendectomy
multicentric ductal carcinoma, male or female radical mastectomy
severe crohn's disease right hemicolectomy
cancer in the head of the pancreas removed whipple
stage I or stage II cancer without axillary node involvement mastectomy
laveration of the spleen splenorrhaphy
defect in abdominal wall affecting structures of spermatic cord, scarpa's fascia, cremaster muscle mcvay repair
includes both direct and indirect hernias pantaloon
occurs usually at esophageal hiatus diaphragmatic
a direct or indirect hernia usually in men inguinal
acquired defect that occurs in hesselbach's triangle direct
occurs congenital or acquired due to obesity or pregnancy umbilical
entrapment of organs, which cannot be returned to abdomen strangulated
most common in females/may entrap lymph nodes femoral
occurs on anterior abdominal wall ventral
usually congenital along spermatic cord indirect
entrapment that compromises vascularity incarcerated
thrombocytopenia is a deficiency of _______ in the blood platellets
position for cholecystectomy reverse trendelenburg
position for esophagectomy lateral
position for pilonidal cystectomy kraske
position for herniorrhaphy or mastectomy supine
position for endoscopic hernia repair trendelenburg
instrument used in grasping hemorrhoids buie pile forceps
clamps for occlusion of intestines allen clamp
drain premoistened to manipulate spermatic cord/esophagus penrose drain
fistula incision guide probe/grooved director
forceps used to remove stones from duct randall forceps
scissors used to extend incision in vessel or duct potts smith scissors
used for insersion of vascular access device j-shaped guidewire
decompresses an engorged gallbladder ochsner gb trocar
enlarges size of cystic duct and cbd bakes dilator
allows direct visualization placement of umbilical port hasson trocar
what is required for a liver resection or liver laceration-yankauer tip cell saver
forceps used to grab bowel such as appendix babcock tissue forceps
used to manipulate vagus trunk during vagotomy nerve hook
used to maintain or enlarge size of esophagus maloney dilators/bougie
biopsy needle or tru-cut for liver biopsy franklin silverman
closuremucosal layer of intestinal anastomosis 3-0 absorbable continuous suture
circular GI anastomosis-check the donuts pursestring stitch
used to reinforce defect (stapled or sutured in place) mesh
vessel or duct closure using applier to place clips hemoclip or ligating clip
securely closes tissue around a catherter/inverts stump EEA or intraluminal stapler
closure serosal layer of intestinal anastomosis 3-0 silk interupted suture
single application for resection of diseased bowel GIA or linear stapler
clamp, clamp, cut, _______ to control bleeding tie (2-0 or 3-0 ilk)
used to reestablish negative pressure after procedure chest tube secured with silk
liver laceration or biopsy to control bleeding large chromic blunt needle
diagnosis neuromuscular diseases muscle biopsy
gastroduodenostomy (antrectomy) billroth I
reconstruction of gastric sphincter to release chyme pyloroplasty
removal of breast, pectoralis major, and axillary nodes radical mastectomy
lobectomy-careful of recurrent laryngeal nerve thyroidectomy
omental wrap, stapling/suture repair splenorrhaphy
gastrojejunostomy (antrectomy/duodenectomy) billroth II
preferred method-also known as parietal cell roux-en-y
use of self-retaining foley, pezzer for feeding gastrostomy
obliteration of varicose veins sclerotherapy
mobilization of jejunum-anasotmosis/side branch highly selective vagotomy
creation of permanent stoma for breathing tracheostomy
removal of breast tissue and axillary nodes modified radical mastectomy
pancreaticojejunostomy with gastrojejunostomy and choledochojejunostomy whipple
two reasons for performing a gastrostomy provide nutrition, decompress/drain stomach
ligament used as an anatomical landmark to identify the end of the duodenum and the beginning of the jejunum ligament of treitz
paramedial incision; heals stronger sigmoid surgery
right subcostal/kocher cholecystectomy
thoracoabdominal esophagoduodenostomy
inguinal oblique incision herniorrhaphy
median incision, more likely to herniated trauma-quicker
mcburney incision appendectomy
bassini-shouldice repair is performed to correct which condition inguinal hernia repair
separation of clean and dirty; clean closure necessary bowel resection
have extra laps ready and cell saver for immediate use liver laceration
pass scissors with t-tube for possible alteration cholecystectomy with IOC
trach tray available for possible swelling postop thyroidectomy
as soon as received from surgeon prepare for reuse use of linear stapler
no air bubbles in contrast media CBDE
check balloon; send obturator with patient postop tracheostomy
lubrication required for instrumentation entering orfice hemorrhoidectomy
have culture tubes ready; anaerobic to medium quickley appendectomy
care with instruments/tissue to prevent seeding; keep sharp blade mastectomy
Created by: Ernestine Ochoa-Menjivar Ernestine Ochoa-Menjivar on 2013-01-22



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