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Ch14 Gen Surgery
Vocabulary/wkbk
| Question | Answer |
|---|---|
| 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:
E.Ochoa
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