Exam 6: GI (Liver, Gallbladder, Pancreas, Hernia, Hemorrhoids)
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| How does cirrhosis differ from hepatitis? | show 🗑
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| show | Aspirin, Acetaminophen, Sedatives
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| show | Liver produces clotting factors, liver unable to breakdown protein, intestines produce ammonia as a byproduct.
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| show | Demerol. Avoid opioids (morphine) if possible.
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| What is the sphincter of Oddi? | show 🗑
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| show | IV or TPN; NPO status until pain free for 24 hours.
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| To relieve tight stretch of peritoneum in pancreatitis, the Pt can (3)? | show 🗑
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| show | Dark urine (billirubin) Chalky/clay stool (No billirubin)
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| Complications of cirrhosis= esophageal varices, ascites, portal HTN and what else? | show 🗑
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| The obstruction to blood flow from Portal HTN (result of cirrhosis) leads to what 3 things? | show 🗑
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| show | Ascites (extra fluid in the ABD)- reduced intravascular pressure -> Renin-angiotensin response -> Increased Na/h20 retention -> Increased hydrostatic pressure... Worse Ascites.
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| show | Ascites
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| show | Cirrhosis
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| Cirrhosis obstructs flow of what? (3) | show 🗑
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| show | Toxins (ETOH), Infections, R sided HF
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| show | Liver Damage (ETOH)
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| Biliary Cirrhosis caused by | show 🗑
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| show | Malaise, RUQ discomfort, GI disturbance (bowel changes, anorexia, indigestion)
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| Esophageal varices, spider angiomas, changes in mental status are late signs of what? | show 🗑
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| Jaundice, anemia, gynecomastia, edema occur with what? | show 🗑
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| show | Drugs (INH, OD, dilantin, halothan, aldomet), Toxins (ETOH, Mushrooms, carbon tetrachloride), hepatobiliary disease.
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| Main types of Hepatitis Virus & Transmission? | show 🗑
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| show | Hepatitis A & E
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| show | Hepatitis B
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| Early symptoms of hepatitis | show 🗑
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| Late symptoms of hepatitis | show 🗑
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| What causes hepatic encphalopathy (altered conscious from liver problems) | show 🗑
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| Rx Tx for hepatic encephalopathy | show 🗑
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| 3 types of intestinal obstruction (partial/complete blockage) | show 🗑
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| show | No- Could collect above obstruction and cause perforation
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| Kinking of a portion of the intestines | show 🗑
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| show | Intussusecption
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| show | Adhesions
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| A blockage interferes with the normal progression of intestinal contents through the intestinal tract | show 🗑
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| Protrusion of any organ from the cavity that normally confines it; mist commonly used to describe the protrusion of the intestine through a defect in ABD wall | show 🗑
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| Protruding structures can be replaced in the ABD cavity | show 🗑
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| show | Irreducible or incarcerated hernia
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| Protrusion of the hernial sac contains the intestine at the inguinal opening | show 🗑
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| Surgical repair of the hernia | show 🗑
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| show | Hernioplasty
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| show | Hemorrhoids
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| AN infection with a collection of pus in an area between the internal and external sphincters | show 🗑
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| show | Anal Fissure
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| show | Anal fistula
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| Surgical procedure involving incision of a fistula | show 🗑
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| show | Fistulectomy
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| show | Hiatal Hernia
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| show | Asterixis
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| show | Cullen's Sign
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| show | Turner's Sign
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| show | Chvostek's Sign
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| Carpal spasm is induced by inflating BP cuff on upper arm; + sign= hypocalcemia and/or mypomagnesemia | show 🗑
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