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Med Term CH8 Digestive System

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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Question
Answer
an/o   anus, ring  
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chol/e   bile, gall  
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cholecyst/o   gallbladder  
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col/o   colon, large intestine  
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colon/o   colon, large intestine  
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-emsis   vomiting  
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enter/o   small intestine  
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esophag/o   esophagus  
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gastr/o   stomach, belly  
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hepat/o   liver  
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-lithiasis   presence of stones  
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-pepsia   digest, digestion  
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-phagia   eating, swallowing  
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proct/o   anus and rectum  
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rect/o   rectum, straight  
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sigmoid/o   sigmoid colon  
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gastrointestinal tract   aka GI tract, stomach and intestines  
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digestive system   upper GI tract and lower GI tract  
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Upper GI tract parts   mouth, pharynx (throat), esophagus, & stomach.  
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Upper GI tract functions   transports food from entry into the body until digestion begins in the stomach  
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Lower GI tract parts   "bowels," small & large intestines plus rectum and anus  
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Lower GI tract functions   digestion is completed and waste material is prepared for expulsion from the body.  
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Accessory organs of the digestive system   liver, gallbladder, & pancreas - play a key role in digestive process, but are not part of the gastrointestinal tract.  
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oral cavity, major structures   aka mouth; lips, hard & soft palates, salivary glands, tongue, teeth, and periodontium.  
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lips   aka labia; surround the opening to oral cavity, important role in breathing, speaking, & expression of emotions.  
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holds the food in mouth   lips, tongue, and cheeks  
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palate   forms roof of the mouth and consists of 3 parts: hard palate, soft palate, & uvula  
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hard palate   anterior portion of the palate covered w/ specialized mucous membrane  
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rugae   irregular ridges or folds in the mucous membrane of the hard palate  
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soft palate   flexible posterior portion of palate, closes off nasal passage to prevent food & liquid from moving upward into the nasal cavity when swallowing.  
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uvula   hangs from free edge of soft palate and moves upward during swallowing w/ soft palate. Important role in snoring & formation of some speech sounds  
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tongue   very strong, flexible, & muscular. Posterior attached, anterior is free & flexible, important for chewing, speaking, swallowing  
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dorsum   upper surface of the tongue w/ tough protective covering & some papillae  
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papillae   on dorsum of tongue, small bumps containing taste buds, which are sensory receptors for sense of taste  
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sublingual surface of tongue   under the tongue & highly vascular tissue surrounding.  
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administering medications sublingually   since highly vascular area, placing medications under tongue allows them to be quickly absorbed into bloodstream  
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lingual frenum   band of tissue that attaches tongue to floor of mouth and limits motion of tongue  
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periodontium   structures that surround, support, & are attached to the teeth. Consists of bone of dental arches & soft tissues that surround/ support teeth  
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odonti   teeth  
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peri-   surrounding  
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gingiva   aka masticatory mucosa or gums, specialized mucous membrane that covers the bone of the dental arches & surrounds neck of teeth  
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sulcus   area of space btw tooth & surrounding gingiva. Buildup of food, debris, bacteria can lead to infection.  
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dental arches   bony structures of the oral cavity that hold teeth firmly in position to facilitate chewing & speaking.  
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sulci   space btw tooth & surrounding gingiva OR fissures in cerebral cortex of the brain  
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maxillary arch   upper jaw & consists of bones of the lower surface of the skull. Does not move  
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mandibular arch   lower jaw & is a separate bone that is the only movable component of the joint.  
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temporomandibular joint   TMJ, formed @ back of mouth where maxillary & mandibular arches come together  
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dentition   the natural teeth arranged in upper & lower jaws. 4 types in humans: incisors, canines, premolars, molars  
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incisors   used for biting and tearing  
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canines   aka cuspids, used for biting & tearing  
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premolars   aka bicuspids, used for chewing & grinding  
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molars   used for chewing & grinding  
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primary dentition   aka baby teeth, deciduous dentition, 20 teeth in early childhood & lost/ replaced w/ permanent. 8 incisors, 4 canines, 8 molars (0 premolars)  
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permanent dentition   32 teeth designed to last lifetime; 20 replace primary dentition & 12 @ back. 8 incisors, 4 canines, 8 premolars, 12 molars.  
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occulsion (teeth)   in dentistry, describes any contact btw chewing surfaces of upper & lower teeth  
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crown (teeth)   portion of tooth that is visible in the mouth and covered by enamel  
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enamel (teeth)   hardest substance in body  
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roots (teeth)   hold tooth securely in place w/in dental arch, protected by cementum  
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cementum (teeth)   hard substance that protects roots, not as hard as enamel  
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cervix (teeth)   neck of the tooth, where crown and root meet  
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dentin (teeth)   makes up bulk of the tooth, the portion that is above the gum line is covered w/ enamel.  
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pulp cavity (teeth)   area w/in crown & roots of tooth that is surrounded by the dentin to protect the delicate pulp of the tooth.  
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root canals (teeth)   pulp continues into this space  
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pulp (teeth)   consists of rich supply of blood vessels & nerves that provide nutrients & innervation to the tooth  
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saliva   colorless liquid that maintains moisture in mouth, health of teeth, & begins digestive process by lubricating food.  
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mechanical digestion   chewing & swallowing food  
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amylase   digestive enzyme in saliva for 1st step in chemical digestion  
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salivary glands   3 pairs: parotid, sublingual, submandibular; secrete saliva that is carried by ducts into the mouth  
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parotid glands   located on face, slightly in front of each ear. Ducts for these glands on inside of cheek near upper molars  
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sublingual glands   located on floor of mouth under tongue, along w/ their ducts  
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submandibular glands   located on the floor of the mouth near the mandible, along w/ their ducts  
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pharynx   common passageway for both respiration & digestion, plays important role in deglutition.  
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deglutition   swallowing  
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epiglottis   lid-like structure that closes off the entrance to the trachea to prevent food & liquids from moving pharynx during swallowing  
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trachea   windpipe  
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esophagus   muscular tube through which ingested food passes from the pharynx to the stomach  
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lower esophageal sphincter   aka cardiac sphincter, muscular ring btw the esophagus & stomach. During swallowing, relaxes to allow food to enter stomach  
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regurgitating   flowing backward  
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when does lower esophageal sphincter open/ close   opens to allow flow of food into stomach & closes to prevent stomach contents from regurgitating into esophagus  
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stomach   sac-like organ composed of fundus, body, antrum  
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fundus (stomach)   upper, rounded part  
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body (stomach)   main portion  
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antrum (stomach)   lower part  
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rugae   folds in the mucosa lining of the stomach, allow stomach to increase & decrease in size. Glands in the folds produce gastric juices  
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gastric juices   made up of enzymes & hydrochloric acid that aid in starting food digestion. Mucus produced by glands in stomach create protective coating on lining of stomach.  
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pyloric sphincter   ring-like muscle @ base of stomach that controls flow of partially digested food from stomach to the duodenum of sm intestine  
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pylorus   narrow passage that connects the stomach w/ small intestine  
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small intestine   extends from pyloric sphincter to 1st part of LG intestine. Coiled organ is up to 20' & has 3 sections.  
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happens in 3 sections of small intestine   food is digested & nutrients are absorbed into the bloodstream  
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3 sections of small intestine   duodenum, jejunum, & ileum  
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duodenum   1st portion of small intestine & extends from pylorus of stomach to the jejunum  
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jejunum   middle portion of small intestine that extends from duodenum to the ileum  
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ileum   last & longest portion of small intestine that extends from the jejunum to the cecum of the LG intestine  
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large intestine   extends from end of small intestine to anus & is 2x's as wide as sm intestine, 1/4 as long.  
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happens in large intestine   waste products of digestion are processed in preparation for excretion through the anus  
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4 major parts of large intestine   cecum, colon, rectum, anus  
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cecum   pouch that lies on the right side of abdomen that extends from end of ileum to beginning of colon  
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ileocecal sphincter   ring-like muscle that controls flow from ileum of small intestine into cecum of large intestine  
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vermiform appendix   aka appendix; hangs from lower portion of cecum, consists of lymphoid tissue  
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vermiform   worm-like shape  
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colon   longest portion of the large intestine, divided into 4 parts  
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4 sections of colon   ascending, transverse, descending, sigmoid  
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ascending colon   travels upward from the cecum to the undersurface of the liver  
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transverse colon   passes horizontally across the abdominal cavity from RT to LT toward spleen  
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transverse   accross  
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descending colon   travels down the LT side of the abdominal cavity to the sigmoid colon.  
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descending   downward  
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sigmoid colon   S-shaped structure that continues from the descending colon above & joins rectum below  
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sigmoid   curved like the letter s  
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rectum   widest division of large intestine that makes up the last 4" of LG intestine & ends @ anus  
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anus   lower opening of the digestive tract handling flow of waste w/ internal & external anal sphincters  
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anorectal   anus & rectum  
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liver   largest organ in body, removes toxins from blood & turns food to fuel & nutrients that body needs.  
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hepatic   pertaining to the liver  
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the liver & glycogen   Liver removes excess glucose (blood sugar) from bloodstream & stores it as glycogen. when blood sugar low, liver converts glycogen back to glucose & releases it to the body.  
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glycogen   form of glucose stored in the liver & muscles.  
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bilirubin   pigment excreted into digestive fluid called bile, giving it yellow to green color. Excessive amounts = jaundice & other diseases  
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bile   aids in digestion of fats, is digestive juice secreted by liver that is necessary for digestion of fat.  
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hepat   liver  
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the travel of bile   travels from liver to gallbladder, where it is concentrated & stored  
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biliary tree   provides the channels through which bile is transported from the liver to the small intestine  
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biliary   pertaining to bile  
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common hepatic duct   trunk of the biliary tree is here  
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form biliary tree   small ducts in the liver join together like branches  
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cystic duct   bile travels from the liver through the common hepatic duct to the gallbladder where it enters and exits through this narrow duct  
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common bile duct   where cystic duct leaving gallbladder rejoins the common hepatic duct  
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pancreatic duct   common bile duct joins this & together they enter the duodenum of small intestine  
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gallbladder   pear-shaped organ about size of egg located under liver. Stores & concentrates bile for later use.  
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when bile needed from gallbladder   gallbladder contracts, forcing bile out through biliary tree  
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cholecystic   pertaining to the gallbladder  
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pancreas   soft, 6" oblong gland that is located behind the stomach. Important for digestive & endocrine systems  
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pancreas functions for digestive system   produces & secretes pancreatic juices that aid in digestion & contain digestive enzymes & sodium bicarbonate to help neutralize stomach acids  
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pancreatic   pertaining to the pancreas  
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pancreatic duct   where pancreatic juices leave the pancreas & duct joins common bile duct just before entrance to duodenum  
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digestion   process by which complex foods are broken down into nutrients in a form the body can use  
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digestive enzymes   responsible for chemical changes that break foods down into simpler forms of nutrients for use by the body  
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nutrient   a substance, usually from food, that is necessary for normal functioning of the body.  
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primary, or macronutrients   carbohydrates, fats, & proteins.  
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essential micronutrients   vitamins & minerals, required in only small amounts  
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metabolism   includes all of the processes involved in the body's use of nutrients. Consists of anabolism & catabolism.  
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metabol   change  
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-ism   condition  
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anabolism   building up of body cells & substances from nutrients  
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catabolism   breaking down of body cells or substances, releasing energy & carbon dioxide.  
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absorption   process by which completely digested nutrients are transported to the cells throughout the body  
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villi   finger-like projections that line the mucosa of the small intestine. Contain blood vessels & lacteals. Absorb nutrients directly from digestive system into bloodstream for delivery to cells of body  
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lacteals   specialized structures of the lymphatic system, absorb fats & fat-soluble vitamins that cannot be transported directly by bloodstream. Absorb nutrients & transport via lymphatic vessels  
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mastication   aka chewing; breaks down food into smaller pieces, mixes it w/ saliva, & prepares it to be swallowed  
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bolus   mass of food that has been chewed & is ready to be swallowed.  
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food path from mouth to esophagus   mouth into pharynx, and on into the esophagus  
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once food it in the esophagus   it moves downward through the action of gravity & peristalisis.  
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peristalisis   series of wave-like contraction of smooth muscles in a single direction that moves the food forward into the digestive system  
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gastric juices of the stomach...   contain hydrochloric acid & digestive enzymes to continue the breakdown of food. Few nutrients enter bloodstream through walls of stomach  
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churning action of stomach...   works w/ gastric juices by converting food into chyme  
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chyme   semifluid mass of partly digested food that passes out of the stomach, through the pyloric sphincter, and into small intestines  
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role of small intestine   conversion of food into usable nutrients completed as chyme is moved through small intestine by peristaltic action.  
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process inside duodenum   chyme mixed w/ pancreatic juice & bile. Bile breaks apart LG fat globules so that enzymes in the pancreatic juices can digest fats  
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emulsification   when bile breaks apart LG fat globules so that enzymes in pancreatic juices can digest the fats.  
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emulsification must be completed before...   nutrients can be absorbed into the body  
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process inside jejunem   secretes LG amt of digestive enzymes & continues process of digestion  
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primary function of ileum   absorb nutrients from digested food  
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role of large intestine   receive the waste products of digestion & store them until eliminated from body  
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process inside large intestine   food enters LG intestine where excess water is reabsorbed into body through walls of LG intestine, helping maintain body's fluid balance. Remaining waste forms into feces  
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feces   aka solid body wastes, are expelled through the rectum & anus  
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defecation   aka bowl movement BM, the evacuation or emptying of the large intestine  
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disruption of microflora from use of antibiotics   can lead to infections like c. diff.  
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gut microflora   billions of normal bacteria present in LG intestines to protect against infection & to help maintain immune system. Helps break down organic waste material.  
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borborygmus   rumbling noise caused by the movement of gas in the intestine  
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flatulence   aka flatus; passage of gas out of the body through the rectum  
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bariatrics   branch of medicine concerned w/ prevention & control of obesity & associated diseases  
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dentist   holds dr. of dental surgery (DDS) or Dr. of medical dentistry (DMD) degree & specializes in diagnosing & treating diseases & disorders of teeth & tissues of oral cavity  
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gastroenterologist   physician who specializes in diagnosing & treating diseases & disorders of stomach & intestines  
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oral or maxillofacial surgeon   specializes in surgery of face & jaws to correct deformities, treat diseases, & repair injuries  
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orthodontist   dental specialist who prevents or corrects malocclusion of teeth & related facial structures  
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odont   teeth  
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peri-   surrounding  
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proctologist   physician who specializes in disorders of the colon, rectum, & anus  
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registered dietician   RD; specialist in food & nutrition who practices medical nutrition therapy & counsels patients on improving dietary intake  
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aphthous ulcers   aka canker sores, mouth ulcers; gray-white pits w/ a red border in the soft tissues lining mouth. Cause unk, assoc. w/ stress, foods, fever  
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ulcer   open lesion of skin mucous membrane resulting in tissue loss around edges  
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cheilosis   aka cheilitis; disorder of the lips characterized by crack-like sores @ corners of mouth  
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cheil   lips  
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herpes labialis   aka cold sores, fever blisters; blister-like sores on lips & adjacent facial tissue caused by oral herpes simplex virus type 1 (HSV-1)  
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Most adults have been infected by this extremely common virus, & in some, it becomes reactivated periodically causing cold sores   HSV-1, oral herpes simplex virus type 1  
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leukoplakia   abnormal white, usually benign lesion (sore) that develops on tongue or inside cheek. Response to chronic irritation.  
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-plakia   plaque  
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stomatitis   inflammation of the mucosa of the mouth  
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stoma   artificial mouth-like opening btw an organ & body's surface  
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stomatomycosis   any disease of the mouth due to fungus  
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myc   fungus  
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stomat/o   mouth or oral cavity  
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oral thrush   type of stomatomycosis that develops when fungus Candida albicans grows out of control. Creamy white lesions on tongue/ inner cheek. infants, older adults, or taking antibiotics  
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trismus   any restriction to the opening of the mouth caused by trauma, surgery, or radiation assoc w/ treatment of oral cancer. Difficulty speaking & affects nutrition from impaired chewing & swallowing  
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xerostomia   aka dry mouth; lack of adequate saliva due to diminished secretions by salivary glands. Caused by meds or radiation  
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xerostomia can cause   discomfort, difficulty in swallowing, changes in taste of food, & dental decay  
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cleft lip   aka harelip; birth defect in which there is a deep groove of lip running upward to nose as a result of lip not closing @ develop.  
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cleft palate   failure of palate to close during early development of fetus. Can involve upper lip, hard/ soft palate  
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bruxism   involuntary grinding or clenching of teeth typically @ sleep, associated w/ tension or stress - habitually during day.  
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bruxism damage   wears away tooth structure, damages periodontal tissues, & injures temporomandibular joint  
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dental carries   aka tooth decay or cavity; infectious disease caused by bacteria that destroy enamel & dentin of tooth. If not fixed, exposed & infected  
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dental plaque   major cause o dental carries & periodontal disease, forms as soft deposits in sheltered areas near gums & btw teeth. Bacteria  
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plaque associated w/ heart conditions consists of   deposits of cholesterol that form w/in blood vessels  
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edentulous   w/o teeth, situation after natural permanent teeth have been lost  
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halitosis   aka bad breath; unpleasant odor coming from the mouth that can be caused by dental diseases or respiratory or gastric disorders  
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halit   breath  
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stom   mouth or oral cavity  
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-plakia   plaque  
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xer/o   dry  
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malocclusion   any deviation from the normal positioning of the upper teeth against lower teeth  
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periodontal disease   aka periodontitis; inflammation of the tissues that surround & support teeth. Progressive disease by degree of tissue involvem.  
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severe case of periodontal disease   gums & bone surrounding teeth are involved  
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dental calculus   aka tartar; dental plaque that has calcified on teeth, irritate surrounding tissues & can cause periodontal diseases  
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calcified   hardened  
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calculus   hard deposits, such as gallstones or kidney stones, that form in other parts of body  
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gingivitis   earliest stage of periodontal disease, & inflammation affects only gums  
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gingiv   gums  
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acute necrotizing ulcerative gingivitis   ANUG or trench mouth; caused by abnormal bacterial growth in mouth. As progresses: inflam, bleeding, ulceration, tissue death  
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necrotizing   causing ongoing tissue death  
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dysphagia   difficulty in swallowing  
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-phagia   swallowing  
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eosinophilic esophagitis   chronic immune system disease in which a type of WBC called eosinophil builds up in esophagus, usually from food allergy.  
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gastroesophageal reflux disease   GERD; upward flow of acid from stomach into esophagus. Stomach acid irritates/ damages esophagus lining  
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reflux   backward or return flow  
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Barrett's esophagus   condition that occurs when cells in epithelial tissue of esophagus are damaged by chronic acid exposure. Complication of GERD  
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stricture   abnormal narrowing of esophagus resulting from scar tissue or other damage that can cause swallowing difficulties  
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pyrosis   heartburn; burning sensation caused by return of acidic stomach contents into esophagus  
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esophageal varices   enlarged & swollen veins @ lower end of esophagus. Severe bleeding occurs if one of these veins rupture  
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hiatal hernia   anatomical abnormality which portion of stomach protrudes upward into chest, through opening in diagphragm  
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hernia   protrusion of a part or structure through the tissues that normally contain it, can cause GERD and pyrosis  
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gastritis   common inflammation of the stomach lining that is often caused by the bacterium Helicobacter pylori  
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gastroenteritis   inflammation of mucous membrane lining stomach & intestines  
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gastroparesis   condition in which muscles in stomach slow down & work poorly or not at all, preventing stomach from emptying normally  
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-paresis   partial paralysis  
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gastrorrhea   excessive secretion of gastric juice or mucus in stomach  
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peptic ulcers   sores that affect mucous membranes of the digestive system, caused by bacteria Helicobacter pylori or meds that irritate  
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pept   digestion  
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peptic ulcer disease   the condition of having peptic ulcers  
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gastric ulcers   peptic ulcers that occur in stomach  
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duodenal ulcers   peptic ulcers that occur in upper part of small intestine  
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perforating ulcer   complication of a peptic ulcer in which the ulcer erodes through the entire thickness of the organ wall  
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anorexia   loss of appetite for food, especially when caused by disease.  
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cachexia   condition of physical wasting away due to loss of weight & muscle mass that occurs in patients w/ diseases such as cancer/ AIDS. Might eat enough, but body won't absorb enough nutrients  
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dehydration   condition which fluid loss exceeds fluid intake & disrupts body's normal electrolyte balance  
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malnutrition   lack of proper food or nutrients in body due to shortage of food, poor habits, or inability of body to digest, absorb, distribute  
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malabsorbtion   condition in which small intestine cannot absorb nutrients from food that passes through it  
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obesity   excessive accumulation of fat in body, frequently present as comorbidity w/ conditions like hypertension  
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obese   usually used to refer to individuals who are more than 20% to 30% over established weight standards for height/age/gender  
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gender   differences btw men & women  
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morbid obestity   aka severe obesity; condition of weighing 2x more than ideal weight or having BMI value over 40  
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"morbid" for morbid obesity   diseased state  
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body mass index   BMI, # that shows body weight adjusted for height. Underweight, normal, overweight, obese. High BMI factor for diseases  
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comorbidity   presence of more than one disease or health condition in an individual at a given time  
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aerophagia   excessive swallowing of air while eating or drinking & is common cause of gas in stomach  
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dyspepsia   aka indigestion; pain or discomfort in digestion  
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-pepsia   digestion  
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dys-   painful  
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emesis   aka vomiting; reflex ejection of stomach contents outward through mouth  
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-emesis   aka vomiting; reflex ejection of stomach contents outward through mouth  
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eructation   act of belching or raising gas orally from stomach  
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hematemesis   vomiting of blood, often resembles coffee grounds  
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hyperemesis   extreme, persistent vomiting that can cause dehydration  
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morning sickness   hyperemesis during early stages of pregnancy  
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nausea   urge to vomit  
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regurgitation   return of swallowed food into mouth  
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celiac disease   hereditary autoimmune disorder characterized by severe reaction to foods containing gluten. Damages villi of small intesting & can cause malabsorbtion  
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gluten   type of protein found in grains such as wheat, barley, & rye  
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gluten intolerance   aka non-celiac gluten sensitivity; response to gluten involving digestive distress but not intestinal tissue damage like celiac  
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gluten intolerance is sometimes caused by an...   allergy to wheat  
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food allergy   an immune system reaction that occurs after eating a certain food  
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lactose intolerance   inability to digest dairy products due to absence of enzyme lactase, which is needed to process the sugar in milk/ dairy  
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lactose intolerance common for   African-Americans & East Asians  
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colorectal carcinoma   aka colon cancer; often 1st manifests itself in polyps in colon  
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polyp   mushroom like growth from the surface of a mucous membrane, not all are malignant  
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diverticulosis   chronic presence of an abnormal # of diverticula in colon. Often no symptoms, related to low fiber diet  
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diverticul   diverticulum  
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diverticulum   small pouch, or sac, found in lining or wall of a tubular organ such as the colon  
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diverticulitis   sometimes develops as a result of diverticulosis, inflammation or infection of 1 or more diverticulum in colon  
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enteritis   inflammation of the small intestine caused by eating or drinking substances contaminated w/ viral or bacterial pathogens  
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ischemic colitis   occurs when part of LG intestine is partially or completely deprived of blood. Lack of blood persists, then leads to inflammation & permanent damage of affected area.  
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ileus   aka paralytic ileus; partial or complete blockage of the SM or LG intestine, caused by stopping of normal peristalsis in this area of intestine.  
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symptoms of ileus   severe pain, cramping, abdominal distention, vomiting, & inability to pass gas or stools  
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postoperative ileus   temporary impairment (stoppage) of bowel action that is considered to be a normal response to abdominal surgery. 24-72 hrs  
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irritable bowel syndrome   IBS; common condition of unk. cause w/ symptoms that can include intermitent cramping & abdominal pain, w/ constipation or diarrhea. Aggravated by stress/ foods, not pathogens  
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inflammatory bowel disease   IBD; general name for diseases that cause inflammation & swelling in intestines. Ulcerative colitis & Crohn's disease  
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ulcerative colitis & Crohn's disease   most common IBD, chronic, incurable, can affect LG & SM intestines, similar symptoms: ab pain, weight loss, fatigue, fever, rectal bleeding, diarrhea  
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flares   intervals of active disease alternating w/ periods of remission, for ulcerative colitis & Crohn's. Treatment meds, surgery  
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ulcerative colitis   chronic condition of unk cause which repeated episodes of inflam in rectum & LG intestine cause ulcers & irritation  
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Area of ulcerative colitis   starts in rectum & progresses upward to lower part of colon (can entire LG int), affects only innermost lining & not deep tissues  
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Crohn's disease   CD; chronic autoimmune disorder can occur anywhere in digestive tract - most common in ileum & colon. Penetrates every layer of affected area, so scarring & thickening of walls.  
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common complication of Crohn's disease   blockage of intestine due to swelling & scarring  
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intestinal obstruction   partial or complete blockage of SM or LG intestine caused by physical obstruction. Many causes  
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intestinal adhesions   abnormally hold together parts of intestine that should be separate. Condition caused by inflammation or trauma.  
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strangulating obstruction   blood flow to a segment of intestine blocked. Can lead to gangrene or perforation.  
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gangrene   tissue death that is associated w/ loss of normal circulation  
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perforation   describes hole through wall of a structure  
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volvulus   twisting of intestine on itself, causing an obstruction. Can cause necrosis of affected segment of bowel.  
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volvulus is Latin word that means   rolled up or twisted  
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intussusception   telescoping of one part of the SM intestine into opening of an immediately adjacent part, rare but serious condition found in children btw 3mo-6yr  
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intussuscept   to take up or to receive within  
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inguinal hernia   protrusion of small loop of bowel through a weak place in lower abdominal wall or groin. Caused by obesity, preganancy, heavy lifing, or straining to pass stool  
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strangulated hernia   occurs when portion of intestine is constricted inside hernia, causing ischemia in this tissue by cutting off blood supply  
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ischemia   insufficient oxygen  
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infections diseases of intestines - how transmitted, most common   through contaminated food/ water or poor sanitation process. Clostridium difficile, dysentery, E. coli, Salmonellosis  
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Clostridium difficile   C. diff; bacterial infection common to older adults in hospitals or long-term-care facilities, typically following use of antibiotics that wipe out competing bacteria. Causes diarrhea & inflammation of colon.  
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Infection control measures for C. diff   hand-scrubbing or wearing gloves can help prevent spread  
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dysentery   bacterial infection that occurs most frequently in tropical countries where spread through food/ water contaminated by human feces  
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E. coli   caused by bacterium Escherichia coli, transmitted through contaminated foods that have not been adequately cooked  
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salmonellosis   aka salmonella; transmitted by feces through direct contact w/ animals or by eating contaminated raw or under-cooked meats, eggs, or unpasteurized milk/ cheese products.  
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anal fissure   small crack-like sore in skin of anus that can cause severe pain during bowel movement  
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fissure   groove or crack-like sore of skin  
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bowel incontinence   inability to control the excretion of feces  
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constipation   having a bowel movement fewer than 3x wk. Stools dry, hard, small, difficult to eliminate.  
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constipation caused by   lack of fiber in diet, disease, side effect of a certain drug, & pelvic floor dysfunction (women)  
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pelvic floor disfunction   lack of coordination of the muscles needed for the rectum to straighten & the anal sphincter to relax  
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diarrhea   abnormally frequent flow of loose or watery stools & can lead to dehydration  
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hemorrhoids   occur when cluster of veins, muscles, & tissues slip near or through the anal opening. Can become inflamed, painful, fecal leakage, itching, bleeding.  
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rectocele   bulging of front wall of rectum into vagina, usually as result of childbirth or pregnancy  
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-cele   hernia  
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hematochezia   presence of bright red blood in stool. Usually indicates blood coming from lower part of GI tract  
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melena   passage of black, tarry, foul-smelling stools - due to presence of digested blood & often indicates bleeding in upper part of GI  
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steatorrhea   presence of excess fat in stool which results in frothy, foul-smelling stools, usually caused by pancreatic disease, removal of gallbladder, or malabsorption disorders  
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liver disorders are a major concern b/c   functioning of liver is essential to digestive process  
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ascites   abnormal accumulation of serous fluid in peritoneal cavity. Usually result of severe liver disease creating pressure on liver's blood vessels.  
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serous   substance having watery consistency  
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hepatomegaly   abnormal enlargement of liver  
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steat/o   fat  
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jaundice   yellow discoloration of skin, mucous membranes, & eyes. Caused by greater-than-normal amts of bilirubin in blood  
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hepatitis   inflammation of liver usually caused by viral infection.  
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viral hepatitis   leading cause of liver cancer & most common reason for liver transplant  
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3 most common varieties of viral hepatitis   HAV Hepatitis A Virus, HBC Hepatitis B Virus, & HCV Hepatitis C Virus  
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Hepatitis A Virus   most prevalent type, highly contagious transmitted mainly through contamination of food/ water w/ infected fecal matter.  
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Hepatitis B Virus   bloodborne disease transmitted through contact w/ blood & other body fluids that are contaminated w/ virus.  
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Hepatitis C Virus   bloodborne disease spread through contact w/ blood & other body fluids that are contaminated w/ virus. Silent epidemic.  
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Which form of hepatitis virus is silent epidemic & why   Hep C b/c it can be present in body for years & destroy the liver before any symptoms appear  
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Which forms of hepatitis can you get a vaccine for immunity?   HAV & HBV, but not HCV  
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clinical conditions associated w/ cirrhosis of the liver   mental confusion, spider angiomas, esophageal varices, scarred liver tissue, abdominal ascites, testicular atrophy, edema, gynecomastia, splenomegaly, erythema of palms, skin hemorrhages  
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cholecystisis   inflammation of the gallbladder, usually assoc. w/ gallstones blocking flow of bile  
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gallstone   aka cholelith; hard deposit formed in gallbladder & bile ducts due to concretion of bile components  
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cholelithiasis   presence of gallstones in gallbladder or bile ducts  
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-lithiasis   presence of stones  
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biliary colic   pain caused by passage of gallstone through bile duct  
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abdominal computed tomography   CT; radiographic procedure that produces a detailed cross-section of the tissue structure w/in abdomen looking for tumor or obstruction (ex)  
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abdominal ultrasound   noninvasive test used to visualize internal organs by using very high-frequency sound waves.  
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cholangiography   radiographic exam of bile ducts w/ use of contrast medium. Identify obstructions in liver or bile ducts that slow or block flow of bile from liver  
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cholangiogram   resulting record from a cholangiography  
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cholangi/o   bile duct  
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enema   placement of solution into rectum & colon to empty lower intestine through bowel activity. Sometimes prep for endoscopic exam, also used to treat severe constipation to inject meds  
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esophagogastroduodenoscopy   endoscopic procedure that allows direct visualization of upper GI tract & includes esophagus, stomach, & upper duodenum  
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upper GI series   radiographic study to examine upper digestive system. Barium swallowed to make structures visible  
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lower GI series   radiographic study to examine lower digestive system. Barium inserted via rectum to make structures visible  
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barium   contrast medium to make structures visible during upper/ lower GI exams  
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stool samples   specimens of feces that are examined for content & characteristics.  
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fatty stool sample   might indicate presence of pancreatic disease  
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O&P   ova (parasite eggs) and parasites - cultures of stool samples can be examined for presence of this or bacteria in lab.  
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endoscope   instrument used for endoscopy  
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endoscopy   visual examination of internal structures  
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anoscopy   visual examination of anal canal & lower rectum  
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capsule endoscopy   use of tiny video camera in capsule that patient swallows. Takes photos for 8 hr trip through sm intestine & transmits images  
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where is data collector of capsule endoscopy?   sensor devices detecting images are attached to patient's abdomen & are transmitted to data recorder on patient's belt  
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diagnostic tests for the early detection of polyps that may be cancerous   colonoscopy, virtual colonoscopy, sigmoidoscopy, Hemoccult test, Cologuard.  
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colonoscopy   COL; direct visual exam of inner surface of the entire colon from rectum to cecum using colonoscope  
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virtual colonoscopy   small, flexible tube inserted into rectum & MRI or CT machine is used to produce 2 & 3 dim images of colon.  
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sigmoidoscopy   endoscopic exam of interior of the rectum, sigmoid colon, & possibly portion of descending colon  
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Hemoccult test   aka fecal occult blood test; lab test for hidden blood in stool. Kit to obtain samples & home & shipped to lab for evaluation  
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Cologuard   recently developed, noninvasive, collect-at-home stool test that uses DNA testing w/ screening for hidden blood to determine potential for colorectal cancer  
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Hemoccult & Cologuard are capitalized because   Brand names  
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antioxidants   chemicals such as vitamins A, C, E; carotene: and lutein that may prevent or delay cell damage by blocking activity of potentially harmful chemicals called free radicals  
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What foods typically have antioxidants?   fruits, beans, berries, nuts, & dark chocolate  
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probiotics   living microorganisms sometimes described as "good" bacteria b/c of their role in aiding digestion & protecting body from harmful bacteria  
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pro-   supporting  
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prebiotics   nondigestible carbs that probiotics feed on.  
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What foods typically contain prebiotics & probiotics?   yogurt, some dairy drinks, & supplements  
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antacids   neutralize acids in stomach & are taken to relieve discomfort of conditions such as pyrosis or to help peptic ulcers heal  
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proton pump inhibitors   decrease amt of acid produced by stomach. Meds used to treat symptoms of GERD.  
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antiemetic   medication administered to prevent or relieve nausea & vomiting  
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anti-   against  
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emet   vomit  
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laxatives   meds or foods given to stimulate bowel movements  
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bulk-forming laxatives   ex bran, treat constipation by helping fecal matter retain water & remain soft as it moves through intestines  
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antimotility drugs   OTC meds used to treat diarrhea  
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antacids   OTC meds used to treat upset stomach  
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intravenous fluids   IV; administered to combat effects of dehydration  
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oral rehydration therapy   ORT; treatment in which solution of electrolytes is administered in a liquid preparation to counteract dehydration that can accompany diarrhea, especially young kids  
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dental prophylaxis   professional cleaning of teeth to remove plaque & calculus  
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prophylaxis   treatment to prevent a disease or stop it from spreading  
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dental implant   anchoring of a crown, bridge, or denture to the bone of the jaw.  
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crown   metal or porcelain alloy cap shaped like a damaged tooth cemented over the remaining tooth structure  
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bridge   fixed dental prosthesis used to join one or more artificial teeth to adjacent teeth  
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denture   plate holding 1 or more replacement teeth  
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conventional dentures   aka full or partial set of false teeth, are removable  
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root canal   refers to both pulp cavity in root of tooth & a procedure in which diseased or damaged pulp in root canal is removed to save tooth  
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after root canal is free from infection, the cavity is   filled w/ protective substance & sealed  
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gingivectomy   surgical removal of diseased gingival tissue  
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maxillofacial surgery   specialized surgery of the face & jaws to correct deformities, treat diseases, & repair injuries  
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palatoplasty   surgical repair of a cleft palate, also used to refer to repair of cleft lip  
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gastrectomy   surgical removal of all or part of the stomach  
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nasogastric intubation   NG tube; placement of a feeding tube through nose & into stomach. Temporarily provides nutrition for patients that cannot take nutrients by mouth.  
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gastrostomy tube   aka G-tube. surgically placed feeding tube from exterior of body directly into stomach. Permanently placed to provide nutrients  
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total parenteral nutrition   administered to patients who cannot or should not get their nutrition through eating. All through specialized solution administered intravenously.  
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parenteral   not in or through digestive system  
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bariatric surgery   performed to treat morbid obesity by restricting amt of food that can enter the stomach & be digested. Limit food intake.  
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gastric bypass surgery   aka Roux-en-Y gastric bypass; makes stomach smaller by stapling section to create small pouch & causes food to bypass the 1st part of small intestine  
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lap-band adjustable gastric banding   LAGB; involves placing inflatable band around exterior of stomach to restrict amt of food that can enter. Reversible.  
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endoscopic sleeve gastroplasty   1 of several endoscopic options for bariatric surgeries requiring general anesthesia. Stomach sutured to make into small tube, reducing capacity significantly  
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colectomy   surgical removal of all or part of colon  
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colotomy   surgical incision into colon  
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diverticulectomy   surgical removal or diverticulum  
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gastroduodenostomy   establishment of an anastomosis btw upper portion of stomach & duodenum. Performed to treat stomach cancer or remove malfunctioning pyloric valve  
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anastomosis   surgical connection btw 2 hollow, or tubular, structures  
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ileectomy   surgical removal of the ileum  
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ostomy   aka stoma; surgical procedure to create an artificial opening btw an organ & body surface  
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ileostomy   surgical creation of an artificial excretory opening btw the ileum, @ end of sm intestine, & the outside of the abdominal wall  
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ile   small intestine  
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colostomy   surgical creation of an artificial excretory opening btw colon & body surface. Fecal matter flows into bag  
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hemorrhoidectomy   surgical removal of hemorrhoids  
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rubber band ligation   used instead of surgery for hemorrhoids where rubber bands cut off circulation @ base of hemorrhoid causing it to fall off  
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ligation   tying off of blood vessels or ducts  
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proctopexy   surgical fixation of a prolapsed rectum to an adjacent tissue or organ.  
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-pexy   surgical fixation  
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prolapse   falling or dropping down of an organ or internal part  
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hepatectomy   surgical removal of all or part of the liver  
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liver transplant   option for a patient whose liver has failed for a reason other than liver cancer. Liver tissue regenerates  
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partial liver transplant   Since liver tissue regenerates, sometimes only portion of organ donated & can be from living donor match  
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choledocholithotomy   incision into common bile duct for removal of gallstone  
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cholecystectomy   surgical removal of the gallbladder  
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open cholecystectomy   gallbladder removal performed through incision in RT side of upper abdomen  
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laparoscopic cholecystectomy   aka lap choley; surgical removal of gallbladder using laparoscope & other instruments through 3 or 4 small incisions in abdomen  
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BMI   body mass index  
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COL   colonoscopy  
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EGD   esophagogastroduodenoscopy  
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GERD   gastroesophageal reflux disease  
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GI   gastrointestinal  
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IH   inguinal hernia  
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IBD   inflammatory bowel disease  
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IBS   irritable bowel syndrome  
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NG tube   nasogastric tube  
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PUD   peptic ulcer disease  
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TPN   total parenteral nutrition  
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UC   ulcerative colitis  
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