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Test 2
Abdomen
39
Health Care
Undergraduate 3
04/30/2015

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Cards

Term
what are the three most common views for the abdomen
Definition
supine, upright, and left lateral decub
Term
what is the abdomen divided into
Definition
4 quadrants: LUQ, LLQ, RUQ, RLQ
Term
what are the three parts of the small bowel (proximal to distal)
Definition
duodenum, jejunum, ileum
Term
which bowel usually contains less gas
Definition
the small bowel
Term
valvulae coniventes
Definition
crossing the entire width of the bowel, found in the small bowel
Term
what are the parts of the large bowel
Definition
appendix, cecum, ascending, transverse, and descending colon, hepatic and splenic flexure, sigmoid and rectum
Term
where is the large bowel located
Definition
peripherally
Term
haustra
Definition
folds that do not cross the length of the bowel width, found in the large bowel
Term
what is the deal with the bilateral flank fat stripes
Definition
they are located adjacent to the ascending and descending colon, can't be bigger then a pinky width
Term
what are the two cavities of the abdomen
Definition
peritoneal and retroperitoneal
Term
ascites
Definition
free fluid in the peritoneal cavity (indicated by fat flank stripes)
Term
lumen
Definition
an opening or space in the interior of a hollow structure
Term
indicator of air inside the bowel
Definition
dilation, air fluid levels
Term
where will you see stones in the abdomen
Definition
bladder, gallbladder, kidney, pancreas, and ureters
Term
where will you see calcifications in the abdomen
Definition
appendicolith, pancreatic calcifications, abdominal aortic aneurism(aaa)
Term
what does free air out of the bowel lumen indicate
Definition
that the bowel may be perferated: catastrophic, urgent surgery
Term
why is a bowel perferation catastrophic
Definition
because bowel contents can seep into the paratineal cavity and cause infection.
Term
what are the most frequent locations of bowel perferations
Definition
duodenum, and the colon
Term
Abdominal aortic aneurysm
Definition
out-pouching of wall that can burst
Term
pancreatic calcifications
Definition
several small, white calcification's that are usually associated with chronic pancreatitis
Term
appendicolith
Definition
small calcification in the appendix that is usually a clinical diagnosis
Term
what is often associated with cecal volvulus
Definition
small bowel dilation
Term
what does a cecal volvulus look like?
Definition
a second stomach bubble
Term
what does a sigmoid volvulus look like
Definition
coffee bean or inverted U
Term
volvulus
Definition
twisting
Term
what does an obstruction cause the bowel to do
Definition
proximal dilates while the distal colapses
Term
what can cause a bowel obstruction
Definition
cancer, adhesions
Term
ileus
Definition
loops of bowel become paralyzed
Term
air-fluid level
Definition
straight horizontal line with air above and fluid below
- a condition that MUST be explained
Term
what must the bowel diameter be in order for it to be considered dilated
Definition
3 cm for small bowel
6 cm for large bowel
9 cm for cecum
Term
how can you distinguish the small bowel from the large bowel
Definition
location, size, and folds
Term
pneumatosis
Definition
air in the bowel wall
Term
what does an abscess look like
Definition
black air collection not in a bowel location or with bowel features
Term
what is pneumobilia a result of
Definition
bile duct manipulation
Term
what does the liver normally look like
Definition
homogeneous fluid density
Term
pneumobilia
Definition
air in the biliary tree
Term
what does an increase in free air indicate
Definition
bowel perforation
Term
when is free air in the abdomen
Definition
post op, body takes 10 days to resorb it
Term
Rigler's sign
Definition
air outside and inside the bowel allowing you to visualize the inner and outer aspect of the bowel
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