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Chapter 20
Paramedic: Adominal and Gastrointestinal Emergencies
59
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Not Applicable
01/28/2013

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Cards

Term
What is the chewing process?
Definition
Mastication 1125
Term
What is rhythmic contractions of the intestines and esophagus that allows materials to move through them?
Definition
Peristalsis 1126
Term
What is a large vessel created by the intersection of blood vessels from the GI system and drains into the liver?
Definition
Portal Vein 1126
Term
What is a sphincter that serves as a door way connecting the esophagus and the stomach, controls the amount of food that moves up the esophagus?
Definition
Cardiac Sphincter 1126
Term
What is the doorway between the inferior portion of the stomach and the entry to the small intestine?
Definition
Pyloric Sphincter 1126
Term
What is the term given to the slurry of food that has been partially digested, then exits the stomach and enters the duodenum?
Definition
Chyme 1126
Term
What organ produces bile?
Definition
Liver 1127
Term
Where is bile stored in the body?
Definition
Gallbladder 1127
Term
What is an enzyme used by the body to help break down fats?
Definition
Bile 1127
Term
What is the real workhorse of the digestive system and accounts for 90% of all absorption?
Definition
Small Intestine 1127
Term
What is about 20' long and divided into 3 sections?
Definition
Small Intestine 1127
Term
What is the 3 sections of the small intestine?
Definition
Duodenum, Jejunum, and Ileum 1127
Term
What is a small, saclike outcropping that has no known function, but may become infected with retained fecal material?
Definition
Appendix 1127
Term
What is the main role of the large intestine?
Definition
Complete the reabsorption of water 1128
Term
How long does the entire journey from mouth to anus take?
Definition
8-72 Hours 1128
Term
What kind of odor can a patient with an extremely advanced bowel obstruction have?
Definition
Feculent Breath 1130
Term
What is the smelling of stool?
Definition
Feculent 1130
Term
What are vertical stretch marks that occur when a person loses or gains weight rapidly?
Definition
Striae 1132
Term
What is a term used to describe an abdomen with a convex, or distended, shape?
Definition
Protuberant 1132
Term
What is a concave shape of the abdomen and can be caused by evisceration?
Definition
Scaphoid 1132
Term
What is referred to as stomach growling and indicates strong contractions of the intestines?
Definition
Borborygmi 1133
Term
What is a thin layer within the abdominal cavity that envelops most of the abdominal organs?
Definition
Peritoneum 1134
Term
What is caused by either dehydration or hemorrhage?
Definition
Hypovolemia 1138
Term
What is the passage of stool in which bright red blood can be distinguished?
Definition
Hematochezia 1141
Term
What are linear tears to the mucosal lining in and near the anus?
Definition
Anal Fissures 1141
Term
What is severe abdominal pain in the right lower quadrant with coughing?
Definition
Dunphy Sign 1143
Term
What is a chemical created by the liver in response to infection or inflammation?
Definition
C-Reactive Protein 1143
Term
What is an impairment of brain function resulting from failure of the liver?
Definition
Hepatic Encephalopathy 1149
Term
What is narrowing of the lumen due to damage in the intestinal wall?
Definition
Strictures 1149
Term
What is telescoping of the intestines into themselves?
Definition
Intussusception 1149
Term
What is twisting of the intestines?
Definition
Volvulus 1149
Term
What is a protrusion of an organ or structure into an adjacent cavity?
Definition
Hernia 1150
Term
What is a very hard piece of feces?
Definition
Fecalith 1151
Term
What is a congenital malformation in which an embryo develops improperly and a portion of the GI tract develops outside of the abdominal wall instead of inside?
Definition
Gastroschisis 1152
Term
What is the sudden onset of abdominal pain?
Definition
Acute Abdomen 1124
Term
What is a generalized infection of the bloodstream that could be caused by a GI disorder?
Definition
Septicemia 1124
Term
What is the bowel contracting forcefully to try to overcome an obstruction?
Definition
Hyperperistalsis 1133
Term
What is a positive orthostatic vital sign?
Definition
Increase in 10 pulse or decrease 10 B/P 1135
Term
What are dilated blood vessels of the esophagus, commonly caused by difficulty in blood flow through the liver, the presence of these can lead to vessel rupture?
Definition
Esophagogastric Varices 1139
Term
What are alanine aminotransferase [ALT] and aspartate aminotransferase [AST]?
Definition
Liver Enzymes 1140
Term
What is a condition in which the junction between the esophagus and the stomach tears, causing severe bleeding and, potentially, death?
Definition
Mallory-Weiss Syndrome 1140
Term
What is a condition of severe vomiting related to pregnancy?
Definition
Hyperemesis Gravidarum 1140
Term
What is a disease in which the mucous lining of the stomach and duodenum have been eroded, allowing the acid to eat into these organs?
Definition
Peptic Ulcer Disease (PUD) 1140
Term
What is a condition in which the sphincter between the esophagus and the stomach opens, allowing acid to move superiorly?
Definition
Gastroesophageal Reflux Disease (GERD) 1141
Term
What is a type of GI bleeding that results from the swelling and inflammation of the blood vessels surrounding the rectum?
Definition
Hemorrhoids 1141
Term
What involves inflammation of the gallbladder?
Definition
Biliary Tract Disorders 1142
Term
What is an inflammation of the bile duct?
Definition
Choleangitis 1142
Term
What is the presence of stones within the gall bladder?
Definition
Cholelithiasis 1142
Term
What is inflammation of the gallbladder?
Definition
Cholecystitis 1142
Term
What is inflammation of the gallbladder without the presence of gallstones?
Definition
Acalculus Cholecystitis 1142
Term
What is a weak area in the colon that begins to have small outcroppings that turn into pouches?
Definition
Diverticulum 1143
Term
What is an abnormal connection between two cavities?
Definition
Fistula 1144
Term
What is the common location for fistulas in diverticulitis?
Definition
Between Colon and Bladder 1144
Term
What is bruising around the umbilicus?
Definition
Cullen Sign 1145
Term
What is bruising around the flanks?
Definition
Grey Turner Sign 1145
Term
What is caused by inflammation of the colon, is generalized and does not occur in patches?
Definition
Ulcerative Colitis 1145
Term
What is a condition in which patients have abdominal pain and changes in their bowel habits?
Definition
Irritable Bowel Syndrome (IBS) 1146
Term
What is a foamy, fatty stools associated with liver failure or gallbladder problems?
Definition
Steatorrhea 1146
Term
What is a family of conditions all revolving around a central theme of infection with fever, abdominal pain, diarrhea, nausea, and vomiting?
Definition
Acute Gastroenteritis 1147
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