Term
| The small intestine extends from the __________ ___________ to the _______ ________. |
|
Definition
| pyloric sphinctor to the ileocecal valve |
|
|
Term
| Digestion and absorption of food occur in the small or large intestine? |
|
Definition
|
|
Term
| The small intestine is how many feet long? |
|
Definition
|
|
Term
| The small intestine is how many inches in diameter in the proximal portion? THe distal portion? |
|
Definition
Proximal - 1.5 inches
Distal - 1 inch |
|
|
Term
| What are finger like projections that facilitate the process of digestion and absorption? |
|
Definition
|
|
Term
| What are the three parts of the small intestine? |
|
Definition
|
|
Term
| The duodenum has four regions. What are they? |
|
Definition
1 - superior
2 - descending
3 - horizontal or inferior
4 - ascending |
|
|
Term
| The duodenal loop is the second portion of the duodenum. It is how many inches long? |
|
Definition
|
|
Term
| What is the most fixed portion of the small bowel? |
|
Definition
|
|
Term
| The duodenum is how many inches in length? |
|
Definition
|
|
Term
| What is the widest portion of the small intestine? |
|
Definition
|
|
Term
| What is located retroperitoneal and is relatively fixed in position? |
|
Definition
|
|
Term
| The third portion of the duodenum passes to the left at a slight superior inclination for a distance of ______ inches. |
|
Definition
|
|
Term
| The 4th portion of the duodenum is on the left or right side of the spine? |
|
Definition
|
|
Term
| The 4th portion of the duodenum joins the ___________ at a sharp curve called the _______________ flexure. |
|
Definition
|
|
Term
| The duodenojejunal flexure is supported by the ligament of __________.(part of the suspensory muscle of the duodenum.) |
|
Definition
|
|
Term
| The jejunum is approximately how many feet long? |
|
Definition
|
|
Term
| The jejunum is _______ of the small intestine (excluding the duodenum) and is freely moveable loops. |
|
Definition
|
|
Term
| The jejunum starts in the left or right upper quadrant and goes the the left or right lower quadrant? |
|
Definition
|
|
Term
| What part of the small intestine has a "feathery" appearance due to mucosal folds? |
|
Definition
|
|
Term
| The ileum is in what three quadrants? |
|
Definition
|
|
Term
| What is the longest portion of the small bowel? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| The ileum is ________ of the small intestine not including the duodenum. |
|
Definition
|
|
Term
| What part of the small bowel looks like a stack of coins due to the mucosal lining? |
|
Definition
|
|
Term
| The last portion of the ileum is the _________ __________, also known as the __. |
|
Definition
|
|
Term
| The terminal ileum releases food/Ba/Chyme into the ________ of the large intestine. |
|
Definition
|
|
Term
| The _________ ________ is an opening between the last portion of the ileum and the cecum. |
|
Definition
|
|
Term
| The large intestine as four parts. What are they? |
|
Definition
| Cecum, Colon, Rectum, Anal Canal |
|
|
Term
| The colon subdivisions are _________, ________, __________, and __________. |
|
Definition
| ascending, transverse, descending, and sigmoid |
|
|
Term
| How long is the large intestine? |
|
Definition
|
|
Term
| What are the main functions of the large intestine? |
|
Definition
| re absorption of fluids, elimination of waste products |
|
|
Term
| What is the pouch like portion of the large intestine? |
|
Definition
|
|
Term
| How many inches is the cecum in length and diameter? |
|
Definition
| 2.5 inches length, 3 inches in diameter |
|
|
Term
| Where is the appendix attached to? |
|
Definition
| posteromedial side of the cecum |
|
|
Term
| What is a narrow wormlike tube about 3 inches long? |
|
Definition
|
|
Term
| The ascending colon is on the right side and passes superiorly from its junction with the cecum to the under surface of the liver. It joins the angle of the _________________,. |
|
Definition
| right colic flexure, (hepatic flexure) |
|
|
Term
| The transverse colon is the longest and ________ moveable part of the colon. |
|
Definition
|
|
Term
| The left colic flexure (splenic flexure) ends at the _________ ________ of the large bowel. |
|
Definition
|
|
Term
| The descending colon passes inferiorly and medially unites with the _______ colon. |
|
Definition
|
|
Term
| What forms a S-shaped loop and ends in the rectum? |
|
Definition
|
|
Term
| What extends from the sigmoid colon to the anal canal? How many inches is it? |
|
Definition
|
|
Term
| What is the distal part of the rectum and is 1" in length? |
|
Definition
|
|
Term
| What is just above the anal canal and is a dilation...a sac like enlargement of a canal or duct? |
|
Definition
|
|
Term
| The _________ passes inferiorly and posteriorly to the level on the pelvic floor. |
|
Definition
|
|
Term
| The sacro-____________ curve bends sharply anteriorly and inferiorly in to the anal canal |
|
Definition
|
|
Term
| The rectum and anal canal have how many anterpostior curves? |
|
Definition
|
|
Term
| What is the muscular portion of the intestinal wall that contains an external band of longitudinal muscles that form into three thickened bands? |
|
Definition
|
|
Term
| The taeniae coli have three bands. 1 is _______ and two are _________. |
|
Definition
|
|
Term
| The bands of the taenia coli of the rectum create a pulling that form a series of pouches called ____________. |
|
Definition
|
|
Term
| In a double contrast BE, the gaseous medium serves to distend the _______ of the bowel. |
|
Definition
|
|
Term
| Using a double contrast study during a BE, demonstrates small intraluminal ________ such as poliypod tumors. |
|
Definition
|
|
Term
| What is the transit time for iodinated contrast agents? |
|
Definition
|
|
Term
| Is iodinated contrast subject to drying flaking and unequal distribution? |
|
Definition
|
|
Term
| What is a bowel prep and why is it necessary? |
|
Definition
| large intestine must be completely emptied of its contents. Fecal material can simulate the appearance of polypoids or other small masses. |
|
|
Term
| What are three preliminary preparations for a BE? |
|
Definition
| Dietary restrictions, laxitive, cleansing enemas |
|
|
Term
| On the BE apparatus, what is the disposable rectal retention tip? |
|
Definition
|
|
Term
| How many squeezes of the puffer of the BE baloon is adequate? |
|
Definition
|
|
Term
| Should the BE baloon tip be inflated under flouro? |
|
Definition
|
|
Term
| Hot or cold BE are recommended because these temperatures produce less irritation? |
|
Definition
|
|
Term
| Barium is supposed to be "cold." What is the right temperature? |
|
Definition
| slightly below body temperature (85-90) degrees |
|
|
Term
| Chilly barium relaxes the colon and stimulates tonic contraction of the _________ ____________. |
|
Definition
|
|
Term
| Warm or cold enemas can be injurous to the intestinal tissues and produce irritation making it difficult for the patient to hold the enema for the length of the exam. |
|
Definition
|
|
Term
| For the insertion of the enema tip on a BE, the patient needs to be laying in the _________ position (LAO) 35-40 degrees. This relaxes abdominal muscles and it is easier to relax anal sphincter. |
|
Definition
|
|
Term
| The patient needs to breath in or out during BE tip insertion? |
|
Definition
|
|
Term
| When preparing for a BE, the IV pole needs to be no higher than how many inches above the level of the anus? |
|
Definition
|
|
Term
| What are the six steps for preparation of a BE tip insertion? |
|
Definition
- Put IV pole no more than 24" above anal canal
- Fill tubing with barium
- expose on the patients bottom in an LAO
- Lubricate enema tip
- have pt. take a deep breath and blow it out
- insert enema tip during expiration |
|
|
Term
| How far do you insert the BE tip? |
|
Definition
| no more than 3.5 to 4 inches |
|
|
Term
| During a tip insertion for a BE, you never force the tip due to possible hemmorhoids. You also hold the tip in place while the pt. turns __________ and double check that there aren't any ___________ in the tubing. |
|
Definition
|
|
Term
| If the pt. has had a biopsy before the BE, what contrast do you use? |
|
Definition
|
|
Term
| When looking at film, how do you know it is an oblique? |
|
Definition
| Look for scotty dogs on the spine |
|
|
Term
| When looking at film, how do you know it is a lateral? |
|
Definition
|
|
Term
| The left and right lateral decubitus pictures needs to include what? |
|
Definition
|
|
Term
| On a PA axial projection, should you see the transverse colon? |
|
Definition
|
|
