ch 13 lecture Flashcards

(53 cards)

1
Q

Small bowel is how long

A

15-23 feet in length

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2
Q

Shortest, widest, and most fixed part of the small intestine

A

duodenum

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3
Q

Where is duodenum located

A

Mostly in RUQ and a little in LUQ (1/5 of small bowel)

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4
Q

Springy, tight & circular fold, coiled- feathery appearance

A

Jejunum

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5
Q

Where is jejunum located

A

Makes up 2/5 of small bowel. Starts at duodenjejunal junction which is located in the LUQ under transverse colon

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6
Q

What are the small finger like projections in the jejunum

A

villi

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7
Q

Has a smoother and less feathery appearance than jejunum

A

Ileum

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8
Q

Where is ileum located

A

Some in the RUQ and then mostly in LLQ and RLQ. 3/5 of small bowel.

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9
Q

The terminal ileum joins large intestine at ____

A

ileocecal valve

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10
Q

Ileocecal valve sphincter controls what

A

dumping of contents into cecum and prevents reflux

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11
Q

Diameter is larger than small intestine and is located around the periphery of the abdomen

A

Large intestine

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12
Q

3 band muscles in large intestine

A

Taeniae coli

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13
Q

Drapes/pouches that pull the colon up

A

haustra

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14
Q

A large pouch located inferior to the ileocecal valve

A

cecum

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15
Q

What is attached to the cecum and is a small wormlike tube

A

Appendix

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16
Q

Vermiform means

A

wormlike

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17
Q

4 parts of colon

A

Ascending, transverse, descending, sigmoid

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18
Q

Part that ascends towards the liver, ends at the hepatic flexure

A

Ascending colon

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19
Q

Located horizontal from the hepatic flexure to the splenic flexure

A

Transverse colon

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20
Q

Located from the splenic flexure and travels down to the sigmoid colon

A

Descending colon

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21
Q

The last part of the colon which then turns into the rectum

A

Sigmoid colon

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22
Q

Goes from the sigmoid to the anus

23
Q

How long is the rectum

A

4.5 inches long

24
Q

Final 1.5 inches of the intestine which terminates at the anus.

25
Function of small & large intestine
Digestion, absorption, reabsorption, and elimination
26
What function does small intestine do
Mostly digestion, absorption, and reabsorption
27
What function does large intestine do
Mostly elimination
28
Studies the form and function of the small bowel system. Must be timed in order to check on the function
Small Bowel Series (Small bowel follow through)
29
Contraindications of Small bowel follow through
perforated bowel, bowel obstructions, pregnancy
30
If barium has reached the _____ fluoro is performed and spot films taken
ileocecal valve
31
Why are patients encouraged to walk the halls
Get their bowels to move the barium better
32
Prelim shot for small bowel
Part of chest & abdomen
33
Why are prone shots taken for small bowel
Spreads the intestines
34
If UGI is taken along with small bowel, you start the time when?
First cup of barium has been drank
35
Injection of a nutrient or medicinal liquid into the bowel
Enteroclysis
36
Nasogastric tube is passed through the patient's nose through the esophagus, stomach, and duodenum, and into the jejunum
Intubation
37
Contraindications of barium enema
perforated bowel, bowel obstructions, pregnancy
38
Single contrast BE has what kind of barium mixture
Thin
39
Patient prep for BE
laxatives, KUB, prepare for enema
40
What should be ready before calling in the doctor
Barium bag, tip lubricated, trash can, paddles, gloves, towels/washcloths, gowns, shield
41
What is a barium boat
Catches the barium- plastic bottom that is blown up with O2 tank (looks like an inner tube)
42
Why should you check the enema balloon
It may not inflate once in the patient, or it may burst
43
What position is patient in for insertion
Sims
44
How do you drain the barium
Put bag in trash and have patient lay on left side so barium flows out
45
What happens if you release tip on the toilet instead
Pressure hasn't been released so barium will get on you
46
Rectal shot single barium
Left lateral- shoot tube to bucky with them laying on left side
47
Rectal shot double barium
Have them lay supine or prone and shoot cross table
48
Single BE bag
Powder barium & H2O
49
Double contrast BE has what kind of barium
Thick
50
What is the difference between double and single
Everything the same except double contrast media and bag, tip, and overheads
51
Study of anus and rectum that is conducted during the evacuation and defecation
Defecography
52
Possible Single BE shots
Scout, Fluoro, AP/PA or both, Sigmoid, Left Lateral
53
Possible Double BE shots
Scout, Fluoro, AP/PA or both, obliques, sigmoid, Right Decub, Left Decub, Ventral/Dorsal Rectrum Decub