ch 23: Throat, Thorax, and visceral conditions

Question 1

organs in LLQ

Answer 1

descending colon, sigmoid, left ovary, left fallopian tube, left ureter

Question 2

organs in LUQ

Answer 2

stomach, spleen, left lobe of liver, body of pancreas, left kidney, left adrenal gland, parts of transverse and descending colon

Question 3

organs in RUQ

Answer 3

liver, gall bladder, duodenum, right kidney

Question 4

organs in RLQ

Answer 4

cecum, appendix, ascending colon, right ovary and fallopian tube, right urether

Question 5

Stomach

Answer 5

J shape bag btw esophagus and small intestine
stores food for 4h to turn it into chyme

Question 6

what is absorbed into bloodstream across stomach lining without full digestion

Answer 6

water
electrolytes
aspirin
alcohol

Question 7

small intestine

Answer 7

most digestion and absorption of food
peristalsis (3-6h)

Question 8

appendix

Answer 8

accumulation of bacteria
appendicitis

Question 9

liver

Answer 9

bile for breakdown of fat
absorb excess glucose from blood and stores it as glycogen

Question 10

alcohol abuse

Answer 10

cirrhosis of liver

Question 11

hepatitis

Answer 11

inflammation of liver caused by viral infection

Question 12

gall bladder

Answer 12

accessory to liver storing bile

Question 13

spleen

Answer 13

• cleansing blood or foreign matter, bacteria, virus, toxins
• storing excess RBC for later and releasing for liver
• producing RBC in the fetus
• storing blood platelets

Question 14

pancreas

Answer 14

secretes most digestive enzymes that breakdown food
secretes insulin and glucagon

Question 15

kidneys

Answer 15

filter and cleanse blood

Question 16

appendicitis

Answer 16

inflammation of the appendix
nausea, vomiting, loss of appetite, low grade fever

Question 17

cholecystitis

Answer 17

inflammation of the gallbladder
onset follows a meal
P! in RUQ and R SH
nausea, vomitting, splinting on R side

Question 18

perforated peptic ulcer

Answer 18

perforated ulcer in stomach
p! aggravated by mvt
pt appears ill
rigid abdomen
grunting respiration
absent bowel signs

Question 19

ectopic pregnancy

Answer 19

pregnancy in the fallopian tube
cause rupture
severe persistent p!
epigastric
associated w/ hypotension and tachycardia

Question 20

ovarian cyst

Answer 20

abnormal cystic tumor of the ovary
sharp onset of p!
ipsilateral lower abdomen
may have nausea and vomitting following p!

Question 21

pelvic inflammatory disease

Answer 21

chronic inflam. of the pelvis caused bu multiple infections (chlam, gon,etc.)
p! at the end or shortly after menstruation
bilat LQ
inc. p! w/ manipulation of the cervix
possible cervical discharge, fever

Question 22

urinary calculus

Answer 22

p! location changes w/ mvt of the urinary stone
may radiate to testicle or groin
++ p!

Question 23

4 classic sites of heart auscultation

Answer 23

aortic
pulmonic
tricuspid
mitral

Question 24

dysesthesia

Answer 24

underlying peritoneal irritation causes a light touch to be perceived as désagréable

Question 25

McBurney point

Answer 25

1/3 of the distance btw ASIS and umbilicus

Question 26

Lanzmann's point

Answer 26

tender pnt in appendicitis situated in line btw 2 ASIS, 5-6cm from the R spine and 2cm below mcburney