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What are the parts of the large intestine?
Cecum
Asending colon
Transverse colon
Descending colon (sigmoid, rectum, anal)
In what part of the digestive system are fats and
proteins broken down?
The stomach - uses HCL and enzymes
What lines the surface of the small intestine to help
absorb nutrients?
Villi
What are the parts of the small intestine?
duodenum, jejunum, ileum
What are the parts of the stomach?
The fundus, antrum and the body
What is peristalsis?
The sequential autonomic muscular contractions that
move nutrients along the digestive tract
,What part of the digestive system is responsible
absorbing water, lubricating contents, and
putrefaction?
Large intestine
What is putrefaction?
Changes produced by action of bacteria and
microorganisms to decompose undigested food,
unabsorbed animo acids, cell debris, and dead bacteria
What is the function of the gallbladder?
Concentrates and stores bile
What abdominal organ has both exocrine and
endocrine functions? What are the functions?
Exocrine - produces digestive enzymes
Endocrine - produces insulin
What is the function of the spleen?
Filter blood and help fight infections
What is Traube's space?
lower left anterior chest wall (lower ant. axillary
line)between resonance of lung above costal margin
-Check for splenomegaly(dullness)
-Tympany is normal
How do you palpate the spleen?
Place hands under the LEFT coastal margins, press down.
Have patient take deep breath, exhale, press in further.
,Normal to not be able to feel the spleen
A 38 y/o pregnant woman presents to you office
complaining of right upper quadrant pain and
indigestion, especially after eating fatty foods. On
physical exam - you as her to inspire as you palpate the
right upper quadrant. If there is pain, what is this
called? What does it indicate?
Positive Murphy's Sign
Cholecystitis
How does a distended bladder sound on percussion?
Dull
What four techniques do you use to assess for
appendicitis?
1. Rebound tenderness at McBurney's point
2. Rovsing's sign - referred peritoneal pain to the right side
when you press on the left side
3. Psoas sign - extend thigh and have pt flex and the hip
4. Obturator sign - flex leg at hip and knee and rotate
medially and laterally
What is Blumberg's sign?
Rebound tenderness => peritonitis
, What is hypersensitivity test?
Pain or an exaggerated sensation felt in the right lower
quadrant when the skin is stroked
What two muscle tests are used to assess for
appendicitis?
1. Iliopsoas - passively extend the thigh
2. Obturator - flex leg at hip and knee and rotate the leg
laterally and medially
63 y/o male presents to your office for a well check.
You are reviewing his labs are see that his hemoglobin
and hematocrit are low. What do you want to make
sure to test?
Colonoscopy for colon cancer
Compare ulcerative colitis and Crohn's disease
UC = limited to COLON, bloody diarrhea, uniform
inflammation, surgery is curative
Crohns = anywhere in the GI system, nonbloody diarrhea,
skip lesions with cobblestoning
22 y/o female presents to your office with abdominal
pain for the past 3 months accompanied with
nonbloody diarrhea. You decide to send her for a
colonoscopy. What are you testing for?
Inflammatory bowel disease - Crohns