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Quiz 2: GI Aerophagia- the swallowing of air resulting in gas and bloating Ascites - accumilation or retention of free fluid within the peritoneal cavity Cholecystitis- inflammation of the gallbladder Cholelithiasis (biliary calculi)- The presence or formation of the gallstones Cirrhosis (liver)- end stage liver disease, characterized by damage to hepatic parenchymal cells with modular regeneration and fibrosis Diverticulitis- an acute inflammation of the diverticula Diverticulosis- and abnormal presence of outpockets or pouches (diverticula) on the surface of the small intestine or colon Esophagitis- Inflammation of the esophagus Fistula- an abnormal opening or passage between two internal organs or from an internal organ to the surface of the body Gastritis/gastroenteritis- inflammation of the gastric mucosa Hematic coma- coma that can occur in severe cases of liver disease Hiatal hernia- protrusion of part of the stomach through the diaphragm into the space normally occupied by the esophagus, heart, lungs Ilelitis- Inflammation of the ileum Inflammatory bowel disease- an autoimmune, chronic inflammatory condition of the gastrointestinal tract. Two diagnoses: ulcerative colitis and Crohn's disease Irritable bowel syndrome- a bowel disorder characterized by abdominal pain with diarrhea and/or constipation Malabsorption syndromes- A group of symptoms such as gas, bloating, abdominal pain, and diarrhea resulting from the body's inability to properly absorb nutrients in the gastrointestinal tract. Pancreatitis- inflammation of the pancreas Peritonitis- an inflammation of the peritoneum membrane Portal systemic encephalopathy- associated with cirrhosis of the liver, attributed to the passage of toxic nitrogenous substances from the portal to the systemic circulation Sprue, nontropical (celiac disease, gluten enteropathy)- inflammation of the small intestine caused by gluten found in various grains, including wheat Ulcer- An open sore on an external or internal surface of the body, caused by a break in the skin or mucous membrane that fails to heal. Ulcerative colitis- a chronic inflammatory bowel disease primarily located in the colon and rectum G.I Operative/Surgical Procedure Terms Anastomosis- the surgical connection of body parts, especially hollow tubular parts like those of the GI tract Cholcystectomy- Surgical removal of the gallbladder Colostomy- a procedure in which the rectum only is surgically removed, and the end of he colon is attached to the stoma Diverticulectomy- the surgical removal of a diverticulum Gastrectomy- surgery to resect a portion of or the entire stomach Gastroduodenal anastomosis (Billroth I)- an operation in which the pylorus is removed and the distal stomach is anastomosed directly to the duodenum Gastrojejunal anastomosis (Billroth II)- an operation in which the lower part of the stomach (antrum) is removed and a loop of small bowel (jejunum) is brought up and joined to it in a (side-to-side manner) for drainage (gastrojejunostomy). Gastrojejunostomy- the surgical formation of a passage between the stomach and jejunum Ileostomy- a procedure in which the colon and rectum are surgically removed, and the end of the ileum is attached to the stoma Jejunostomy- an opening into the jejunum Pancreatectomy- Surgical removal of the pancreas. Pyloroplasty- enlarging the pyloric sphincter Vagotomy- severing of the vagus nerve, often a component of gastric surgery G.I Symptomatic Terms Achlorhydria- lack of gastric hydrochloric acid secretions Anorexia- lack of appetite Aphagia- loss of the ability to swallow Borborygmus- stomach "growling" Bulimia- bouts of extreme overeating are followed by depression and self-induced vomiting, purging, or fasting. Colic- Severe, often fluctuating pain in the abdomen caused by intestinal gas or obstruction in the intestines and suffered esp. by babies Constipation- a decrease in frequency of bowel movements with straining defecation and/or hard stools Diarrhea- frequent or unusually liquid bowel movements Dumping syndrome- a group of symptoms that occurs with rapid passage of large amounts of food from the stomach into the small intestine. Symptoms include dizziness, sweating, decreased BP, and diarrhea Dysgeusia- abnormalities in or reduced ability to taste Dyspepsia- vague upper abdominal symptoms that may include upper abdominal pain, bloating, early satiety, nausea, or belching Epigastric- reffering to the upper abdominal region Flatulence- perceived excess gas in the intestinal tract Hepatomegaly- enlargement of the liver Hyperchlorhydria- state in the stomach where gastric acid levels are higher than the normal range Hypochlorhydria (achyliagastrica)- states where the production of gastric acid in the stomach is absent or low Jaundice- a clinical manifestation of hyperbilirubinemia, consisting of deposition of bile pigments in the skin, resulting in a yellowish staining of the skin and mucous membrances Melena- black "tarry" feces associated with gastrointestinal hemorrhage Nausea- a feeling of sickness with an inclination to vomit Polyphagia- excessive hunger Steatorrhea- excess fat in the stool, resulting from fat malabsorption and causing diarrhea Chart Abbreviations Abd- abdomen, abdominal BE- barium enema BM- bowel movement Cath- catheter, catheterize GA- gestational age GE- gastroenteritis Gb (or GB)- gallbladder GBD- gallbladder disease GBS- gastric bypass surgery GERD- gastroesophageal reflux disease GI- gastrointestinal GIT- gastrointestinal tract HCL (or HCl)- hydrochloric acid LES- Lower esophageal sphincter MOM- milk of magnesia N/GPCM or PEM- protein-calorie malnutrition Post-up- postoperative Prep- preparation Pu (or PU)SI- small intestine TPN- total parenteral nutrition