Gastrointestinal
Hiatal herniorrhaphy treats
GERD
The biliary system includes
The gallbladder, the hepatic ducts, the cystic duct, and the common bile duct
Where can you find the spleen?
It lies under the diaphragm in the left upper quadrant.
Skin turgor
Refers to the elasticity of your skin
Reverse Trendelenburg with left side tilt
Vagotomy
branches of the vagus nerve are cut, typically to treat peptic ulcers
Liver functions
Makes bile
Metabolizes carbohydrates, proteins & fats
Synthesis of plasma proteins for blood clotting (Vitamin K)
Enzymes work to alter foreign chemicals (drugs, alcohol)
When is a splenectomy considered elective?
Splenomegaly, leukemia, and rare blood cancers
Ascites
Buildup of fluid in the abdomen, often due to severe liver disease
Port establishment for Laparoscopic Cholecystectomy
Subumbilical for scope
Subxyphoid working port
Right lower lateral working port
Right upper lateral working port
Placing a tube for feeding without having to perform a laparotomy, is what?
Percutaneous Endoscopic Gastrostomy
Where can you find the Pancreas
Transverse behind stomach
Head is attached to duodenum
Tail extends to spleen
Splenic Flexure
Part of the large intestine where it bends near the spleen
ERCP
Endoscopic retrograde cholangiopancreatography
Renal artery
Short, paired artery that arises from the lateral aspect of the aorta. In the retroperitoneum, where it laterally connects to the hilum of the kidney.
What suture is best to perform an anastomosis of the bowel’s mucosa?
3-0 chromic, GI (SH)
Hepatobiliary symptoms include
Palmar erythema, Distended abdomen, and Muscle wasting
Transverse Colectomy
Removal of the portion of the colon between the hepatic flexure and the splenic flexure
Volvulus
Abnormal twisting of a portion of the gastrointestinal tract, usually the intestine, which can impair blood flow
Roux-en-Y gastric bypass
Staples are used to make a small stomach pouch that is separate from the rest of your stomach in effort for extreme weight loss.
What suture is best selected for a liver laceration?
O Chromic (blunt needle)
During a laparoscopic cholecystectomy which structures are secured and ligated with endoscopic clips?
Cystic duct and artery
Spleen Functions
Forms plasma & leukocytes, stores blood, and phagocytosis damaged RBCs
Petechiae
Red or purple spot on the skin, caused by a minor hemorrhage (broken capillary blood vessels).
Colectomy
Treatment for bowel obstruction, Ulcerative colitis, Crohn's diverticulitis, and/or colon cancer.