Lec4 - Digestive System

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Rectum and Anus

    Rectum is area forstorage of fecesLeads to anus

    External opening ofalimentary canal

    Feces are evacuatedCalled defecation

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.Medical Terminology: A Living Language , Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Figure 8.7 The regions of the colon.

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Accessory Organs

    Generally function by producing substancesnecessary for chemical breakdown of foodSalivary glands

    LiverGallbladderPancreas

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    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Salivary Glands

    Produce saliva Allows food to beswallowed without

    chokingSaliva + food =bolusContains amylase

    Begins digestion ofcarbohydrates

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Salivary Glands

    Three pairsParotid glandsSublingual glands

    Submandibularglands

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Liver

    Located in right upper quadrant of abdomenProcesses nutrientsDetoxifies harmful substances

    Produces bileEmulsificationBreaks up large fat globules into smaller droplets

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.Medical Terminology: A Living Language , Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Figure 8.9 The accessory organs of the digestive system: the liver,gallbladder, and pancreas.

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.Medical Terminology: A Living Language , Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Figure 8.9 The accessory organs of the digestive system: the liver,gallbladder, and pancreas.

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Pancreas

    Digestive juicesinclude:

    Buffers neutralizeacidic chymeEnzymes digestcarbohydrates, lipids,and proteins

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.Medical Terminology: A Living Language , Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Figure 8.9 The accessory organs of the digestive system: the liver,gallbladder, and pancreas.

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with an/o & bucc/o

    al buccal pertaining to cheek

    labi/o al labiobuccal pertaining to lips and cheeks

    al anal pertaining to anus

    Word Building with append/o &

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with append/o &appendic/o

    itis appendicitis inflammation of appendix

    ectomy appendectomy surgical removal of appendix

    Word Building with cholecyst/o &

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with cholecyst/o &dent/o

    al dental pertaining to teeth

    algia dentalgia tooth pain

    ectomy cholecystectomy removal of gallbladder

    gram cholecystogram X-ray record of gallbladder

    ic cholecystic pertaining to gallbladder

    algia cholecystalgia gallbladder pain

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with col/o & colon/o

    scope colonoscope instrument to view colon

    ic colonic pertaining to colon

    ectomy colectomy removal of colon

    ostomy colostomy new opening into colon

    rect/o al colorectal pertaining to colon & rectum

    Word Building with duoden/o enter/o

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with duoden/o, enter/o,& esophag/o

    al duodenal pertaining to duodenum

    ic enteric pertaining to intestine

    itis enteritis inflammation of intestine

    eal esophageal pertaining to esophagus

    ectasis esophagectasis dilation of esophagus

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with gastr/o

    algia gastralgia stomach pain

    ic gastric pertaining to stomach

    enter/o itis gastroenteritis inflammation of stomachenter/o

    ologistgastroenterologist stomach specialist

    malacia gastromalacia stomach softening

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with gastr/o

    nas/o ic nasogastric pertaining to nose & stomach

    ostomy gastrostomy new opening into stomach

    scope gastroscope instrument to view stomach

    itis gastritis inflammation of stomach

    ectomy gastrectomy surgical removal of stomach

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    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with gingiv/o & gloss/o

    al glossal pertaining to tongue

    hypo al hypoglossal pertaining to under tongue

    al gingival pertaining to gums

    itis gingivitis gum inflammation

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    All rights reserved.

    Word Building with hepat/o & ile/o

    al ileal pertaining to ileum

    ostomy ileostomy new opening into ileum

    itis hepatitis inflammation of liver

    oma hepatoma liver tumor

    ic hepatic pertaining to liver

    Word Building with jejun/o lapar/o &

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    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with jejun/o, lapar/o, &lingu/o

    al jejunal pertaining to jejunum

    otomy laparotomy incision into abdomen

    scope laparoscope instrument to view insidecolon

    sub al sublingual pertaining to under the tongue

    Word Building with odont/o or/o &

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    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with odont/o, or/o, &palat/o

    orth/o ic orthodontic pertaining to straight teeth

    al oral pertaining to mouth

    plasty palatoplasty surgical repair of palate

    Word Building with pancreat/o &

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    Medical Terminology: A Living Language, Fourth EditionBonnie F. Fremgen and Suzanne S. Frucht

    Copyright 2009 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

    All rights reserved.

    Word Building with pancreat/o &pharyng/o

    eal pharyngeal pertaining to pharynx

    plegia pharyngoplegia pharynx paralysis

    plasty pharyngoplasty surgical repair of pharynx

    itis pancreatitis inflammation of pancreas

    ic pancreatic pertaining to pancreas

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Word Building with proct/o & pylor/o

    ic pyloric pertaining to pylorus

    ptosis proctoptosis drooping rectum & anus

    logist proctologist rectum & anus specialist

    pexy proctopexy surgical fixation of rectum & anus

    Word Building with rect/o sialaden/o

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Word Building with rect/o, sialaden/o,& sigmoid/o

    al rectal pertaining to rectum

    scope sigmoidoscope instrument to view insidesigmoid colon al sigmoidal pertaining to sigmoid colon

    itis sialadenitis inflammation of salivaryglands

    Word Building with emesis orexia

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    Upper Saddle River, New Jersey 07458 All rights reserved.

    Word Building with emesis, orexia,& prandial

    hemat/o hematemesis vomit blood

    hyper hyperemesis excessive vomiting

    an

    anorexia lack of appetitedys dysorexia abnormal appetite

    post postprandial pertaining to after a meal

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Word Building with pepsia & phagia

    a aphagia lack of eating

    dys dysphagia abnormal eating

    poly polyphagia too much eating

    brady bradypepsia slow digestion

    dys dyspepsia painful digestion

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Digestive System Vocabulary

    anorexia loss of appetite with other conditions;different from anorexia nervosa

    ascites collection of fluid in peritoneal cavity

    bowelincontinence inability to control defecation

    bridge dental appliance attached to adjacentteeth to replace missing teeth

    cachexia loss of weight and wasting occurringduring chronic disease

    b l

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    Copyright 2009 by Pearson Education, Inc.

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    Digestive System Vocabulary

    constipation difficult or infrequent defecation

    crown artificial tooth to replace original crown

    dental caries decay of tooth due to bacterial infection;

    tooth cavitydentistry prevention, diagnosis, and treatment ofconditions involving teeth, jaw, and mouth

    denture partial or complete set of artificial teeth

    diarrhea frequent, watery bowel movements

    b l

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Digestive System Vocabulary

    emesis vomiting

    gastroenterology diagnosis and treatment of diseases ofthe digestive system

    hematochezia passing bright red blood in stools

    implant prosthetic device in jaw to anchor atooth

    internal medicine diagnosis and treatment of diseases of

    internal organs

    i i S b l

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Digestive System Vocabulary

    jaundice yellow cast to skin; caused by deposit ofbile pigment; often caused by liver disease

    melena passage of dark tarry stool, due todigested blood

    nausea urge to vomit

    obesity weight above healthy levels

    orthodontics correction of problems of tooth alignment

    Di i S V b l

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Digestive System Vocabulary

    periodontics treating conditions of the gums and areaaround teeth

    polyp tumor with a pedicle (stem) attachment;found on mucous membranes

    proctology diagnosis and treatment of diseases ofanus and rectum

    pyrosis stomach acid splashing into esophagus;heartburn

    regurgitation backflow of stomach contents into mouth

    O l C i P h l

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Oral Cavity Pathology

    aphthous ulcers ulcers in the mouth; commonly calledcanker sores

    cleft lipcongenital anomaly where upper lipand jaw fail to fuse in the midline,leaving a gap

    cleft palatecongenital anomaly where hardpalate fails to fuse in the midline,leaving an opening into nasal cavity

    E h l P h l

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    Upper Saddle River, New Jersey 07458 All rights reserved.

    Esophageal Pathology

    esophagealvarices

    varicose veins in the esophagus;hemorrhaging occurs if rupture

    gastroesophagealreflux disease(GERD)

    acid from stomach flows backwardup into esophagus causinginflammation and pain

    S h P h l

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Stomach Pathology

    gastric carcinoma malignant tumor in stomach

    hiatal herniaprotrusion of stomach throughdiaphragm into thoracic cavity; alsocalled diaphragmatocele

    peptic ulcerdisease (PUD)

    ulcer in the lower portion ofesophagus, stomach, and/orduodenum; caused by high acid ofstomach juices; may be a result ofHelicobacter pylori infection

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    S ll I t ti & C l P th l

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    Copyright 2009 by Pearson Education, Inc.

    Upper Saddle River, New Jersey 07458 All rights reserved.

    Small Intestine & Colon Pathology

    hemorrhoids varicose veins in the anal region

    ileussevere abdominal pain, inability todefecate, abdominal distension; causedby intestinal blockage

    inguinalhernia

    protrusion of a loop of bowel throughabdominal muscle and into groin region;may become incarcerated or strangulatedif muscle pinches the loop of bowel

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    A O g P th l g

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    Copyright 2009 by Pearson Education, Inc.

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    Accessory Organ Pathology

    cholecystitis inflammation of gallbladder; commonlycaused by gallstones

    cholelithiasis presence of gallstones; may or may notcause symptoms

    cirrhosis chronic liver disease due to liver failure

    hepatitis inflammation of liver; usually due to aviral infection

    Cli i l L b t T t

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    Clinical Laboratory Tests

    alaninetransaminase(ALT)

    normal enzyme in the bloodstream;increased levels indicate liver disease

    aspartatetransaminase(AST)

    normal enzyme in the bloodstream;increased levels indicate liver disease

    fecal occultblood (FOBT)

    examines feces for microscopic amountsof blood; also called hemoccult

    Clinical Laboratory Tests

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    Clinical Laboratory Tests

    ova andparasites(O&P)

    examination of feces for presence ofparasites or their eggs

    serumbilirubin

    determines amount of bilirubin inbloodstream; indicates liver disease

    stool culture culture of feces to look for presence ofpathogenic bacteria

    Endoscopic Procedures

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    Endoscopic Procedures

    colonoscopy visual examination inside of colon andrectum using a colonoscope

    gastroscopy visual examination inside of stomachusing a gastroscope

    laparoscopy visual examination inside of abdominalcavity using a laparoscope

    sigmoidoscopy visual examination inside of sigmoidcolon using a sigmoidoscope

    Dental Procedures

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    Upper Saddle River, New Jersey 07458 All rights reserved.

    Dental Procedures

    extraction removing teeth

    root canal drilling out of pulp cavity of a tooth; used tosave a tooth that is badly infected

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    Digestive System Pharmacology

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    Upper Saddle River, New Jersey 07458 All rights reserved.

    Digestive System Pharmacology

    anorexiant suppresses appetite totreat obesity Adipost,Obezine

    antacid neutralizes stomach acid Tums, Maalox,Mylanta

    antidiarrheal used to control diarrhea Imodium,Lomotil

    antiemetic treats nausea andvomitingCompazine,Phenergan

    Digestive System Pharmacology

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    Digestive System Pharmacology

    emetic induces vomiting Ipecac syrup

    H2-receptorantagonist

    blocks the productionof stomach acid

    Zantac, Pepcid,Tagament

    laxative stimulates a bowelmovementSenokot,Metamucil

    proton pumpinhibitor

    blocks stomachs

    ability to secrete acidNexium,Prilosec

    Digestive System Abbreviations

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    Digestive System Abbreviations

    ac before meals

    ALT alanine transaminase

    AST aspartate transaminase

    Ba barium

    BE barium enema

    BM bowel movement

    BS bowel sounds

    Digestive System Abbreviations

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    Digestive System Abbreviations

    CBD common bile duct

    EGD esophagogastroduodenoscopy

    ERCP endoscopic retrograde

    cholangiopancreatographyFOBT fecal occult blood test

    GB gallbladder

    GERD gastroesophageal reflux diseaseGI gastrointestinal

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    Digestive System Abbreviations

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    Digestive System Abbreviations

    pc after meals

    PO by mouth

    pp postprandial

    PTC percutaneous transhepatic cholangiography

    PUD peptic ulcer disease

    TPN total parenteral nutrition

    UGI upper gastrointestinal series