Supplemental Chapter 7 Assignments
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Supplemental Chapter 7 Assignments
CHAPTER 7: DIGESTIVE SYSTEM
Terminology
The terms below come from the chart note Impetigo that follows. Use a medical dictionary such as
Taber’s Cyclopedic Medical Dictionary, the appendices of the textbook, or other resources to define
each term. Review the pronunciations for each term and practice by reading the chart note aloud.
1.
acute (ă-KŪT) – severe, sudden, onset
2.
appendectomy (ăp-ĕn-DĔK-tō-mē) – surgery to remove the appendix when infected
3.
appendicitis (ă-pĕn-dĭ-SĪ-tĭs) – inflammation of the appendix
4.
borborygmus (bōr-bō-RĬG-mŭs) – rumbling in stomach
5.
cutaneous (kū-TĀ-nē-ŭs) – pertaining to the skin
6.
epigastric (ĕp-ĭ-GĂS-trĭk) – upper middle area of the abdomen
7.
febrile (FĒ-brĭl) – fever symptoms
8.
fecalith (FĒ-kă-lĭth) – hard mass of fecal matter
9.
hyperemesis (hī-pĕr-ĔM-ĕ-sĭs) – severe vomiting
10. hyperesthesia (hī-pĕr-ĕs-THĒ-zē-ă) – excessive physical sensitivity
11. leukocytosis (loo-kō-sī-TŌ-sĭs) – increase in the number of WBCs
12. McBurney point – lower RQ of abdomen with appendix pain
13. obstipation (ŏb-stĭ-PĀ-shŭn) – severe constipation
14. peritonitis (pĕr-ĭ-tō-NĪ-tĭs) – inflammation of the peritoneum
15. stool guaiac (GWĪ-ăk) – test that checks for hidden blood in the stool
16. tachycardic (tăk-ē-KĂR-dĭk) – relating to rapid heart beat
17. umbilicus (ŭm-BĬL-ĭ-kŭs) – belly button
Chart Note: Acute Appendicitis
This 33-year-old male is seen in the ED with a complaint of abdominal pain with intermittent
obstipation for 4 days. The pain began in the epigastric region, migrated to the umbilicus, and is
now in the right lower quadrant. He states symptoms had resolved somewhat by the third day but today he is experiencing hyperemesis and the pain has worsened. He denies any dysuria. No appendectomy in past medical history. Patient is febrile with a T of 102°F and tachycardic with a pulse of 118. CBC shows leukocytosis with WBC count at 14,000. U/A, liver function tests,
and electrolytes are within normal limits. There is mild abdominal distention and no borborygmus. The patient exhibits guarding and rigidity during the physical exam. Positive for rebound tenderness at McBurney point. There is cutaneous hyperesthesia lateral to the umbilicus extending to the right lower quadrant. Stool guaiac is negative. Patient expresses right-sided tenderness during rectal exam.
Impression:
1. Acute appendicitis.
2. Rule out fecalith.
3. Rule out appendiceal perforation.
4. Rule out peritonitis.
Chart Note Analysis
Select the term in the above chart note that means:
1. inflammation of the peritoneum: peritonitis
2. severe constipation: obstipation
3. elevated white blood cell count: leukocytosis
4. test to detect hidden blood in stool: Stool guaiac
5. excessive vomiting: hyperemesis
6. having a sudden onset: acute
7. gurgling or rumbling sound from the large intestine: borborygmus
8. fecal concretion (hardened mass of feces): fecalith
9. middle region located above the stomach: epigastric
10. inflammation of the appendix: appendicitis
Clinical Applications
Complete the clinically related sentences by selecting a medical term from the list below.
antiemetic dysentery polypectomy
ascites GERD volvulus
cholangiography hernioplasty
diverticulitis jaundice
1. This 55-year-old obese male patient is seen with a complaint of left upper quadrant pain and
constipation. Abdominal radiograph shows an accumulation of feces in the transverse colon with a twisting of a segment of the descending colon. This twisting of the colon is a condition known as a(n) ___________volvulus_______________.
2. A 23-year-old male is seen with a complaint of fever, diarrhea, and abdominal cramping for 2
days. He says the symptoms began several hours after drinking stream water while camping in the mountains. The physician suspects that Joe has a condition caused by a bacteria or other parasite and diagnoses him with ___________dysentery_______________.
3. Marlene is a 29-year-old female who presents with a complaint of a pain that begins in her chest, spreads to her throat, and causes a bitter taste in her mouth. Her physician suspects she has a malfunction of the lower esophageal sphincter allowing a backflow of stomach contents into the esophagus. This condition is known as ____________GERD____________.
4. This 63-year-old male is admitted to the hospital with a diagnosis of alcoholic cirrhosis. The
physician percusses the abdomen and determines that there is an accumulation of fluid in the
peritoneal cavity. The term for accumulation of fluid within the abdomen is _______ascites_________.
5. While performing a sigmoidoscopy, the physician observes several small, tumor-like projections within the sigmoid colon and rectum. A biopsy is performed to rule out malignancy. The physician excises these growths using the surgical procedure known as a _____polypectomy________.
6. This 44-year-old male presents with a complaint of upper abdominal pain that is worsened after meals. Palpation of the abdomen causes an extreme degree of tenderness. To rule out gallstones, a radiographic examination of the bile ducts with a contrast medium is ordered. This
procedure is known as a _____________cholangiography_____________.
7. Jeannie is a 6-year-old girl brought in by her mother with complaints of diarrhea and vomiting for 2 days. The physician prescribes an antidiarrheal and administers an ______antiemetic__________, which is a medication to help control the vomiting.
8. Ms. E. is a 32-year-old female with a history of intravenous drug use. She tests positive for
hepatitis B. This chronic disease is causing a yellow discoloration of the skin and the sclerae of her eyes. Yellowing of the skin and eyes is a condition called _________jaundice____________.
9. After a routine colonoscopy, the patient is advised that he has numerous inflamed bulging
pouches throughout his descending colon. This diverticular disease is known as _______diverticulitis___________.
10. Robert presents with an inguinal hernia. To correct the abnormality, a surgical repair of the hernia will be performed. This surgery is called ___________hernioplasty_______________.
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Ch. 7 Crossword Puzzle Activity (10 points Extra Credit)
ACROSS
1. Instrument to cut the esophagus
7. Pertaining to the stomach
10. How many halves in a football game?
11. Body waste; stool
13. To be the best
14. Meaning of -dynia and -algia
15. Prefix that means under, below
17. Word root for bladder
18. Suffix that means abnormal condition;
increase (used primarily with blood cells)
19. Shakespeare play: ______________ You Like It
20. Abbreviation for registered nurse
21. This person cannot be a chooser.
25. Suffix that means excision, removal
26. Surgical procedure to form a new opening in the ilium
29. Chronic inflammation of the ileum is known as ______________ disease
.
31. Pertaining to the small intestine
33. Abbreviation for gastric emptying time
35. Not quiet
36. Combining form for tongue
38. Literally, “S-shaped”; pertaining to the lower part of the descending colon
39. Surgical procedure to form a new opening in ______________ the duodenum
DOWN
1. Combining form for intestine (usually small)
2. Combining form for mouth
3. Word root for liver
4. The three salivary ______________ are the submaxillary, sublingual, and parotid.
5. The suffix -stomy means forming an ______________
(mouth).
6. Ophthalm/o refers to the ______________
.
7. Abbreviation for gastrointestinal
8. Word root for poison
9. Inflammation of the colon
12. The suffix –rrhaphy means to ______________
.
16. Some physicians record their notes by ______________
them into a tape recorder.
19. Suffix that means pertaining to
20. The suffix -gram refers to a test or procedure that has been ______________
.
22. Combining form for gum(s)
23. Suffix that means pertaining to
24. Abbreviation for centimeter
25. Suffix that means vomiting
27. Word root for saliva
28. Where bread is baked
29. It covers the sun.
30. Suffix that means visual examination
32. Postal code for Alabama
34. The esophagus is a ______________ that connects the mouth with the stomach.
37. An expert knows the ______________ and outs of a subject.
Combining Forms (p. 169)
a.
Dentist: specialist in the treatment of teeth
b.
Orthodontist: dental specialist who prevents and corrects abnormally positioned teeth
c.
Gingivitis: inflammation of gums
d.
Hypoglossal: pertaining to under the tongue
e.
Sublingual: pertaining to under the tongue
f.
Oral: pertaining to the mouth
g.
Stomatopathy: disease of the mouth
h.
Ptyalism: condition of excessive salivation
i.
Sialorrhea: excessive flow of saliva
j.
Esophagoscope: instrument for examining the esophagus
k.
Gastroscopy: visual examination of the stomach
l.
Pharyngotonsillitis: inflammation of the pharynx and tonsils
m.
Pylorotomy: incision of the pylorus
n.
Duodenoscopy: visual examination of the duodenum
o.
Enteropathy: disease of the intestine
p.
Jejunorrhaphy: suture of the jejunum
q.
Ileostomy: surgical creation of an opening in the ileum
r.
Perianal: pertaining to around the anus
s.
Appendectomy: removal of the appendix
t.
Appendicitis: inflammation of the appendix
u.
Colostomy: creation of an opening between the colon and abdominal wall
v.
Colonoscopy: visual examination of the colon
w.
Proctologist: physician who specializes in treating disorders of the colon, rectum, and anus
x.
Rectocele: herniation of the rectum
y.
Sigmoidotomy: incision of the sigmoid colon
z.
Cholangiole: small terminal portion of the bile duct
aa.
Cholelith: gallstone
bb.
Cholecystitis: inflammation of the gallbladder
cc.
Choledochotomy: incision of the common bile duct
dd.
Hepatitis: inflammation of the liver
ee.
Pancreatolysis: destruction of the pancreas
Suffixes and Prefixes (p. 174)
B.
Gastralgia: pain in the stomach
C.
Gastrodynia: pain in the stomach
D.
Hyperemesis: Excessive vomiting
E.
Cholelithiasis: formation of gallstones
F.
Hepatomegaly: enlargement of liver
G.
Anorexia: loss of appetite
H.
Cirrhosis: abnormal condition of yellowness
I.
Dyspepsia: difficult digestion
J.
Dysphagia: difficulty swallowing
K.
Postprandial: after a meal
L.
Diarrhea: frequent, watery bowel movements
M.
Endoscopy: visual examination within
N.
Hematemesis: vomiting blood
O.
Hypogastric: pertaining to below the stomach
c. Medical Terminology Word Building (p. 174)
1.
Esophagospasm
2.
Esophagostenosis
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3.
Gastritis
4.
Gastralgia
5.
Gastropathy
6.
Jejunectomy
7.
Ileitis
8.
Jejunoileal
9.
Enteritis
10. Enteropathy
11. Colorectal
12. Coloptosis
13. Proctostenosis
14. Proctocele
15. Proctoplegia
16. Cholecystitis
17. Cholelithiasis
18. Hepatoma
19. Hepatomegaly
20. Pancreatitis d. Medical Vocabulary Recall (p. 186)
1.
Stool guaiac
2.
Nasogastric intubation
3.
Polyp
4.
Ascites
5.
Chron disease
6.
Lithotripsy
7.
Fistula
8.
Jaundice
9.
Barium enema
10. IBD
11. Hematochezia
12. Volvulus
13. Cirrhosis
14.
Barium swallow
15. IBS
e. Pronunciation and Spelling (p. 187)
1.
Appendicitis
2.
Ascites
3.
Bilirubin
4.
Borborygmus
5.
Cholangiopancreatography
6.
Cholecystectomy
7.
Choledochoplasty
8.
Cholelithiasis
9.
Cirrhosis
10. Colostomy
11.
Chron disease
12. Duodenitis
13. Enteropathy
14. Esophagogastroduodenoscopy
15. Gastroesophageal
16. Glossectomy
17. Hepatitis
18. Ileorectal
19. Jaundice
20. Sigmoidotomy f. Chart Notes Terminology (p. 188)
a.
Angulation: abnormal formation of an angle
b.
Anorectal: pertaining to the anus and rectum
c.
Carcinoma: malignant tumor
d.
Cm: centimeter
e.
Diarrhea: flow of watery stool
f.
Diverticulum: sac on the wall of a canal
g.
Dysphagia: painful or difficult swallowing
h.
Emesis: vomiting
i.
Enteritis: inflammation of the small intestine
j.
Hematemesis: vomiting blood
k.
Ileostomy: creation of a surgical passage through the abdominal wall to the last portion of
the small intestine
l.
Nausea: feeling to vomit
m.
Polyp: tumor on a small stem
n.
Postprandial: after a meal
o.
Sigmoidoscopy: test to check the sigmoid colon
g. Chart Note Analysis (p. 191)
1.
Postprandial
2.
Anorectal
3.
Angulation
4.
Polyp
5.
Diverticulum
6.
Dysphagia
7.
Enteritis
8.
Ileostomy
9.
Hematemesis
10. Carcinoma
h. Demonstrate What You Know
1.
Sublingually
2.
Orthodontist
3.
Gastroesophagitis
4.
Bariatric
5.
Sigmoidoscopy
6.
Hemorrhoids
7.
Pylorotomy
8.
Constipation
9.
Hematemesis
10.
Bile ducts
11. Nausea
12. Stool
13. Stones
14. Stomach
15. GERD