Digestive System Overview
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Questions and Answers

What is the approximate length of the esophagus?

  • 25 cm
  • 10 inches
  • 7 to 7.9 m
  • 23 to 26 feet (correct)
  • What is the correct order of the digestive system, starting with the mouth?

  • Mouth, esophagus, stomach, small intestine, large intestine, rectum, anus (correct)
  • Mouth, stomach, large intestine, small intestine, esophagus, rectum, anus
  • Mouth, esophagus, small intestine, stomach, large intestine, rectum, anus
  • Mouth, stomach, esophagus, small intestine, large intestine, rectum, anus
  • What is the name of the opening in the diaphragm that the esophagus passes through?

  • Diaphragmatic hiatus
  • Esophageal hiatus (correct)
  • Pyloric sphincter
  • Cardia
  • Which of the following is NOT a function of the stomach?

    <p>Absorbs most nutrients from food (D)</p> Signup and view all the answers

    What is the approximate capacity of the stomach?

    <p>1500 mL (C)</p> Signup and view all the answers

    What is the name of the circular smooth muscle that forms the pyloric sphincter?

    <p>Pylorus (C)</p> Signup and view all the answers

    Which of the following is NOT one of the four anatomic regions of the stomach?

    <p>Duodenum (C)</p> Signup and view all the answers

    What is the name of the partially digested food that is propelled into the small intestine?

    <p>Chyme (B)</p> Signup and view all the answers

    Which of the following correctly describes the role of the ileocecal valve?

    <p>It regulates the flow of food from the small intestine to the large intestine. (D)</p> Signup and view all the answers

    What is the primary function of the small intestine?

    <p>Absorb nutrients from digested food. (B)</p> Signup and view all the answers

    Which of the following is NOT a section of the small intestine?

    <p>Colon (B)</p> Signup and view all the answers

    Which of these is NOT a common symptom associated with gastrointestinal dysfunction?

    <p>Headache (C)</p> Signup and view all the answers

    What is the function of the common bile duct (CBD)?

    <p>To transport both bile and pancreatic secretions to the duodenum. (D)</p> Signup and view all the answers

    What is the most common symptom of patients with GI dysfunction?

    <p>Dyspepsia (C)</p> Signup and view all the answers

    What is the role of the appendix?

    <p>It is a vestigial organ with little to no known physiological function. (D)</p> Signup and view all the answers

    What is the defining characteristic of dyspepsia?

    <p>Abdominal discomfort associated with eating (B)</p> Signup and view all the answers

    Which of these describes the process by which nutrients enter the bloodstream through the intestinal walls?

    <p>Absorption (D)</p> Signup and view all the answers

    Which type of food often causes the most discomfort in patients with dyspepsia?

    <p>Fatty Foods (A)</p> Signup and view all the answers

    What is the term used to describe the expulsion of gas from the rectum?

    <p>Flatulence (C)</p> Signup and view all the answers

    Where does the common bile duct empty into the duodenum?

    <p>Ampulla of Vater (A)</p> Signup and view all the answers

    What does the presence of bright red or coffee ground-like vomitus indicate?

    <p>Upper GI bleeding (C)</p> Signup and view all the answers

    What is the term for the forceful emptying of stomach and intestinal contents through the mouth?

    <p>Vomiting (D)</p> Signup and view all the answers

    What is the term used to describe the expulsion of gas from the stomach through the mouth?

    <p>Belching (A)</p> Signup and view all the answers

    Which of these is NOT a possible component of emesis (vomit)?

    <p>Bone Fragments (B)</p> Signup and view all the answers

    What is the term for the vague, uncomfortable sensation of sickness or "queasiness"?

    <p>Nausea (B)</p> Signup and view all the answers

    Which imaging study is a type of scan that uses radioactive isotopes to identify displaced structures, changes in organ size, and the presence of abnormalities?

    <p>Scintigraphy (B)</p> Signup and view all the answers

    What is the purpose of a Positron Emission Tomography (PET) scan in terms of tissue and organ analysis?

    <p>To visualize the metabolic and biochemical activity of tissues and organs. (C)</p> Signup and view all the answers

    Which of the following procedures involves a visual inspection of the lower colon and rectum?

    <p>Colonoscopy (A), Proctoscopy (B), Sigmoidoscopy (C)</p> Signup and view all the answers

    Which of the following procedures is used to assess the rate at which food is emptied from the stomach and moves through the colon?

    <p>Gastrointestinal Motility Studies (D)</p> Signup and view all the answers

    What is the primary purpose of an Upper GI Fibroscopy or Esophagogastroduodenoscopy (EGD)?

    <p>To visually inspect the upper digestive tract, including the esophagus, stomach, and duodenum. (A)</p> Signup and view all the answers

    What is the name of the procedure that involves examining the lower gastrointestinal tract?

    <p>Proctoscopy (A), Anoscopy (C)</p> Signup and view all the answers

    Which of these procedures is performed through an opening created in the abdomen?

    <p>Endoscopy through an ostomy (D)</p> Signup and view all the answers

    What is the purpose of midazolam during upper GI endoscopy?

    <p>To provide moderate sedation and suppress the gag reflex (B)</p> Signup and view all the answers

    Which drug is administered to reduce secretions during upper GI endoscopy?

    <p>Atropine (A)</p> Signup and view all the answers

    What is the purpose of administering glucagon during upper GI endoscopy?

    <p>To relax smooth muscle (C)</p> Signup and view all the answers

    What type of procedure is gastroscopy?

    <p>Upper GI Endoscopy (A)</p> Signup and view all the answers

    What is the minimum NPO time required before an upper GI endoscopy?

    <p>8 hours (C)</p> Signup and view all the answers

    What does Manometry Test evaluate?

    <p>Patients with GI motility disorders (C)</p> Signup and view all the answers

    What is the purpose of enteroclysis?

    <p>To study the entire small intestine using a radiopaque liquid. (A)</p> Signup and view all the answers

    What is the primary nursing responsibility before an enteroclysis procedure?

    <p>Ensuring the patient follows a low residue diet and is NPO. (D)</p> Signup and view all the answers

    What does the term "low residue" refer to?

    <p>A diet that is low in fiber and reduces the amount of waste in the digestive tract. (D)</p> Signup and view all the answers

    What is the role of barium sulfate in enteroclysis?

    <p>To enhance the visibility of the small intestine on X-ray images. (C)</p> Signup and view all the answers

    Which of the following imaging studies is used to evaluate the abdomen and assess for bleeding?

    <p>Magnetic resonance imaging (MRI) (D)</p> Signup and view all the answers

    What is the purpose of a barium enema?

    <p>To study the entire large intestine. (B)</p> Signup and view all the answers

    What is a common nursing intervention prior to a lower gastrointestinal study?

    <p>Cleansing enemas until returns are clear. (C)</p> Signup and view all the answers

    What is the purpose of a CT scan in relation to abdominal imaging?

    <p>To provide cross-sectional images of the abdomen. (C)</p> Signup and view all the answers

    Flashcards

    Length of the Digestive Tract

    The human digestive tract is approximately 7 to 7.9 m (23 to 26 feet) long.

    Esophagus

    A hollow muscular tube that connects the mouth to the stomach.

    Stomach Location

    The stomach is located in the left upper portion of the abdomen under the left lobe of the liver.

    Capacity of the Stomach

    The stomach can hold approximately 1500 mL of food and liquids.

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    Pylorus

    The region controlling the opening between the stomach and small intestine.

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    Four Anatomic Regions of the Stomach

    The stomach has four regions: Cardia, Fundus, Body, and Pylorus.

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    Small Intestine

    The longest segment of the GI tract, about 70 m (230 feet) long, where absorption occurs.

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    Function of the Stomach

    The stomach stores food, secretes digestive fluids, and propels chyme into the small intestine.

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    Pyloric Sphincter

    A circular smooth muscle that controls the exit of chyme from the stomach to the small intestine.

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    Duodenum

    The first section of the small intestine, where initial digestion occurs.

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    Jejunum

    The middle section of the small intestine, involved in nutrient absorption.

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    Diaphragmatic Hiatus

    The esophagus passes through the diaphragm at the esophageal hiatus.

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    Ileum

    The final section of the small intestine, leading to the cecum.

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    Ileocecal Valve

    The valve where the ileum terminates at the cecum, controlling flow to the large intestine.

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    Appendix

    Also known as the vermiform appendix, it is an appendage attached to the cecum with unclear function.

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    Common Bile Duct (CBD)

    The duct that empties bile and pancreatic secretions into the duodenum.

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    Enteroclysis

    Study of the entire small intestine with radiopaque liquid infusion.

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    Radiopaque liquid

    A substance (like barium sulfate) used to enhance imaging contrast in studies.

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    Nursing Responsibility for Enteroclysis

    Patient must follow a low residue diet and be NPO before the study.

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    Lower GI Tract Study

    Visualizes lower gastrointestinal tract after barium rectal installation.

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    Barium enema

    A procedure to detect polyps, tumors, and abnormalities in the large intestine.

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    Patient preparation for Lower GI Study

    Includes low residue diet and cleansing of lower bowel beforehand.

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    Computed Tomography (CT)

    Imaging technique that provides cross-sectional images of abdominal organs.

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    Magnetic Resonance Imaging (MRI)

    Imaging used for evaluating soft tissues, blood vessels, and abnormalities.

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    Common GI Symptoms

    Includes abdominal pain, dyspepsia, gas, nausea, diarrhea, constipation, fecal incontinence, and jaundice.

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    Abdominal Pain

    A frequent issue in general practice characterized by pain in the stomach area.

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    Dyspepsia

    Upper abdominal discomfort associated with eating, commonly known as indigestion.

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    Intestinal Gas

    Excess gas in the GI tract leading to belching and flatulence.

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    Nausea

    An uncomfortable sensation of sickness or queasiness.

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    Vomiting

    Forceful emptying of the stomach contents through the mouth.

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    Mallory-Weiss Tear

    Acute upper GI bleeding indicated by bright red or coffee ground emesis.

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    Hematemeisis

    Vomiting blood, a sign of upper gastrointestinal bleeding.

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    Bilious Vomiting

    Vomiting that contains bile, often greenish in color.

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    Fecal Incontinence

    Inability to control bowel movements, resulting in unexpected stool leakage.

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    PET Scan

    An imaging test showing the metabolic activity of tissues using a radioactive tracer.

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    Scintigraphy

    An imaging technique using radioactive isotopes to assess anatomical structures and lesions.

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    Upper GI Fibroscopy

    An endoscopic procedure to examine the upper gastrointestinal tract.

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    Colonoscopy

    An endoscopic procedure to inspect the colon and rectum for abnormalities.

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    Gastrointestinal Motility Studies

    Tests to evaluate gastric emptying and colonic transit times.

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    Small-bowel enteroscopy

    A type of endoscopy that examines the small intestine.

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    Endoscopy through an ostomy

    Using an endoscope to examine the digestive tract via an ostomy opening.

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    Gastrocopy

    Endoscopic examination of the stomach and upper GI tract.

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    Anoscopy

    Examination of the anal canal using an endoscope.

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    Proctoscopy

    Examination of the rectum using an endoscope.

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    NPO before endoscopy

    Patients should not eat or drink 8 hours prior to upper GI endoscopy.

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    Midazolam

    A sedative used for moderate sedation during endoscopic procedures.

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    Atropine use in endoscopy

    Medication to reduce secretions prior to GI endoscopy.

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    Study Notes

    Digestive and Gastrointestinal Function

    • The gastrointestinal (GI) tract is a pathway extending from the mouth to the anus, approximately 7 to 7.9 meters (23 to 26 feet) in length.
    • It includes the esophagus, stomach, small intestine, large intestine, and rectum.

    Anatomic and Physiologic Overview

    • Esophagus: Located in the mediastinum, anterior to the spine and posterior to the trachea and heart, it measures approximately 25 cm (10 inches) in length. It passes through the diaphragm (esophageal hiatus).
    • Stomach: Located in the upper left portion of the abdomen, it is a hollow muscular organ with a capacity of approximately 1500 mL. Its function includes storing food, secreting digestive fluids, and propelling partially digested food (chyme) into the small intestine. It has four regions: cardia (entrance), fundus, body, and pylorus (outlet). The pyloric sphincter controls the exit between the stomach and small intestine.
    • Small Intestine: The longest segment of the GI tract, it is about 70 m (230 feet) long. It has three sections: duodenum (closest to the stomach), jejunum (middle section), and ileum (distal section) The ileum connects to the large intestine via the ileocecal valve.
    • Large Intestine: Includes the ascending, transverse, and descending segments. It forms waste into poop, stores it, and excretes it. It also includes the sigmoid colon, rectum, and anus.
    • Appendix: Also known as the vermiform appendix, it's attached to the cecum and has little or no physiologic function.

    Common Bile Duct (CBD)

    • Empties into the duodenum at the ampulla of Vater.
    • Allows for the passage of bile and pancreatic secretions.

    Small Intestine Function

    • Absorption: Nutrients enter the bloodstream through intestinal walls.
    • Segmentation contractions: Mix intestinal contents using back-and-forth movement.
    • Intestinal peristalsis: Moves contents towards the colon.
    • Villi: Increase surface area for absorption.

    Colonic Function

    • Waste material enters the large intestine where its composition is altered.
    • Colonic secretions (electrolyte and mucus solutions) are added to the mass.
    • Gut microbes complete waste breakdown.

    Waste Products of Digestion

    • Fecal matter is about 75% fluid, 25% solid material, and brown in color.
    • Odor originates from chemicals produced by intestinal bacteria (including methane, hydrogen sulfide, and ammonia).

    Assessment of Digestive and Gastrointestinal Function

    • Health history: Focuses on common symptoms like abdominal pain, dyspepsia (indigestion), gas, nausea, vomiting, diarrhea, constipation, fecal incontinence, jaundice to gather a complete history.
    • Pain: Often the presenting problem in patients presenting with gastrointestinal concerns.
    • Dyspepsia: Upper abdominal discomfort associated with eating is commonly referred to as indigestion.
    • Intestinal Gas: Can create conditions like belching and flatulence.
    • Nausea and Vomiting: Symptoms of discomfort and forceful emptying of stomach contents.
    • Bowel Habits and Stool Characteristics: Crucial to check for changes in bowel frequency, stool consistency, and color (which can indicate potential bleeding sources).
    • Physical Assessment techniques: Examination of oral cavity, and a thorough abdominal inspection, auscultation, percussion, and palpation—all vital in accurate assessment of gastrointestinal conditions.

    Imaging Studies

    • Upper GI: A fluoroscopy technique using contrast to visualize the upper GI tract.
    • Lower GI: A barium enema that detects polyps, tumors, or other lesions in the large intestine, and shows anatomic abnormalities.
    • Abdominal Ultrasound: Used for examining structures within the abdomen like the enlarged gallbladder, pancreas, and visualizing gallstones or ectopic pregnancies, and appendicitis.
    • Endoscopic Ultrasound: A specialized procedure to diagnose and visualize GI tract disorders.
    • Computed Tomography and Magnetic Resonance Imaging: Are cross-sectional imaging methods to check different soft tissues, including organs, blood vessels, and masses in the abdomen.
    • Positron Emission Tomography: Detects metabolic and biochemical function.
    • Scintigraphy: Uses radioactive isotopes to visualize displacements and changes in organ size, and also for finding neoplasms or cysts).
    • Gastrointestinal Motility Studies: Assess gastric emptying and colonic transit time.

    Endoscopic Procedures

    • Upper GI Fibroscopy (EGD): Examines the esophagus, stomach, and duodenum.
    • Colonoscopy: Visualizes the large intestine.
    • Anoscopy: Examines the anus and rectum
    • Proctoscopy: Examines the region between the rectum and anus.
    • Sigmoidoscopy: Examines the sigmoid colon and rectum
    • Small-bowel enteroscopy: Examines the small intestine, using an endoscope.
    • Endoscopy through an ostomy: Examination through an artificial opening in the abdomen.

    Electrophysiological Studies

    • Rectal sensory function studies: Evaluate rectal sensation and neuropathy.
    • Electrogastrography(EGG): Assesses gastric motility disorders.

    Manometry Test

    • Methods: Used to evaluate Gl motility disorders, measuring intraluminal pressures and muscle activity in the GI tract (esophageal, gastroduodenal, small intestine, and colonic manometry).

    Gastric Analysis

    • Methods: Determines secretory activity, and the detection of gastric retention.
    • Diagnostic tests: Used in determining the presence or severity of gastrointestinal conditions.

    pH Monitoring

    • Methods: Measures the pH level to evaluate stomach acid, especially in patients with esophageal reflux to identify and assess symptoms.

    Parenteral Nutrition

    • Techniques: Direct nutrient delivery through veins (peripheral and central); intravenous.
    • Important uses are for patients who cannot ingest or absorb nutrients orally or via the enteral route.

    Gastrointestinal Intubation

    • Methods/Types: Introduces a flexible tube into the stomach (levin tube, Salem sump tube), duodenum, or jejunum, used for decompressing the stomach, delivering medications, or fluids.
    • Nursing Interventions Critical in patient care.

    Special Diets

    • Clear Liquid: Restricted to clear fluids (e.g., water, clear broth, clear juices).
    • Full Liquid: Includes all clear liquids and food that becomes liquid at body temperature (e.g., strained fruit juices, yogurt, pudding).
    • Diet as Tolerated (DAT): Diet adapted based on patient's appetite, and digestion.

    Gastrostomy

    • Types/Procedures: Surgical access to the stomach for nutritional or medication supply (PEG and RIG)

    Jejunostomy

    • Types/Procedures: Surgical creation of an opening into the jejunum facilitating nutrition, fluids, and medication delivery (jejunostomy tube).

    Gastrojejunostomy

    • Types/Procedures: Surgical joining of the stomach to the jejunum to allow food to bypass the duodenum.

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    Description

    This quiz explores the anatomy and physiology of the digestive system, focusing on the gastrointestinal tract from the mouth to the anus. It covers key organs like the esophagus, stomach, and small intestine, detailing their structure and function. Test your knowledge on how these components work together for digestion.

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