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Digestive System


Medical Terminology for Healthcare Professionals
Florida State College of Jacksonville
Professor: Michael Whitchurch, MHS
Digestive System at a Glance
   Function of the Digestive System
       Mechanical and Chemical digestion of food
       Absorption of nutrient molecules
       Elimination of solid wastes
Digestive System at a Glance
   Organs of the Gastrointestinal tract
       Oral cavity
       Pharynx
       Esophagus
       Stomach
       Small intestine
       Colon
Digestive System at a Glance
   Accessory Organs
       Pancreas
       Liver
       Gallbladder
       Salivary glands
Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Digestive System Combining Forms
   an/o         anus
   append/o     appendix
   appendic/o   appendix
   bar/o        weight
   bucc/o       cheek
   cec/o        cecum
   chol/e       bile, gall
Digestive System Combining Forms
   cholangi/o    bile duct
   cholecyst/o   gallbladder
   choledoch/o   common bile duct
   col/o         colon
   colon/o       colon
   dent/o        tooth
   duoden/o      duodenum
Digestive System Combining Forms
   enter/o     small intestine
   esophag/o   esophagus
   gastr/o     stomach
   gingiv/o    gums
   gloss/o     tongue
   hepat/o     liver
   ile/o       ileum
Digestive System Combining Forms
   jejun/o   jejunum
   labi/o    lip
   lapar/o   abdomen
   lingu/o   tongue
   lith/o    stone
   odont/o   tooth
   or/o      mouth
Digestive System Combining Forms
   palat/o      palate
   pancreat/o   pancreas
   pharyng/o    throat, pharynx
   proct/o      anus and rectum
   pylor/o      pylorus
   rect/o       rectum
   sialaden/o   salivary gland
   sigmoid/o    sigmoid colon
Digestive System Suffixes
   –emesis      vomit
   –lithiasis   stone
   –orexia      appetite
   –pepsia      digestion
   –phagia      eat, swallow
   –prandial    pertaining to a meal
   –tripsy      surgical crushing
Anatomy and Physiology
Gastrointestinal Tract
Also called:
       Gastrointestinal system (GI)
       Gut
       Alimentary canal
   Approximately 30 feet of continuous muscular
    tube between mouth and anus
Anatomy and Physiology
   Organs of the continuous gut tube in order:
       Oral cavity
       Pharynx
       Esophagus
       Stomach
       Small intestine
       Colon
        (including rectum and anus)
Anatomy and Physiology
   Accessory organs are connected to gut tube
    by ducts
   Include:
       Salivary glands
       Pancreas
       Liver
       Gallbladder
Anatomy and Physiology
   Three main functions of Digestive system
       Digesting food
       Absorbing nutrients
       Eliminating waste
Digesting Food
   Physical and chemical breakdown of large food
    particles
   Produces simple nutrient molecules
       Glucose
       Triglycerides
       Amino acids
Absorbing Nutrients
   Simple molecules are absorbed
    from intestine
   Circulated through body by
    cardiovascular system
   Used for growth and repair of
    cells, tissues, and organs
Eliminating Waste
   Some ingested food cannot be
    digested or absorbed
   Expelled from body as solid waste
      Feces
Oral Cavity
   Roof is palate
       Hard – bony anterior
       Soft – flexible posterior
   Hanging down from
    soft palate is uvula
       Speech production
       Location of gag reflex
Oral Cavity
   Cheeks are lateral walls
   Lips are anterior opening
   Entire cavity lined with
    mucous membrane
Anatomy of the oral cavity.

                                                               Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition             Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                                All rights reserved.
                                                                                                    tongue
Oral Cavity
   Digestion begins when food enters mouth
       Mechanically broken up by chewing
   Tongue moves food within mouth
   Mixes with saliva
       Digestive enzymes
       Lubricates

   Taste buds on tongue surface
       Detect bitter, sweet, salty, sour flavors
Teeth
   Cutting teeth
       Bite
       Tear
       Cut
   Incisors
   Cuspids (canines)
Teeth
   Grinding teeth
       Bicuspids
        (premolars)
       Molars
       Third molar is wisdom
        tooth
Figure 8.3A – The name and shape of the adult teeth.

                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Figure 8.3B – Color enhanced X-ray of teeth showing four wisdom
          teeth that have not erupted. (Science Photo Library/Photo
                              Researchers, Inc.)
                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Tooth Structure
   Gums
       Mucous membrane +
        connective tissue
       Seals off teeth in
        socket
   Tooth is divided into:
       Crown – above gum
       Root – below gum
Tooth Structure
   Enamel
       Outer covering
       In crown only
       Hardest substance
   Dentin
       Under enamel
       In crown and root
       Bulk of tooth
Tooth Structure
   Pulp cavity
       In crown and root canal
       Blood vessels, nerves
   Cementum and
    periodontal ligaments
       Anchors root in jawbone
Internal structures of the crown and root.

                                                            Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition          Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                             All rights reserved.
Humans Have 2 Sets of Teeth
   Deciduous teeth
       First set, baby teeth
       20 teeth erupt between ages 6 and 28 months
   Permanent teeth
       Second set, adult teeth
       About 6 years of age, baby teeth fall out
       Replaced by 32 permanent teeth
       Process continues until 18-20 years of age
Pharynx
   Swallowed food enters
    (1) oropharynx
   Proceeds down pharynx
    into (3)
    Laryngopharynx
   (2) Epiglottis
       Covers (3)larynx and trachea
       Shunts food away from lungs &
                                 1. Pharynx
        into (4)Esophagus 2. Epiglottis
                                  3. Larynx
                                  4. Esophagus
Structures of the oral cavity, pharynx, and esophagus.

                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Esophagus
   10-inch long muscular tube
   Food enters from pharynx
   Delivered to stomach
   Propelled along by
    wavelike muscular
        movements
      Called peristalsis

       Pushes food through
         entire gut tube
Modified Barium Swallow | Flexible Endoscopic Evaluation
The Stomach
   J-shaped muscular organ
   Collects & churns food
       Mixes it with
        hydrochloric acid
        (HCl)
   Forms Pronunciation: ˈkīm
          chyme

       Watery mix of food and
        digestive juices
The Stomach
   Three regions
       Fundus – upper
       Body – main
       Antrum – lower
   Rugae      Pronunciation: ˈrü-gə 

    are folds in stomach lining
       Stretch out to allow stomach
        to expand with food
Sphincters
   Muscular valves
       Control flow of food
   Lower esophageal
    (cardiac)
    sphincter
       Keeps food from
        backing up into
        esophagus
   Pyloric sphincter
       Allows highly acidic
        chyme to enter small
        intestine
The regions and internal structures of the stomach.

                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Small Intestine
   Longest portion of
    alimentary canal
       Averages 20 feet
       Between pyloric
        sphincter and colon
   Site of:
       Completion of digestion
       Majority of absorption
Three Sections of Small Intestine
   Duodenum Pronunciation: d(y)ü- ə -dē -nə m or d(y)u̇ - äd- ə n- ə m
        First section – about 10-12 inches long
        Starts at pyloric sphincter
   Jejunum Pronunciation: ji-jü-nə m
        Second section – about 8 feet long
   Ileum Pronunciation: il- ē - ə m
        Third section – about 12 feet long
        Connects to colon at ileocecal valve
The small intestine – duodenum, jejunum, ileum – begins at the
                pyloric sphincter and ends at the colon.
                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Colon
   5 feet long
   Extends from ileocecal valve to anus
   Fluid that remains after digestion and
    absorption enters colon
   Most is water and is reabsorbed into body
   Solid waste left over is feces
   Evacuated in bowel movements
Regions of the Colon
   Cecum
       Appendix
   Ascending colon
   Transverse colon
   Descending colon
   Sigmoid colon
Rectum and Anus
   Rectum is area for
    storage of feces
   Leads to anus
       External opening of
        alimentary canal
   Feces are evacuated
       Called defecation
The regions of the colon.

                                                               Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition             Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                                All rights reserved.
Intestinal villi
Accessory Organs
   Generally function by producing substances
    necessary for chemical breakdown of food
   Salivary glands
   Liver
   Gallbladder
   Pancreas
Salivary Glands
   Produce saliva
   Allows food to be
    swallowed without
    choking
   Saliva + food =
    bolus
   Contains amylase
       Begins digestion of
        carbohydrates
Salivary Glands
   Three pairs
       Parotid glands
       Sublingual glands
       Submandibular
        glands
The salivary glands, parotid, sublingual, and submandibular.

                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Liver
   Located in right upper
    quadrant of abdomen
   Processes nutrients
   Detoxifies harmful
    substances
   Produces bile
     Emulsification
       Breaks up large fat globules into
         smaller droplets
The accessory organs of the digestive system: the liver, gallbladder,
                           and pancreas.
                                                          Copyright ©2009 by Pearson Education, Inc.
 Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
 Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Gallbladder
   Lies under liver
   Stores bile produced
    by liver
       Hepatic duct
       Cystic duct
   Common bile duct
    carries bile to
    duodenum
Figure 8.9 – The accessory organs of the digestive system: the liver,
                     gallbladder, and pancreas.
                                                          Copyright ©2009 by Pearson Education, Inc.
 Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
 Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Pancreas
   Digestive juices
    include:
       Buffers – neutralize
        acidic chyme
       Enzymes – digest
        carbohydrates, lipids,
        and proteins
The accessory organs of the digestive system: the liver, gallbladder,
                                                and pancreas.
 Medical Terminology: A Living Language, Fourth Edition
                                                              Copyright ©2009 by Pearson Education, Inc.
                                                                           Upper Saddle River, New Jersey 07458
 Bonnie F. Fremgen and Suzanne S. Frucht                                                       All rights reserved.
Digestive System Exercise




Click here to review digestive system anatomy in a labeling activity.
Word Building with
an/o & bucc/o
–al          anal          pertaining to anus



–al          buccal        pertaining to cheek

labi/o –al   labiobuccal   pertaining to lips and cheeks
Word Building with
append/o & appendic/o
–ectomy   appendectomy   surgical removal of appendix



–itis     appendicitis   inflammation of appendix
Word Building with
      cholecyst/o & dent/o
–ectomy    cholecystectomy   removal of gallbladder

–gram      cholecystogram    X-ray record of gallbladder

–ic        cholecystic       pertaining to gallbladder

–algia     cholecystalgia    gallbladder pain


–al        dental            pertaining to teeth

–algia     dentalgia         tooth pain
Word Building with
  col/o & colon/o

–ectomy      colectomy      removal of colon

–ostomy      colostomy      new opening into colon

rect/o –al   colorectal     pertaining to colon & rectum




 –scope       colonoscope    instrument to view colon

 –ic          colonic        pertaining to colon
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
Word Building with gastr/o
–algia      gastralgia           stomach pain

–ic         gastric              pertaining to stomach

enter/o
            gastroenteritis      inflammation of stomach
–itis

enter/o
            gastroenterologist   stomach specialist
–ologist

–malacia    gastromalacia        stomach softening
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
Word Building with gingiv/o & gloss/o

 –al         gingival      pertaining to gums

 –itis       gingivitis    gum inflammation



 –al         glossal       pertaining to tongue

 hypo– –al   hypoglossal   pertaining to under tongue
Word Building with hepat/o & ile/o

–itis     hepatitis   inflammation of liver

–oma      hepatoma    liver tumor

–ic       hepatic     pertaining to liver



–al       ileal       pertaining to ileum

–ostomy   ileostomy   new opening into ileum
Word Building with
      jejun/o, lapar/o, & lingu/o

–al         jejunal       pertaining to jejunum



–otomy      laparotomy    incision into abdomen

–scope      laparoscope   instrument to view inside colon




sub– –al    sublingual    pertaining to under the tongue
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 & pharyng/o

–itis     pancreatitis     inflammation of pancreas

–ic       pancreatic       pertaining to pancreas



–eal      pharyngeal       pertaining to pharynx

–plegia   pharyngoplegia   pharynx paralysis

–plasty   pharyngoplasty   surgical repair of pharynx
Word Building with proct/o & pylor/o
–ptosis   proctoptosis   drooping rectum & anus

–logist   proctologist   rectum & anus specialist

–pexy     proctopexy     surgical fixation of rectum & anus


–ic       pyloric        pertaining to pylorus
Word Building with
rect/o, sialaden/o, & sigmoid/o

–al      rectal          pertaining to rectum



–itis    sialadenitis    inflammation of salivary glands




–scope   sigmoidoscope   instrument to view inside sigmoid colon

–al      sigmoidal       pertaining to sigmoid colon
Word Building with
   –emesis, –orexia, & –prandial

hemat/o   hematemesis    vomit blood

hyper–    hyperemesis    excessive vomiting


an–       anorexia       lack of appetite

dys–      dysorexia      abnormal appetite



post–     postprandial   pertaining to after a meal
Word Building with
–pepsia & –phagia

brady–   bradypepsia   slow digestion

dys–     dyspepsia     painful digestion




a–       aphagia       lack of eating

dys–     dysphagia     abnormal eating

poly–    polyphagia    too much eating
Digestive System Vocabulary
               loss of appetite with other conditions; different from
anorexia
               anorexia nervosa
ascites        collection of fluid in peritoneal cavity
bowel
               inability to control defecation
incontinence
               dental appliance attached to adjacent teeth to replace
bridge
               missing teeth
               loss of weight and wasting occurring during chronic
cachexia       disease
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 cavity

                prevention, diagnosis, and treatment of conditions
dentistry
                involving teeth, jaw, and mouth

denture         partial or complete set of artificial teeth

diarrhea        frequent, watery bowel movements
Digestive System Vocabulary
emesis              vomiting
                    diagnosis and treatment of diseases of the digestive
gastroenterology
                    system
hematochezia        passing bright red blood in stools

implant             prosthetic device in jaw to anchor a tooth
                    diagnosis and treatment of diseases of internal
internal medicine
                    organs
Digestive System Vocabulary
               yellow cast to skin; caused by deposit of bile pigment;
jaundice
               often caused by liver disease

melena         passage of dark tarry stool, due to digested blood

nausea         urge to vomit

obesity        weight above healthy levels

orthodontics   correction of problems of tooth alignment
Orthodontics Video




      Click here to view a video on orthodontics.
Digestive System Vocabulary
periodontics    treating conditions of the gums and area around teeth

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

proctology      diagnosis and treatment of diseases of anus and rectum


pyrosis         stomach acid splashing into esophagus; heartburn

regurgitation   backflow of stomach contents into mouth
Oral Cavity Pathology
                  ulcers in the mouth; commonly called canker
aphthous ulcers
                  sores
                  congenital anomaly where upper lip and jaw fail to
cleft lip
                  fuse in the midline, leaving a gap
                  congenital anomaly where hard palate fails to fuse
cleft palate
                  in the midline, leaving an opening into nasal cavity
Oral Cavity Pathology
                      herpes simplex virus type 1 (HSV-1) infection;
herpes labialis
                      fever blisters or cold sores


                      disease of supporting structures around the teeth;
periodontal disease   especially the gums; most common cause of tooth
                      loss
Esophageal Pathology
                          varicose veins in the esophagus; hemorrhaging
esophageal varices
                          occurs if rupture


gastroesophageal reflux   acid from stomach flows backward up into
disease (GERD)            esophagus causing inflammation and pain
GERD Video




 Click here to view a video on gastroesophageal reflux disease.
Stomach Pathology
gastric carcinoma      malignant tumor in stomach

                       protrusion of stomach through diaphragm into
hiatal hernia
                       thoracic cavity; also called diaphragmatocele


                       ulcer in the lower portion of esophagus, stomach,
peptic ulcer disease   and/or duodenum; caused by high acid of stomach
(PUD)                  juices; may be a result of Helicobacter pylori
                       infection
A hiatal hernia
     or diaphragmatocele.




                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
The location and appearance of a peptic ulcer in both the stomach
                       and the duodenum.

                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Photomicrograph of a gastric ulcer.
  (Dr. E. Walker/Science Photo Library/Photo Researchers, Inc.)
                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Small Intestine & Colon Pathology
                  abnormal passageway from surface directly into rectum;
anal fistula
                  around anal opening

colorectal
                  malignant tumor in the colon or rectum
carcinoma

                  chronic inflammatory bowel disease, primarily in ileum
Crohn’s disease   and/or colon; results in scarring; also called regional
                  ileitis
Diverticulosis .. Condition of having diverticulumn.
                                                                 Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition               Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                                  All rights reserved.
Small Intestine & Colon Pathology
                 inflammation of a diverticulum, an outpouching off the
diverticulitis
                 colon; results from food being trapped inside
                 condition of having diverticula (singular.. diverticulum),
diverticulosis
                 may lead to diverticulitis
                 diarrhea with mucus and blood, severe abdominal pain,
dysentery
                 and fever; caused by contaminated food or water
Small Intestine & Colon Pathology
hemorrhoids       varicose veins in the anal region


                  severe abdominal pain, inability to defecate, abdominal
ileus
                  distension; caused by intestinal blockage



                  protrusion of a loop of bowel through abdominal muscle
inguinal hernia   and into groin region; may become incarcerated or
                  strangulated if muscle pinches the loop of bowel
An inguinal hernia.
                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Laparoscopic Inguinal Hernia Repair
Small Intestine & Colon Pathology
                           one part of intestine slips or telescopes into
intussusception
                           another section


                           disturbance in function of intestine for unknown
irritable bowel syndrome   reason; causes abdominal cramping and
(IBS)                      alternating diarrhea and constipation; also called
                           functional bowel syndrome
Intussusception.




                                                           Copyright ©2009 by Pearson Education, Inc.
  Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
  Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Small Intestine & Colon Pathology
                     having polyps growing on the mucous membrane
polyposis
                     of the colon; may become cancerous



                     chronic inflammatory condition with numerous
ulcerative colitis   small ulcers on the lining of the colon; also called
                     inflammatory bowel disease (IBD)


volvulus             bowel twists upon itself causing an obstruction
Photograph showing a polyp in the colon.
                             (ISM/Phototake NYC)
                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Volvulus
                                                          Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition        Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                           All rights reserved.
Accessory Organ Pathology
                 inflammation of gallbladder; commonly caused by
cholecystitis
                 gallstones
                 presence of gallstones; may or may not cause
cholelithiasis
                 symptoms
cirrhosis        chronic liver disease due to liver failure

hepatitis        inflammation of liver; usually due to a viral infection
Common sites for cholelithiasis
                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
A gallbladder specimen with multiple gallstones.
                        (Martin Rotker/Phototake NYC)
                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Clinical Laboratory Tests
alanine
                     normal enzyme in the bloodstream; increased levels
transaminase
                     indicate liver disease
(ALT)
aspartate
                     normal enzyme in the bloodstream; increased levels
transaminase
                     indicate liver disease
(AST)
fecal occult blood   examines feces for microscopic amounts of blood; also
(FOBT)               called hemoccult
Clinical Laboratory Tests
ova and parasites examination of feces for presence of parasites or their
(O&P)             eggs


                   determines amount of bilirubin in bloodstream; indicates
serum bilirubin
                   liver disease

                   culture of feces to look for presence of pathogenic
stool culture
                   bacteria
Diagnostic Imaging
bite-wing X-ray          X-ray of teeth with film holder held in the teeth
intravenous              X-ray of gallbladder and bile ducts after intravenous
cholecystography         injection of dye
lower gastrointestinal   X-ray of colon and rectum after barium dye injected
series (lower GI)        via an enema; also called a barium enema (BE)
Color enhanced X-ray of the colon taken during a barium enema.
           (CNRI/Science Photo Library/Photo Researchers, Inc.)
                                                         Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition       Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                          All rights reserved.
Diagnostic Imaging
percutaneous
transhepatic             X-ray of liver and bile duct after dye is injected
cholangiography          directly into liver
(PTC)


upper gastrointestinal   X-ray of esophagus, stomach, and duodenum after
series (upper GI)        swallowing barium; also called barium swallow
Endoscopic Procedures
esophagogastroduodenoscopy   using a scope to view inside the
(EGD)                        esophagus, stomach, and duodenum
                             visual examine inside hepatic duct,
endoscopic retrograde
                             common bile duct, and pancreatic duct;
cholangiopancreatography (
                             scope is inserted through anus and
ERCP)
                             worked backwards through gut
Endoscopic Procedures
                visual examination inside of colon and rectum using a
colonoscopy
                colonoscope

                visual examination inside of stomach using a
gastroscopy
                gastroscope

                visual examination inside of abdominal cavity using a
laparoscopy
                laparoscope

                visual examination inside of sigmoid colon using a
sigmoidoscopy
                sigmoidoscope
Sigmoidoscopy Video




     Click here to view a video on sigmoidoscopy.
Additional Diagnostic Procedures
               insertion of needle into abdominal cavity to
paracentesis
               withdraw fluid
Dental Procedures
extraction   removing teeth

             drilling out of pulp cavity of a tooth; used to save a tooth
root canal
             that is badly infected
Medical Procedures
                   placing liquid nourishment directly into stomach via a
gavage
                   nasogastric tube

lavage             washing out stomach using a nasogastric tube


nasogastric
                   flexible catheter inserted into nose and down
intubation
                   esophagus into the stomach
(NG tube)

total parenteral   providing 100% of patient nutrition; used when patient
nutrition (TPN)    is unable to eat
Nasogastric Intubation Animation




   Click here to view an animation on nasogastric intubation.
Dieticians Video




     Click here to view a video on registered dieticians.
Surgical Procedures

                        surgical creation of a connection between two
anastomosis             organs; like joining together two sections of
                        colon

                        surgical procedures to treat morbid obesity;
bariatric surgery
                        like stomach stapling

                        surgical crushing of a gallstone in the common
choledocholithotripsy
                        bile duct
Surgical Procedures

                   surgical creation of opening into some portion of
colostomy
                   colon through abdominal wall

diverticulectomy   surgical removal of diverticula

exploratory
                   surgical procedure to examine the abdominal organs
laparotomy
The colon illustrating various –ostomy sites.

                                                          Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition        Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                           All rights reserved.
Colostomy in the descending colon.

                                                           Copyright ©2009 by Pearson Education, Inc.
Medical Terminology: A Living Language, Fourth Edition         Upper Saddle River, New Jersey 07458
Bonnie F. Fremgen and Suzanne S. Frucht                                            All rights reserved.
Surgical Procedures
fistulectomy       removal of a fistula

                   procedure to close off large section of stomach
gastric stapling   with rows of staples; results in much smaller
                   stomach

hemorrhoidectomy   surgical removal of hemorrhoids
Surgical Procedures

hernioplasty       surgical repair of a hernia

laparoscopic       surgical removal of gallbladder through a
cholecystectomy    laparoscopic incision

liver transplant   implantation of a donor liver
Digestive System Pharmacology
                suppresses appetite to treat
anorexiant                                     Adipost, Obezine
                obesity

                                               Tums, Maalox,
antacid         neutralizes stomach acid
                                               Mylanta

antidiarrheal   used to control diarrhea       Imodium, Lomotil

                                               Compazine,
antiemetic      treats nausea and vomiting
                                               Phenergan
Digestive System Pharmacology
emetic        induces vomiting              Ipecac syrup

H2-receptor   blocks the production of      Zantac, Pepcid,
antagonist    stomach acid                  Tagament

laxative      stimulates a bowel movement   Senokot, Metamucil

proton pump   blocks stomach’s ability to
                                            Nexium, Prilosec
inhibitor     secrete acid
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
CBD      common bile duct

EGD      esophagogastroduodenoscopy

ERCP     endoscopic retrograde cholangiopancreatography

FOBT     fecal occult blood test

GB       gallbladder

GERD     gastroesophageal reflux disease

GI       gastrointestinal
Digestive System Abbreviations
HAV      hepatitis A virus

HBV      hepatitis B virus

HCl      hydrochloric acid

HCV      hepatitis C virus

HDV      hepatitis D virus

HEV      hepatitis E virus

HSV-1    herpes simplex virus type 1
Digestive System Abbreviations
IBD      inflammatory bowel disease

IBS      irritable bowel syndrome

IVC      intravenous cholangiography

NG       nasogastric

NPO      nothing by mouth

n&v      nausea and vomiting

O&P      ova and parasites
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

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Digestive system 2011

  • 1. Digestive System Medical Terminology for Healthcare Professionals Florida State College of Jacksonville Professor: Michael Whitchurch, MHS
  • 2. Digestive System at a Glance  Function of the Digestive System  Mechanical and Chemical digestion of food  Absorption of nutrient molecules  Elimination of solid wastes
  • 3. Digestive System at a Glance  Organs of the Gastrointestinal tract  Oral cavity  Pharynx  Esophagus  Stomach  Small intestine  Colon
  • 4. Digestive System at a Glance  Accessory Organs  Pancreas  Liver  Gallbladder  Salivary glands
  • 5.
  • 6. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 7. Digestive System Combining Forms  an/o anus  append/o appendix  appendic/o appendix  bar/o weight  bucc/o cheek  cec/o cecum  chol/e bile, gall
  • 8. Digestive System Combining Forms  cholangi/o bile duct  cholecyst/o gallbladder  choledoch/o common bile duct  col/o colon  colon/o colon  dent/o tooth  duoden/o duodenum
  • 9. Digestive System Combining Forms  enter/o small intestine  esophag/o esophagus  gastr/o stomach  gingiv/o gums  gloss/o tongue  hepat/o liver  ile/o ileum
  • 10. Digestive System Combining Forms  jejun/o jejunum  labi/o lip  lapar/o abdomen  lingu/o tongue  lith/o stone  odont/o tooth  or/o mouth
  • 11. Digestive System Combining Forms  palat/o palate  pancreat/o pancreas  pharyng/o throat, pharynx  proct/o anus and rectum  pylor/o pylorus  rect/o rectum  sialaden/o salivary gland  sigmoid/o sigmoid colon
  • 12. Digestive System Suffixes  –emesis vomit  –lithiasis stone  –orexia appetite  –pepsia digestion  –phagia eat, swallow  –prandial pertaining to a meal  –tripsy surgical crushing
  • 13. Anatomy and Physiology Gastrointestinal Tract Also called:  Gastrointestinal system (GI)  Gut  Alimentary canal  Approximately 30 feet of continuous muscular tube between mouth and anus
  • 14. Anatomy and Physiology  Organs of the continuous gut tube in order:  Oral cavity  Pharynx  Esophagus  Stomach  Small intestine  Colon (including rectum and anus)
  • 15. Anatomy and Physiology  Accessory organs are connected to gut tube by ducts  Include:  Salivary glands  Pancreas  Liver  Gallbladder
  • 16. Anatomy and Physiology  Three main functions of Digestive system  Digesting food  Absorbing nutrients  Eliminating waste
  • 17. Digesting Food  Physical and chemical breakdown of large food particles  Produces simple nutrient molecules  Glucose  Triglycerides  Amino acids
  • 18. Absorbing Nutrients  Simple molecules are absorbed from intestine  Circulated through body by cardiovascular system  Used for growth and repair of cells, tissues, and organs
  • 19. Eliminating Waste  Some ingested food cannot be digested or absorbed  Expelled from body as solid waste  Feces
  • 20. Oral Cavity  Roof is palate  Hard – bony anterior  Soft – flexible posterior  Hanging down from soft palate is uvula  Speech production  Location of gag reflex
  • 21. Oral Cavity  Cheeks are lateral walls  Lips are anterior opening  Entire cavity lined with mucous membrane
  • 22. Anatomy of the oral cavity. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved. tongue
  • 23.
  • 24. Oral Cavity  Digestion begins when food enters mouth  Mechanically broken up by chewing  Tongue moves food within mouth  Mixes with saliva  Digestive enzymes  Lubricates  Taste buds on tongue surface  Detect bitter, sweet, salty, sour flavors
  • 25. Teeth  Cutting teeth  Bite  Tear  Cut  Incisors  Cuspids (canines)
  • 26. Teeth  Grinding teeth  Bicuspids (premolars)  Molars  Third molar is wisdom tooth
  • 27. Figure 8.3A – The name and shape of the adult teeth. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 28. Figure 8.3B – Color enhanced X-ray of teeth showing four wisdom teeth that have not erupted. (Science Photo Library/Photo Researchers, Inc.) Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 29. Tooth Structure  Gums  Mucous membrane + connective tissue  Seals off teeth in socket  Tooth is divided into:  Crown – above gum  Root – below gum
  • 30. Tooth Structure  Enamel  Outer covering  In crown only  Hardest substance  Dentin  Under enamel  In crown and root  Bulk of tooth
  • 31. Tooth Structure  Pulp cavity  In crown and root canal  Blood vessels, nerves  Cementum and periodontal ligaments  Anchors root in jawbone
  • 32. Internal structures of the crown and root. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 33. Humans Have 2 Sets of Teeth  Deciduous teeth  First set, baby teeth  20 teeth erupt between ages 6 and 28 months  Permanent teeth  Second set, adult teeth  About 6 years of age, baby teeth fall out  Replaced by 32 permanent teeth  Process continues until 18-20 years of age
  • 34. Pharynx  Swallowed food enters (1) oropharynx  Proceeds down pharynx into (3) Laryngopharynx  (2) Epiglottis  Covers (3)larynx and trachea  Shunts food away from lungs & 1. Pharynx into (4)Esophagus 2. Epiglottis 3. Larynx 4. Esophagus
  • 35. Structures of the oral cavity, pharynx, and esophagus. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 36. Esophagus  10-inch long muscular tube  Food enters from pharynx  Delivered to stomach  Propelled along by wavelike muscular movements  Called peristalsis  Pushes food through entire gut tube Modified Barium Swallow | Flexible Endoscopic Evaluation
  • 37. The Stomach  J-shaped muscular organ  Collects & churns food  Mixes it with hydrochloric acid (HCl)  Forms Pronunciation: ˈkīm chyme  Watery mix of food and digestive juices
  • 38. The Stomach  Three regions  Fundus – upper  Body – main  Antrum – lower  Rugae Pronunciation: ˈrü-gə are folds in stomach lining  Stretch out to allow stomach to expand with food
  • 39. Sphincters  Muscular valves  Control flow of food  Lower esophageal (cardiac) sphincter  Keeps food from backing up into esophagus  Pyloric sphincter  Allows highly acidic chyme to enter small intestine
  • 40. The regions and internal structures of the stomach. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 41. Small Intestine  Longest portion of alimentary canal  Averages 20 feet  Between pyloric sphincter and colon  Site of:  Completion of digestion  Majority of absorption
  • 42. Three Sections of Small Intestine  Duodenum Pronunciation: d(y)ü- ə -dē -nə m or d(y)u̇ - äd- ə n- ə m  First section – about 10-12 inches long  Starts at pyloric sphincter  Jejunum Pronunciation: ji-jü-nə m  Second section – about 8 feet long  Ileum Pronunciation: il- ē - ə m  Third section – about 12 feet long  Connects to colon at ileocecal valve
  • 43. The small intestine – duodenum, jejunum, ileum – begins at the pyloric sphincter and ends at the colon. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 44. Colon  5 feet long  Extends from ileocecal valve to anus  Fluid that remains after digestion and absorption enters colon  Most is water and is reabsorbed into body  Solid waste left over is feces  Evacuated in bowel movements
  • 45. Regions of the Colon  Cecum  Appendix  Ascending colon  Transverse colon  Descending colon  Sigmoid colon
  • 46. Rectum and Anus  Rectum is area for storage of feces  Leads to anus  External opening of alimentary canal  Feces are evacuated  Called defecation
  • 47. The regions of the colon. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 48.
  • 50. Accessory Organs  Generally function by producing substances necessary for chemical breakdown of food  Salivary glands  Liver  Gallbladder  Pancreas
  • 51. Salivary Glands  Produce saliva  Allows food to be swallowed without choking  Saliva + food = bolus  Contains amylase  Begins digestion of carbohydrates
  • 52. Salivary Glands  Three pairs  Parotid glands  Sublingual glands  Submandibular glands
  • 53. The salivary glands, parotid, sublingual, and submandibular. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 54. Liver  Located in right upper quadrant of abdomen  Processes nutrients  Detoxifies harmful substances  Produces bile  Emulsification Breaks up large fat globules into smaller droplets
  • 55. The accessory organs of the digestive system: the liver, gallbladder, and pancreas. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 56. Gallbladder  Lies under liver  Stores bile produced by liver  Hepatic duct  Cystic duct  Common bile duct carries bile to duodenum
  • 57. Figure 8.9 – The accessory organs of the digestive system: the liver, gallbladder, and pancreas. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 58. Pancreas  Digestive juices include:  Buffers – neutralize acidic chyme  Enzymes – digest carbohydrates, lipids, and proteins
  • 59. The accessory organs of the digestive system: the liver, gallbladder, and pancreas. Medical Terminology: A Living Language, Fourth Edition Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 60. Digestive System Exercise Click here to review digestive system anatomy in a labeling activity.
  • 61. Word Building with an/o & bucc/o –al anal pertaining to anus –al buccal pertaining to cheek labi/o –al labiobuccal pertaining to lips and cheeks
  • 62. Word Building with append/o & appendic/o –ectomy appendectomy surgical removal of appendix –itis appendicitis inflammation of appendix
  • 63. Word Building with cholecyst/o & dent/o –ectomy cholecystectomy removal of gallbladder –gram cholecystogram X-ray record of gallbladder –ic cholecystic pertaining to gallbladder –algia cholecystalgia gallbladder pain –al dental pertaining to teeth –algia dentalgia tooth pain
  • 64. Word Building with col/o & colon/o –ectomy colectomy removal of colon –ostomy colostomy new opening into colon rect/o –al colorectal pertaining to colon & rectum –scope colonoscope instrument to view colon –ic colonic pertaining to colon
  • 65. 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
  • 66. Word Building with gastr/o –algia gastralgia stomach pain –ic gastric pertaining to stomach enter/o gastroenteritis inflammation of stomach –itis enter/o gastroenterologist stomach specialist –ologist –malacia gastromalacia stomach softening
  • 67. 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
  • 68. Word Building with gingiv/o & gloss/o –al gingival pertaining to gums –itis gingivitis gum inflammation –al glossal pertaining to tongue hypo– –al hypoglossal pertaining to under tongue
  • 69. Word Building with hepat/o & ile/o –itis hepatitis inflammation of liver –oma hepatoma liver tumor –ic hepatic pertaining to liver –al ileal pertaining to ileum –ostomy ileostomy new opening into ileum
  • 70. Word Building with jejun/o, lapar/o, & lingu/o –al jejunal pertaining to jejunum –otomy laparotomy incision into abdomen –scope laparoscope instrument to view inside colon sub– –al sublingual pertaining to under the tongue
  • 71. 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
  • 72. Word Building with pancreat/o & pharyng/o –itis pancreatitis inflammation of pancreas –ic pancreatic pertaining to pancreas –eal pharyngeal pertaining to pharynx –plegia pharyngoplegia pharynx paralysis –plasty pharyngoplasty surgical repair of pharynx
  • 73. Word Building with proct/o & pylor/o –ptosis proctoptosis drooping rectum & anus –logist proctologist rectum & anus specialist –pexy proctopexy surgical fixation of rectum & anus –ic pyloric pertaining to pylorus
  • 74. Word Building with rect/o, sialaden/o, & sigmoid/o –al rectal pertaining to rectum –itis sialadenitis inflammation of salivary glands –scope sigmoidoscope instrument to view inside sigmoid colon –al sigmoidal pertaining to sigmoid colon
  • 75. Word Building with –emesis, –orexia, & –prandial hemat/o hematemesis vomit blood hyper– hyperemesis excessive vomiting an– anorexia lack of appetite dys– dysorexia abnormal appetite post– postprandial pertaining to after a meal
  • 76. Word Building with –pepsia & –phagia brady– bradypepsia slow digestion dys– dyspepsia painful digestion a– aphagia lack of eating dys– dysphagia abnormal eating poly– polyphagia too much eating
  • 77. Digestive System Vocabulary loss of appetite with other conditions; different from anorexia anorexia nervosa ascites collection of fluid in peritoneal cavity bowel inability to control defecation incontinence dental appliance attached to adjacent teeth to replace bridge missing teeth loss of weight and wasting occurring during chronic cachexia disease
  • 78. 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 cavity prevention, diagnosis, and treatment of conditions dentistry involving teeth, jaw, and mouth denture partial or complete set of artificial teeth diarrhea frequent, watery bowel movements
  • 79. Digestive System Vocabulary emesis vomiting diagnosis and treatment of diseases of the digestive gastroenterology system hematochezia passing bright red blood in stools implant prosthetic device in jaw to anchor a tooth diagnosis and treatment of diseases of internal internal medicine organs
  • 80. Digestive System Vocabulary yellow cast to skin; caused by deposit of bile pigment; jaundice often caused by liver disease melena passage of dark tarry stool, due to digested blood nausea urge to vomit obesity weight above healthy levels orthodontics correction of problems of tooth alignment
  • 81. Orthodontics Video Click here to view a video on orthodontics.
  • 82. Digestive System Vocabulary periodontics treating conditions of the gums and area around teeth tumor with a pedicle (stem) attachment; found on mucous polyp membranes proctology diagnosis and treatment of diseases of anus and rectum pyrosis stomach acid splashing into esophagus; heartburn regurgitation backflow of stomach contents into mouth
  • 83. Oral Cavity Pathology ulcers in the mouth; commonly called canker aphthous ulcers sores congenital anomaly where upper lip and jaw fail to cleft lip fuse in the midline, leaving a gap congenital anomaly where hard palate fails to fuse cleft palate in the midline, leaving an opening into nasal cavity
  • 84. Oral Cavity Pathology herpes simplex virus type 1 (HSV-1) infection; herpes labialis fever blisters or cold sores disease of supporting structures around the teeth; periodontal disease especially the gums; most common cause of tooth loss
  • 85. Esophageal Pathology varicose veins in the esophagus; hemorrhaging esophageal varices occurs if rupture gastroesophageal reflux acid from stomach flows backward up into disease (GERD) esophagus causing inflammation and pain
  • 86. GERD Video Click here to view a video on gastroesophageal reflux disease.
  • 87. Stomach Pathology gastric carcinoma malignant tumor in stomach protrusion of stomach through diaphragm into hiatal hernia thoracic cavity; also called diaphragmatocele ulcer in the lower portion of esophagus, stomach, peptic ulcer disease and/or duodenum; caused by high acid of stomach (PUD) juices; may be a result of Helicobacter pylori infection
  • 88. A hiatal hernia or diaphragmatocele. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 89. The location and appearance of a peptic ulcer in both the stomach and the duodenum. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 90. Photomicrograph of a gastric ulcer. (Dr. E. Walker/Science Photo Library/Photo Researchers, Inc.) Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 91. Small Intestine & Colon Pathology abnormal passageway from surface directly into rectum; anal fistula around anal opening colorectal malignant tumor in the colon or rectum carcinoma chronic inflammatory bowel disease, primarily in ileum Crohn’s disease and/or colon; results in scarring; also called regional ileitis
  • 92. Diverticulosis .. Condition of having diverticulumn. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 93. Small Intestine & Colon Pathology inflammation of a diverticulum, an outpouching off the diverticulitis colon; results from food being trapped inside condition of having diverticula (singular.. diverticulum), diverticulosis may lead to diverticulitis diarrhea with mucus and blood, severe abdominal pain, dysentery and fever; caused by contaminated food or water
  • 94. Small Intestine & Colon Pathology hemorrhoids varicose veins in the anal region severe abdominal pain, inability to defecate, abdominal ileus distension; caused by intestinal blockage protrusion of a loop of bowel through abdominal muscle inguinal hernia and into groin region; may become incarcerated or strangulated if muscle pinches the loop of bowel
  • 95. An inguinal hernia. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 97. Small Intestine & Colon Pathology one part of intestine slips or telescopes into intussusception another section disturbance in function of intestine for unknown irritable bowel syndrome reason; causes abdominal cramping and (IBS) alternating diarrhea and constipation; also called functional bowel syndrome
  • 98. Intussusception. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 99.
  • 100. Small Intestine & Colon Pathology having polyps growing on the mucous membrane polyposis of the colon; may become cancerous chronic inflammatory condition with numerous ulcerative colitis small ulcers on the lining of the colon; also called inflammatory bowel disease (IBD) volvulus bowel twists upon itself causing an obstruction
  • 101. Photograph showing a polyp in the colon. (ISM/Phototake NYC) Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 102. Volvulus Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 103. Accessory Organ Pathology inflammation of gallbladder; commonly caused by cholecystitis gallstones presence of gallstones; may or may not cause cholelithiasis symptoms cirrhosis chronic liver disease due to liver failure hepatitis inflammation of liver; usually due to a viral infection
  • 104. Common sites for cholelithiasis Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 105. A gallbladder specimen with multiple gallstones. (Martin Rotker/Phototake NYC) Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 106. Clinical Laboratory Tests alanine normal enzyme in the bloodstream; increased levels transaminase indicate liver disease (ALT) aspartate normal enzyme in the bloodstream; increased levels transaminase indicate liver disease (AST) fecal occult blood examines feces for microscopic amounts of blood; also (FOBT) called hemoccult
  • 107. Clinical Laboratory Tests ova and parasites examination of feces for presence of parasites or their (O&P) eggs determines amount of bilirubin in bloodstream; indicates serum bilirubin liver disease culture of feces to look for presence of pathogenic stool culture bacteria
  • 108. Diagnostic Imaging bite-wing X-ray X-ray of teeth with film holder held in the teeth intravenous X-ray of gallbladder and bile ducts after intravenous cholecystography injection of dye lower gastrointestinal X-ray of colon and rectum after barium dye injected series (lower GI) via an enema; also called a barium enema (BE)
  • 109. Color enhanced X-ray of the colon taken during a barium enema. (CNRI/Science Photo Library/Photo Researchers, Inc.) Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 110. Diagnostic Imaging percutaneous transhepatic X-ray of liver and bile duct after dye is injected cholangiography directly into liver (PTC) upper gastrointestinal X-ray of esophagus, stomach, and duodenum after series (upper GI) swallowing barium; also called barium swallow
  • 111. Endoscopic Procedures esophagogastroduodenoscopy using a scope to view inside the (EGD) esophagus, stomach, and duodenum visual examine inside hepatic duct, endoscopic retrograde common bile duct, and pancreatic duct; cholangiopancreatography ( scope is inserted through anus and ERCP) worked backwards through gut
  • 112. Endoscopic Procedures visual examination inside of colon and rectum using a colonoscopy colonoscope visual examination inside of stomach using a gastroscopy gastroscope visual examination inside of abdominal cavity using a laparoscopy laparoscope visual examination inside of sigmoid colon using a sigmoidoscopy sigmoidoscope
  • 113. Sigmoidoscopy Video Click here to view a video on sigmoidoscopy.
  • 114. Additional Diagnostic Procedures insertion of needle into abdominal cavity to paracentesis withdraw fluid
  • 115. Dental Procedures extraction removing teeth drilling out of pulp cavity of a tooth; used to save a tooth root canal that is badly infected
  • 116. Medical Procedures placing liquid nourishment directly into stomach via a gavage nasogastric tube lavage washing out stomach using a nasogastric tube nasogastric flexible catheter inserted into nose and down intubation esophagus into the stomach (NG tube) total parenteral providing 100% of patient nutrition; used when patient nutrition (TPN) is unable to eat
  • 117. Nasogastric Intubation Animation Click here to view an animation on nasogastric intubation.
  • 118. Dieticians Video Click here to view a video on registered dieticians.
  • 119. Surgical Procedures surgical creation of a connection between two anastomosis organs; like joining together two sections of colon surgical procedures to treat morbid obesity; bariatric surgery like stomach stapling surgical crushing of a gallstone in the common choledocholithotripsy bile duct
  • 120. Surgical Procedures surgical creation of opening into some portion of colostomy colon through abdominal wall diverticulectomy surgical removal of diverticula exploratory surgical procedure to examine the abdominal organs laparotomy
  • 121. The colon illustrating various –ostomy sites. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 122. Colostomy in the descending colon. Copyright ©2009 by Pearson Education, Inc. Medical Terminology: A Living Language, Fourth Edition Upper Saddle River, New Jersey 07458 Bonnie F. Fremgen and Suzanne S. Frucht All rights reserved.
  • 123. Surgical Procedures fistulectomy removal of a fistula procedure to close off large section of stomach gastric stapling with rows of staples; results in much smaller stomach hemorrhoidectomy surgical removal of hemorrhoids
  • 124. Surgical Procedures hernioplasty surgical repair of a hernia laparoscopic surgical removal of gallbladder through a cholecystectomy laparoscopic incision liver transplant implantation of a donor liver
  • 125. Digestive System Pharmacology suppresses appetite to treat anorexiant Adipost, Obezine obesity Tums, Maalox, antacid neutralizes stomach acid Mylanta antidiarrheal used to control diarrhea Imodium, Lomotil Compazine, antiemetic treats nausea and vomiting Phenergan
  • 126. Digestive System Pharmacology emetic induces vomiting Ipecac syrup H2-receptor blocks the production of Zantac, Pepcid, antagonist stomach acid Tagament laxative stimulates a bowel movement Senokot, Metamucil proton pump blocks stomach’s ability to Nexium, Prilosec inhibitor secrete acid
  • 127. Digestive System Abbreviations ac before meals ALT alanine transaminase AST aspartate transaminase Ba barium BE barium enema BM bowel movement BS bowel sounds
  • 128. Digestive System Abbreviations CBD common bile duct EGD esophagogastroduodenoscopy ERCP endoscopic retrograde cholangiopancreatography FOBT fecal occult blood test GB gallbladder GERD gastroesophageal reflux disease GI gastrointestinal
  • 129. Digestive System Abbreviations HAV hepatitis A virus HBV hepatitis B virus HCl hydrochloric acid HCV hepatitis C virus HDV hepatitis D virus HEV hepatitis E virus HSV-1 herpes simplex virus type 1
  • 130. Digestive System Abbreviations IBD inflammatory bowel disease IBS irritable bowel syndrome IVC intravenous cholangiography NG nasogastric NPO nothing by mouth n&v nausea and vomiting O&P ova and parasites
  • 131. 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