1. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 10 Cardiovascular, Immune, and Lymphatic Systems and Blood

2. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-2 Interior of the Heart

3. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-3 Types of Blood Vessels

4. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-4 Function of the Lymphatic System  Returns excessive tissue fluid to the blood  Absorbs fats and fats soluble vitamins from the small intestine and transports them to the blood. Provides defense against infection  Lymphatic vessels.... similar to veins, lymphatic vessels transport lymph from body tissues to the chest where it enters the cardiovascular system.

5. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-5 Lymphatic System

6. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-6 Similar Suffixes Used in Diagnostic Terms SuffixMeaning Chapter -gramrecord, radiographic image 6 -graphinstrument used to record; record 10 -graphyprocess of recording, radiographic 5 imaging

7. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-7 Clicker Question Which of the following means vein? a) arteri/o b) phleb/o c) valv/o

8. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-8 Clicker Question Which of the following is analyzed correctly? a) cardi/o/dynia b) cardi/odynia c) card/i/odynia

9. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-9 Clicker Question Which of the following is performed to remove fatty plaque from an artery? a) angioplasty b) aneurysectomy c) atherectomy

10. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-10 Clicker Question A patient diagnosed with leukemia would seek treatment from a a) hematologist b) cardiologist c) phebologist

11. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.10-11 Read Medical Terms In Use A 55-year-old man presented to his doctor with pain in the calf and swelling in the left foot and ankle. Five days before, the patient had traveled by air across the country, spending several hours in a sitting position. He has a history of varicose veins. No previous history of hypertension or thrombophlebitis existed. Physical examination revealed an edematous left lower extremity and a tender calf. The pedal pulse was intact. A Doppler ultrasound was obtained, which revealed deep vein thrombosis. The patient was hospitalized and subcutaneous low molecular weight heparin was begun. Concurrently, Coumadin was started and will continue for 6 months. The oral anticoagulant therapy will be monitored monthly by prothrombin time.

12. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 11 Digestive System

13. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.11-13 Organs of the Digestive System

14. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.11-14 Organs of the Digestive Tract (cont’d.)  stomach (cont’d.)  pyloric sphincter: ring of muscle that guards the opening between the stomach and duodenum  small intestine: 20-foot canal extending from the pyloric sphincter to the large intestine  duodenum: 1st 10 to 12 inches of small intestine  jejunum: 2nd portion; approx. 8 feet  ileum: 3rd portion; approx. 11 feet, connects with large intestine

15. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.11-15 Organs of the Digestive Tract (cont’d.)  large intestine: canal approx. 5 feet and extends from the ileum to the anus  cecum: blind U-shaped pouch that is the first portion of the large intestine  colon: next portion; divided into 4 parts: ascending, transverse, descending, and sigmoid  rectum: last portion; approx. 8 to 10 inches long, extends from the sigmoid colon to the anus  anus: sphincter muscle that keeps an opening tight at the end of the digestive tract

16. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.11-16 Clicker Question In choledocholithiasis, which is the word root that means stone? a) doch b) lith c) chol

17. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.11-17 Clicker Question Which is inflammation of a structure of the mouth? a) proctoptosis b) uvulitis c) esophagitis

18. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.11-18 Clicker Question Which term refers to the creation of an artificial opening? a) anastomosis b) colostomy

19. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.11-19 Clicker Question Emesis is synonymous with vomiting. a) True b) False

20. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.11-20 Radiology Report ENCOUNTER DATE: 2/17/20XX EXAMINATION: Abdominal Ultrasound HISTORY: Nausea, fatigue, and jaundice. FINDINGS: Multiple scans of the upper abdomen show no focal hepatic lesions. There are numerous small shadowing calculi within the gallbladder. The gallbladder wall is not thickened and there is no pericholecystic fluid collection. The common bile duct is normal in caliber, measuring 4 mm in maximum diameter. No calculi are seen within the common bile duct. The spleen is not enlarged. No focal abnormality is identified within the pancreas. IMPRESSION: Cholelithiasis. No associated biliary dilatation. The upper abdominal sonogram is otherwise normal. Electronically signed by: Jose Garza, MD 2/17/20XX 11:24 AM JG/bab