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borborygmi bruit canaliculi chyme Clinically important bleeding

deglutition digestion dulness sound in stomach haustral churning hormone ghrelin hormone leptin hormone secretin ingestion Kupffer cells massive upper GI hemorrhage mastication negative nitrogen balance portal circulatory system propulsion sinusoids

stricture tympany villi glossitis xerostomia diuresis chylothorax refeeding syndrome

total gastrectomy diarrhea fulminant toxic megacolon

tenesmus

colectomy normal bowel move catartic colon syndrome obstipation

loud noise -hyperperistalsis in stomach (growling) sound,bell of sthetoscope- turbulentblood flow, swishing, buzzing bile capillaries in liver food mixed w gastric secretions overt bleeding complicated by one of the following within 24 hours after the onset of bleeding (in the absence of other causes): a spontaneous < of more than 20 mm Hg in the systolic BP; < of more than 10 mm Hg in the systolic BP measured with the p-nt in the sitting up position; > of more than 20 beats/min in the heart rate; or < in Hgb more than 2 g/dL (1.2 mmol/L) swallowing breakoing down food fluid or masses, short high pitch w little resonance sequential movement of contents from one haustra to the next released from stomach mucosa, appetite stimulation appetite suppresion stimulate pancreas secrete fluid w Na2CO3 taking in food in liver in sinusoids , phagocytic activity, loss of more than 1500 mL of blood or a loss of 25% of intravascular blood volume. chewing nitrogen excretion exceednitrogen intake blood to the liver from the stomach, intestines, spleen, pancreas peristalsis type of sinusoidal blood vessel (with fenestrated, discontinuous endothelium) that serves as a location for the oxygen-rich blood from the hepatic artery and the nutrient-rich blood from the portal vein (artherial + venous blood) narroving of duct, canal and so on high pitch hollow sound of air in belly in small intestine, have goblet cell(mucus), epithelial cells(digest enzymes) move end products to intestine wall to absorb inflammation of tongue , swollen, smooth,raw, beefy, red tongue dry mouth increase discharge of urine lympha in pleural cavity retention of water, <P,K, Mg and hyperglycemia. When malnourished patient get aggressive nutritional support. Hypophosphatemia is hallmark. S&S - cardiac, respiratory, neurologic resection of low esophagus, remove stomach, join esoph to jejunum 3 liquid or loose stools per day. Chronic if >4 weeks rapid colon dilation >5 cm

an ineffective painful straining to empty the bowels in response to the sensation of a desire to defecate, without producing a significant quantity of faeces surgical removal of all or part of the colon 3 BM/day -1BM/3 days colon becomes dilated and atonic b chron use laxatives severe or complete constipation,no gas no stool expelled

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