Docstoc

Module The Digestive System

Document Sample
Module The Digestive System Powered By Docstoc
					Elsevier
                                                           Leonard, 7e
Document Information
Reference
Date                     August 15, 2011
Author                   LOCALADMIN
Modified By
Instructional Designer   Gary Baum
Module                   Module 10: The Digestive System




MMTO                                       1 of 259
Document History
The following table states the build and revision history of the document:
 Version            Date               Modified by                               Reason




Getting Started
       To use this template, save the .dot file somewhere in your computer. Then, double-click on
        the .dot file and a new document will be generated. Do not edit the .dot file directly.
       If you don’t see the toolbar for inserting screens, under the View menu, select Toolbars, and
        make sure the ―MMTO_Screens‖ toolbar is selected:




       When there’s a new objective, make sure to choose ―New Objective‖ from the ―Insert
        Screens‖ menu, and insert screens where it says ―{Insert Screens Here}‖. It will ask for an
        objective number. This is for internal use, and doesn’t affect the template. You can’t use the
        same number twice in a single script through.
    




MMTO                                        2 of 259
Module Outline
Module Title              Module 10: The Digestive System
       Introduction                                                        7
       Section I Objectives                                                9
       1.1 Threaded Case Study: Mrs. Kreider                              11
       1.2 Alimentary / Gastrointestinal Tract                            13
       1.3 Oral Cavity                                                    15
       1.4 The Tongue                                                     17
       1.5 Deciduous Teeth                                                19
       1.6 Activity: Catch That?                                          21
       1.7 Adult Teeth                                                    22
       1.8 Tooth Structure                                                24
       1.9 Periodontium                                                   26
       1.10 Salivary Glands                                               28
       1.11 Activity: Memory Match (Combining Forms Related to the Oral Cavity) 30
       1.12 Activity: Fill-In (Terms Related to the Oral Cavity)          31
       1.13 Activity: Write It, Find It (Terms Related to the Oral Cavity) 33
       2.1 Swallowing (animation)                                         35
       2.2 The Stomach                                                    37
       2.3 Small Intestine                                                39
       2.4 Large Intestine                                                41
       2.5 Rectum                                                         43
       2.6 Peritoneum                                                     45
       2.7 Bile Production (animation)                                    47
       2.8 Pancreas                                                       49
       2.9 Activity: Fill-In (Terms Related to the Digestive Tract)       51
       2.10 Activity: Fill-In (Terms Related to the Digestive Tract)      53
       2.11 Activity: Identification (Structures of the Digestive System)55
       2.12 Activity: Memory Match (Combining Forms Related to the Digestive Tract)   56
       3.1 Metabolism (animation)                                         57
       3.2 Mechanical Digestion                                           59
       3.3 Chemical Digestion                                             61
       3.4 Chemical Secretions                                            63
       3.5 Macronutrients                                                 65
       3.7 Catch That?                                                    69
       3.8 Glycogenolysis and Gluconeogenesis                             70
       3.9 Activity: Write It, Find It Terms Related to Digestive Physiology 72
       3.10 Activity: Word Shop Terms Related to Digestive Physiology73
MMTO                                      3 of 259
       3.11 Activity: Short Answer: Terms Related to Digestive Physiology 75
       Section II Objectives                                           80
       1.1 Dental Disease                                              81
       1.2 Mouth Sores                                                 83
       1.3 Cleft Palate                                                85
       1.4 Salivary Disorders                                          87
       1.5 Oral Leukoplakia                                            89
       1.6 Activity: Memory Match Pathologic Conditions of the Oral Cavity 91
       1.7 Gastroenterology                                            92
       1.8 Swallowing Disorders                                        94
       1.9 Eating Disorders                                            96
       1.10 Discussion Board: Anorexia Nervosa                         98
       1.11 Obesity                                                    99
       1.12 Malaise                                                   101
       1.13 Nausea, Vomiting, Dyspepsia                               103
       1.14 Pathology of the Esophagus                                105
       1.15 Gastric Disorders                                         107
       1.16 Ulcers                                                    109
       1.17 Untreated Ulcers                                          111
       1.18 Pyloric Stenosis                                          113
       1.19 Activity: Choices Disorders of the Upper Gastrointestinal Tract 115
       1.20 Activity: Matching Disorders of the Upper Gastrointestinal Tract        121
       2.1 Gastrointestinal Bleeding                                  123
       2.2 Malabsorption Syndrome                                     125
       2.3 Constipation                                               127
       2.4 Diarrhea                                                   129
       2.5 Threaded Case Study: Mrs. Kreider                          131
       2.6 Dysentery                                                  133
       2.7 Irritable Bowel Syndrome                                   135
       2.8 Inflammatory Bowel Disease                                 137
       2.9 Crohn Disease                                              139
       3.10: Activity: Catch That?                                    141
       2.11 Discussion Board: Inflammatory Bowel Disease              142
       2.12 Diverticulosis                                            143
       2.13 Intestinal Obstruction                                    145
       2.14 Ascites, Peritonitis                                      147
       2.15 Activity: Fill-In Terms Related to Conditions of the Lower Gastrointestinal Tract   149
       3.1 Jaundice                                                   151


MMTO                                    4 of 259
       3.2 Hepatitis A                                               153
       3.3 Hepatitis B                                               155
       3.4 Hepatitis C                                               157
       3.5 Cirrhosis of the Liver                                    159
       3.6 Hepatoma                                                  161
       3.7 Activity: Fill-In Liver Pathology                         163
       3.8 Diabetes Mellitus                                         165
       3.9 Pancreatitis                                              167
       3.10 Complications of Pancreatitis                            169
       3.11 Gallbladder Disorders                                    171
       3.12 Common Bile Duct Disorders                               173
       3.13 Activity: Fill-In Terms Related to Disorders of the Accessory Organs of Digestion    175
       Section III Objectives                                        180
       1.1 Laboratory Analyses                                       182
       1.2 Sialography                                               184
       1.3 Gastrointestinal Radiography                              186
       1.4 Endoscopy                                                 188
       1.5 Threaded case study: Mrs. Kreider                         190
       1.6 Cholangiography                                           192
       1.7 Pancreatography                                           194
       1.8 Gallbladder Imaging                                       196
       1.9 Activity: True or False: Tests and Procedures to Diagnose Pathologic Conditions of the Digestive
       System                                                       198
       2.1 Treatments for Gastric Disorders                          204
       2.2 Conservative Treatments for Obesity                       206
       2.3: Enteral and Parenteral Nutrition                         208
       2.4 Laxatives and Antidiarrheals                              210
       2.5 Threaded Case Study: Treatment for Diverticulosis         212
       2.6 Treatment for Diabetes Mellitus                           214
       2.7 Activity: Matching: Medical Treatments for Pathologic Conditions of the Digestive System     216
       3.1 Oral Surgery                                              218
       3.2 Gastrointestinal Surgery                                  220
       3.3 Surgical Treatment for Obesity                            222
       3.4 Anastomosis and Ostomy                                    224
       3.5 Pylorotomy and Pyloroplasty                               226
       3.6 Surgeries Involving the Liver and the Pancreas            228
       3.7 Laparoscopic Cholecystectomy                              230
       3.8 Surgery Involving the Common Bile Duct                    232
       3.9 Lithotripsy                                               234

MMTO                                      5 of 259
       3.10 Activity: Write it, Find It                             236
       Surgical Interventions for Pathologic Conditions of the Digestive System   236
       4.1 Word Parts                                               240
       4.2 Activity: Memory Match                                   242
       4.3 Activity: Listen and Spell                               243
       4.4 Activity: Fill-In                                        244
       4.5 Activity: Matching                                       245
       4.6 Activity: Matching                                       246
       Case Study 1                                                 247
       Case Study 2                                                 249
       Medical Report Activity                                      252
       Learning Links                                               255
       Conclusion                                                   257




MMTO                                      6 of 259
Screen Number           1.

Screen Type         Module Introduction

Module Title        Module 10: The Digestive System

Screen Title        Introduction

On Screen Text      In this module, you will learn more about the medical terms associated with the digestive
                    system. When you complete this module, you should be familiar with terms that describe the
                    anatomy of that system and have a good understanding of terms that specify disorders affecting
                    the digestive system. You will recognize terms for tests and procedures that are used to
                    diagnose and treat digestive system disorders, and you will learn about categories of drugs
                    used to improve digestive function. As you work through this module, you may need to refer to
                    the basics of word structure that were introduced in Module 1.


                    Remember that this integrated learning program is intended as a supplement to your text — not
                    as a substitute. Be sure to keep your text available for ready reference.


                    Note: Not all terms presented in your text will appear in this module. Some terms in this module
                    may not appear in your text.



On Screen Image

                             Source                  Description         Alternate Text




Engineering Notes




MMTO                                      7 of 259
Objective:




MMTO         8 of 259
Screen Number             1.

Screen Type         Section Objectives

Module Title        Module 10: The Digestive System

Section Title       Section I: Anatomy and Physiology

Lesson Title

Screen Title        Section I Objectives

On Screen Text      In this section you will learn to:
                    •          Match the structures of the digestive system with their functions.
                    •          Match the four major functions of the digestive system with their meanings.
                    •          List the three classes of nutrients and their functions, and identify glucose as the major
                               source of cellular energy.
                    •          List the roles of the accessory organs of digestion.
                    •          Write the meanings of the word parts associated with the digestive system and use
                               them to build and analyze terms.

On Screen Image

                               Source                    Description          Alternate Text

                        http://www.coursew                                Student at computer
                        areobjects.com/obj
                        ects/leonard6e_v1/
                        mod10/images/10s0
                        1l0201.jpg



Engineering Notes




MMTO                                        9 of 259
MMTO   10 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.1 Threaded Case Study: Mrs. Kreider

On Screen Text   To help us understand how the digestive system functions, let's meet Mrs. Kreider, who has
                 come to the clinic to see Dr. Maldonado for a routine exam. She has some mild intestinal
                 problems that she attributes to dietary changes. We'll consider more of Mrs. Kreider's symptoms
                 as we learn about digestive system anatomy and physiology.




Glossary Terms

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  11 of 259
On Screen Image

                             Source                 Description      Alternate Text

                      http://www.coursew                          Mrs. Kreider
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0301.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    12 of 259
Screen Number        2.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.2 Alimentary / Gastrointestinal Tract

On Screen Text   The tube through which food passes from mouth to anus can be referred to as the alimentary
                 tract or the gastrointestinal tract. The term alimentary means pertaining to food or nutrition,
                 and as you will recall, gastrointestinal means pertaining to the stomach and the intestines.


                 The digestive system includes the oral cavity, the stomach, the small and large intestines, the
                 rectum, and the accessory organs that support the process of digestion. Its principal functions
                 are the digestion of food, the absorption of nutrients, and the elimination of solid waste.


                 We’ll begin our survey of this system by looking closely at the oral cavity.



Glossary Terms   alimentary tract, gastrointestinal tract, digestion, absorption, elimination

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  13 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description       Alternate Text

                      http://www.coursew                            Principle structures of
                      areobjects.com/obj                            the digestive system
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0302.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      14 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.3 Oral Cavity

On Screen Text   Ingestion is the term for taking food into the mouth. This process of digestion begins inside the
                 mouth, or oral cavity, where food is broken down both mechanically and chemically.


                 There are two combining forms that refer to the mouth: or/o and stomat/o. The first is the basis
                 for the familiar term oral, which means by mouth or pertaining to the mouth. We will encounter
                 stomat/o later in this module when we discuss pathology related to the mouth.


                 You will recall from the previous module that the roof of the mouth is called the palate, and its
                 combining form is palat/o.


                 Try This!


                 Run your tongue over the roof of your mouth, near the front. You may detect ridges or rugae.
                 Their texture can aid in crushing food in preparation for swallowing.



Glossary Terms   Ingestion, or/o, stomat/o, oral, palate, palat/o, rugae

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  15 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Oral cavity
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0303.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      16 of 259
Screen Number        4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.4 The Tongue

On Screen Text   Two combining forms mean tongue: gloss/o and lingu/o. Terms that contain these word parts
                 include lingual and glossal; both mean pertaining to the tongue.


                 The tongue aids in chewing, which is also called mastication, by grouping and repositioning the
                 food between the teeth.


                 These movements mix food with saliva to form a compact mass called a bolus and to initiate
                 swallowing. As the food shifts around on the tongue's surface, it moves across the papillae
                 (sing., papilla); these small raised areas contain the taste buds, receptor organs that detect
                 specific types of flavors.



Glossary Terms   tongue, gloss/o, lingu/o, lingual, glossal, mastication, bolus, papillae

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 17 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description     Alternate Text

                      http://www.coursew                            Tongue
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0304.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      18 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.5 Deciduous Teeth

On Screen Text   Teeth are represented by the combining forms dent/i, dent/o, and odont/o. You can see that
                 the common words dentist and orthodontist come from these combining forms.


                 In childhood we have twenty deciduous teeth, commonly referred to as our baby teeth. Children
                 have four central incisors, four lateral incisors, four cuspids or canines, four tricuspids or first
                 molars, and four second molars.


                 The term incisor is based on a familiar term, incise, meaning to cut. The purpose of incisors is
                 to cut food; for example, the incisors act to cut a bite from an apple.


                 The cuspids are named for their pointed, pyramid shape.



Glossary Terms   dent/I, dent/o, odont/o, incisors, cuspids, molars, incise

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  19 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Deciduous teeth
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0306.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      20 of 259
Screen Number           6.

Screen Type         Catch That

Module Title        Module 10: The Digestive System

Section Title       Section I: Anatomy And Physiology

Lesson Title        Lesson 1: The Oral Cavity

Screen Title        1.6 Activity: Catch That?

On Screen Text      Did you catch that? Three combining forms may be used to refer to a tooth or to teeth. They
                    are: ________________, ________________. and _________________.


                    Type your answers in the text box below, and then click Submit to check your answers.



Feedback Popup      Correct Answers: dent/i, dent/o, odont/o
Content
                      Teeth are represented by the combining forms dent/i, dent/o, and odont/o. You can see
                      that the common words dentist and orthodontist come from these combining forms.
                      Want a quick review to reinforce this? Click on the following link to review screen x.xx. Or if you
                      prefer, you can come back to it later.
                      Click here to proceed.




On Screen Image

                             Source                  Description              Alternate Text




Engineering Notes




MMTO                                     21 of 259
Screen Number        7.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.7 Adult Teeth

On Screen Text   In adulthood, we gain four bicuspids, or premolars, and four third molars, commonly referred to
                 as wisdom teeth. Thus, in the adult, the upper and lower jaws each form a dental arch
                 containing 16 permanent teeth, for a total of 32 permanent teeth in the entire mouth.


                 The bone of the upper jaw is called the maxilla. Its combining form is maxill/o, and maxillary
                 means pertaining to the upper jaw.


                 The bone of the lower jaw is the mandible. Its combining form is mandibul/o, and the term that
                 means pertaining to the lower jaw is mandibular.


                 Both maxilla and mandible have alveolar processes, which are the ridges in which the teeth
                 are anchored.


                 The temporomandibular joints (TMJs) attach the mandible to the temporal bone of the skull
                 on either side. Movement at these joints permits the opening and closing of the mouth.



Glossary Terms   bicuspids, maxilla, maxill/o, maxillary, mandible, mandibul/o, mandibular,
                 temporomandibular joints

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 22 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Adult teeth
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0307.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      23 of 259
Screen Number        8.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.8 Tooth Structure

On Screen Text   Every tooth is structured in three basic parts: the crown, the neck, and the root.


                 The crown is covered with enamel to help it withstand the pressures and abrasions of
                 mastication, or chewing. Just beneath the enamel are two more layers, the dentin and the
                 cementum.


                 As you can see in this illustration, dentin makes up most of the tooth's substance. It surrounds a
                 pulp cavity containing connective tissue, blood vessels, lymphatic vessels, and nerves. This
                 portion of the tooth is called the endodontium.



Glossary Terms   enamel, dentin, endodontium

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  24 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description       Alternate Text

                      http://www.coursew                            Internal structure of
                      areobjects.com/obj                            tooth
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0308.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      25 of 259
Screen Number        9.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.9 Periodontium

On Screen Text   The tissues that surround and support the teeth are collectively called the periodontium, from
                 the prefix peri–, meaning around; odont/o, meaning tooth; and –ium, meaning membrane. The
                 main functions of the periodontium are to support, protect, and provide nourishment to the teeth.
                 The periodontium consists of cementum, the bones of the jaws, periodontal ligaments, and the
                 gums.


                 The treatment of the periodontium is called periodontics, A dental professional who practices
                 the specialty of periodontics is called a periodontist.


                 The gums, soft tissues that surround the teeth and help to hold them in place, are called the
                 gingiva. The combining form gingiv/o means gums, and gingival means pertaining to the
                 gums.



Glossary Terms   periodontium, peri–, odont/o, –ium, periodontics, periodontist, gingiva, gingiv/o, gingival

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 26 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Normal gingiva
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0309.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      27 of 259
Screen Number        10.

Screen Type      Content w/ Fast Fact

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 1: The Oral Cavity

Screen Title     1.10 Salivary Glands

On Screen Text   In the mouth, during chewing, the food is mixed with saliva, the first digestive juice to which it is
                 exposed. Saliva contains enzymes that begin the process of converting starches to sugars.


                 Most of the saliva is released from the three extrinsic salivary glands (the parotid,
                 submandibular, and sublingual glands), which lie outside the oral cavity and secrete into it.


                 The names submandibular and sublingual clearly indicate the location of these glands. Recall
                 that mandibul/o means mandible, and refers to the lower jaw. Lingu/o means tongue, and sub-
                 means under or beneath. Thus, the sublingual salivary glands are located beneath the tongue
                 and the submandibular glands are under the mandible.


                 The combining form bucc/o means cheek. The buccal glands are much tinier intrinsic salivary
                 glands located throughout the oral cavity mucosa; they secrete less than 5% of the saliva.
                 Nevertheless, their contribution is very important for the comfort and hygiene of the mouth.


                 The combining form sialaden/o means salivary gland, and sial/o can be used to refer to either
                 saliva or salivary glands.


                 Did you know?



Glossary Terms   saliva, salivary glands, parotid, submandibular, sublingual, mandibul/o, lingu/o, bucc/o,
                 sialaden/o, sial/o




MMTO                                  28 of 259
Fast fact Popup

                      Link in Onscreen
                      Text

                      Pop-Up Title           Did you know?

                      Pop-Up Content         The adult mouth secretes approximately 1 liter
                                             of saliva every day!




External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description         Alternate Text

                      http://www.coursew                              Salivary glands
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0310.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      29 of 259
Screen Number                11.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 1: The Oral Cavity

Screen Title            1.11 Activity: Memory Match: Combining Forms Related to the Oral Cavity

On Screen Text          Let's review the material we've covered in this lesson by completing the activities that follow.



{Insert Activities below this text}

                                               Memory Match

 Pickup Source      http://coursewareobjects.elsevier.com/objects/leonard6e_v1/mod10/10s01l0311.htm



Engineering Notes




MMTO                                         30 of 259
Screen Number                12.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 1: The Oral Cavity

Screen Title            1.12 Activity: Fill-In: Terms Related to the Oral Cavity

On Screen Text

{Insert Activities below this text}

                  Fill-In (Drag & Drop) - {fill out the engine template below}

 Instructions     Click and drag the correct term to complete each statement.



                  Bold correct answer(s) in each question          Media Link

 Question 1       The cutting teeth at the front of the
                  mouth are called incisors.

 Question 2       The outer layer of the teeth is called
                  the enamel.

 Question 3       The structures that surround the teeth
                  and hold them in place are referred to
                  collectively as the periodontium.

 Question 4       The substance secreted by the parotid
                  and submandibular glands is saliva.

 Question 5       The roof of the mouth is called the
                  palate.

 Question 6       The medical term that means gums is
                  gingiva.

 Question 7       Small raised areas on the tongue that
                  contain the taste buds are called
                  papillae.

 Question 8       Salivary glands located under the
                  tongue are called sublingual glands.

 Question 9       The pulp cavity of a tooth and its
                  contents are called the endodontium.

MMTO                                        31 of 259
Screen Number            12.

 Question 10    Ridges in mucous membrane, such as
                those found in the roof of the mouth,
                are called rugae.

 Distracters    molars               bolus              mucus



 Engineering
 Notes



Engineering Notes




MMTO                                  32 of 259
Screen Number                13.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 1: The Oral Cavity

Screen Title            1.13 Activity: Write It, Find It: Terms Related to the Oral Cavity

On Screen Text

{Insert Activities below this text}

                  Write It, Find It (Text) - {fill out the engine template below}

 Instructions       Type the term that correctly completes each statement.

                                      Bold the correct answer(s) in each question.

 Question 1         The mouth is the beginning of the gastrointestinal tract, also
                    called the alimentary canal.

 Question 2         Food that has been chewed and mixed with saliva forms a
                    compact mass called a bolus.

 Question 3         The medical term for the act of chewing is mastication.

 Question 4         A specialist who treats the structures that support, protect,
                    and provide nourishment to the teeth is called a periodontist.

 Question 5         The medical term that means pertaining to the lower jaw is
                    mandibular.

 Question 6         The medical term that means pertaining to the upper jaw is
                    maxillary.

 Question 7         The term that means pertaining to the gums is gingival.

 Question 8         The joints that permit the opening and closing of the mouth
                    are called the temporomandibular joints.

 Question 9         The combining form bucc/o in the term buccal gland refers to
                    the cheek.

 Question 10        The middle layer of the tooth that makes up most of the
                    tooth’s substance is called the dentin.




MMTO                                            33 of 259
Screen Number       13.

 Engineering
 Notes




Engineering Notes




MMTO                      34 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 2: The Digestive Tract

Screen Title     2.1 Swallowing (animation)

On Screen Text   Suppose, then, that our bolus of food has been chewed well, mixed sufficiently with digestive
                 enzymes from the saliva, and swallowed. It will pass through the pharynx, or throat, first. The
                 pharynx is really a muscle in the shape of a 5-inch long tube that is lined with mucous
                 membrane and serves as a passageway, not just for food but also for air traveling to the
                 trachea (windpipe) from the nose. In the previous module you learned that the combining form
                 for the pharynx is pharyng/o, and the term that means pertaining to the throat is pharyngeal.


                 Despite the sharing of this passageway, food does not fall into the trachea during swallowing,
                 thanks to the epiglottis, a flap of tissue that moves to cover the trachea with each swallow.


                 Swallowing is called deglutition. It is the process by which the bolus of food enters the
                 esophagus, a 10-inch long tube that leads to the stomach. Food is moved through the
                 alimentary canal by rhythmic contractions called peristalsis.


                 The combining form that means esophagus is esophag/o.


                 Swallowing



Glossary Terms   pharynx, trachea, pharyng/o, pharyngeal, epiglottis, esophagus, stomach, peristalsis,
                 esophag/o

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 35 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description        Alternate Text

                      http://www.coursew                             Swallowing
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0312.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



                      Link in Onscreen       Swallowing
                      Text

                      Media Type             Animation

                      Media Title

                      Pop-Up                 http://www.coursewareobjects.com/objects/leon
                      Content/Source         ard6e_v1/mod10/assets/10s01l0312p.htm




Engineering Notes




MMTO                                      36 of 259
Screen Number        2.

Screen Type      Content w/ Fast Fact

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 2: The Digestive Tract

Screen Title     2.2 The Stomach

On Screen Text   From the esophagus, the bolus of food passes into the stomach. You are already familiar with
                 the combining form gastr/o, meaning stomach. Look for terms that contain this combining form
                 throughout this module. The term gastric means pertaining to the stomach.


                 Sphincters are circular muscles that contract to close passageways and relax to open them.
                 Sphincters are found at both the upper and lower openings of the stomach. The cardiac
                 sphincter, at the lower end of the esophagus, is also called the lower esophageal sphincter. It
                 controls the passage of food from the esophagus into the stomach. This entry to the stomach is
                 called the cardia or cardiac region because it is the portion nearest the heart. This also
                 explains the name of the cardiac sphincter.


                 After entering through the cardiac sphincter, the food passes through the three main sections of
                 the stomach: the fundus, the body, and the pylorus (see illustration). The combining form for
                 the pylorus is pylor/o.


                 Rigid folds in the stomach lining are called rugae. Glands within the rugae secrete hydrochloric
                 acid and the enzyme pepsin to help digest the food, breaking it down so that it can be absorbed
                 into the bloodstream from the small intestine.


                 The lower pyloric sphincter ensures that food does not leave the stomach and enter the small
                 intestine until it is ready, both chemically and with respect to the size of the particles.


                 Did you know?



Glossary Terms   stomach, gastr/o, gastric, sphincters, fundus, pylorus, pylor/o, rugae, pyloric sphincter




MMTO                                 37 of 259
Fast fact Popup

                      Link in Onscreen
                      Text

                      Pop-Up Title           Did you know?

                      Pop-Up Content         It takes food anywhere from 1 to 4 hours to
                                             leave the stomach, depending on the type of
                                             food eaten.




External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description        Alternate Text

                      http://www.coursew                              The stomach
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0313.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      38 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 2: The Digestive Tract

Screen Title
                 2.3 Small Intestine
On Screen Text   Although digestion begins in the mouth and continues in the stomach, the small intestine is the
                 principal site of digestion and absorption. This is the first point in the digestive system at which
                 nutrients begin to be absorbed for distribution to the rest of the body. The combining form that
                 means intestine is enter/o, and terms built on this word part usually relate to the small intestine.
                 Enteric and enteral, for example, mean pertaining to the small intestine. Another term for
                 intestine is bowel, so the small intestine is also termed the small bowel.


                 The bolus of food is moved along the 20-foot length of the small intestine by peristalsis. This
                 passageway's coiled loops contain millions of tiny villi, microscopic finger-like projections from
                 the mucosal lining that are responsible for absorption of nutrients into the bloodstream and
                 lymphatic vessels. The villi greatly increase the effective absorptive surface area of the small
                 intestine.


                 The bolus first enters the upper section of the small intestine, the duodenum, where it is mixed
                 with bile from the liver and gallbladder (GB) and with pancreatic juice from the pancreas.
                 These enzyme-rich secretions further break the food down chemically before it passes into the
                 8-foot long jejunum and then into the 11-foot long ileum. The ileum is the third and final portion
                 of the small intestine and opens into the large intestine.


                 The combining forms for jejunum and ileum are jejun/o and ile/o, respectively.



Glossary Terms   small intestine, enter/o, enteral, villi, duodenum, bile, liver, gallbladder, pancreas,
                 jejunum, ileum, jejun/o, ile/o

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                   39 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Small intestine and
                      areobjects.com/obj                            villi
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0314.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      40 of 259
Screen Number        4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 2: The Digestive Tract

Screen Title     2.4 Large Intestine

On Screen Text   The large intestine, or large bowel, is 5 or 6 feet long, and is noticeably larger around than the
                 small intestine, measuring 2 1/2 inches in diameter, compared to the 1-inch diameter of the
                 small intestine.


                 The large intestine is composed of three distinct parts: the cecum (cec/o), the colon (col/o,
                 colon/o), and the rectum (rect/o). Colic means pertaining to the colon, but also can refer to
                 abdominal pain caused by spasms of the stomach or intestines. Using familiar prefixes, you can
                 build retrocolic, meaning pertaining to behind the colon, and pericolic, meaning around the
                 colon.


                 A bolus of food enters the large intestine through the cecum, a small pouch connected to the
                 ileum. A ringlike band of muscles opens and closes the opening between the two; this sphincter
                 is called the ileocecal sphincter or the ileocecal valve. You can readily recognize the
                 combining forms for both the ileum and the cecum in this term.


                 One notable thing about the cecum is that the sometimes troublesome structure called the
                 vermiform appendix is attached to it. The vermiform (wormlike) appendix, which is usually
                 referred to simply as the appendix (append/o, appendic/o), is a narrow pouch less than half
                 an inch in diameter and 3-4 inches long. It has no known function. The term appendix means
                 appendage or attachment.


                 From the cecum, the food bolus travels along the ascending colon. In the right upper quadrant
                 near the liver, the ascending colon curves to become the transverse colon. On the opposite
                 side, the colon turns in a downward direction and becomes the descending colon. In the left
                 lower quadrant it forms its final S- shape, leading into the rectum; this portion is called the
                 sigmoid colon after the Greek letter sigma, which curves like an S. The combining form for the
                 sigmoid colon is sigmoid/o.



Glossary Terms   large intestine, cecum, cec/o, colon, col/o, colon/o, rectum, rect/o, colic, retrocolic,
                 cecum, ileum, ileocecal, ileocecal valve, vermiform appendix, appendix, append/o,
                 appendic/o, ascending colon, transverse colon




MMTO                                   41 of 259
Popup

                      Link in Onscreen
                      Text

                      Pop-Up Title

                      Pop-Up Content




External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Large intestine
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0315.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      42 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 2: The Digestive Tract

Screen Title     2.5 Rectum

On Screen Text   After the material moving through the digestive system reaches the large intestine, the main
                 component absorbed from it is water. As the material enters the large intestine, it moves
                 through the colon to the rectum (rect/o). The term colorectal means pertaining to or affecting
                 both the colon and the rectum. The rectum terminates in the anus that opens to the outside of
                 the body. Two sphincters at the anus, one internal and one external, control the opening.


                 Once the water is absorbed, this waste material is stored in solid form until it can be expelled
                 from the body through the anus as feces. This process is called defecation. The suffix –chezia
                 means defecation.


                 The combining forms for anus and feces are an/o and fec/o, respectively. For example, it would
                 be correct to say that fecal material passes through the anal opening.


                 The combining form proct/o means anus or rectum, and often refers to both. A proctologist is
                 a medical specialist who diagnoses and treats disorders of the rectum and anus.




Glossary Terms   rectum, rect/o, colorectal, anus, feces, defecation, –chezia, an/o, fec/o, proct/o,
                 proctologist

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 43 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description     Alternate Text

                      http://www.coursew                            Rectum
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0316.gif

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      44 of 259
Screen Number        6.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 2: The Digestive Tract

Screen Title     2.6 Peritoneum

On Screen Text   Most organs of the digestive tract are held in place by a layered, serous membrane called the
                 peritoneum. One layer, the parietal layer, lines the walls of the abdominal cavity; the second
                 layer, the visceral layer, coats the organs themselves.


                 Note the fan-shaped projection of the parietal peritoneum, called the mesentery. This
                 membrane holds the intestines in place, but also allows sufficient free movement to prevent
                 them from being strangled.



Glossary Terms   peritoneum

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 45 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Peritoneum
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0317.gif

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      46 of 259
Screen Number        7.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 2: The Digestive Tract

Screen Title     2.7 Bile Production (animation)

On Screen Text   Several other organs also play an important role in digestion, even though they are not directly
                 part of the digestive tract. The liver is the largest organ of the body and is located in the right
                 upper quadrant of the abdomen. The liver is represented by the combining form hepat/o, and
                 hepatic means pertaining to the liver. Other terms related to the liver that have familiar prefixes
                 are extrahepatic, meaning outside the liver; and suprahepatic, meaning above the liver.


                 The liver has several important functions, one of which is the production of bile. This yellowish-
                 green liquid contains cholesterol, acids, and several pigments. The main function of bile is to aid
                 in the digestion of fats.


                 Bile travels through the hepatic duct to the cystic duct, which leads into the gallbladder
                 (abbreviated GB), a sac-like organ on the inferior surface of the liver, where the bile is stored
                 and concentrated. After a meal, the bile is forced into the common bile duct by the contraction
                 of the gallbladder.


                 Both the common bile duct and the pancreatic duct enter the duodenum (duoden/o) at the
                 ampulla of Vater. Here the bile and pancreatic enzymes form a partnership. Bile serves to
                 emulsify, or break down, fat globules into small enough particles for the enzymes to digest.


                 The chief pigment in bile is bilirubin, a product of normal hemoglobin breakdown. Bilirubin is
                 carried through the bloodstream to the liver, which conjugates it, combining it with other
                 substances and adding it to bile so that it can enter the digestive tract for eventual elimination
                 as a component of feces.


                 Bile Production



Glossary Terms   liver, hepat/o, hepatic, extrahepatic, suprahepatic, bile, gallbladder, common bile duct,
                 duodenum, duoden/o, bilirubin




MMTO                                  47 of 259
Popup

                      Link in Onscreen
                      Text

                      Pop-Up Title

                      Pop-Up Content




External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description        Alternate Text

                      http://www.coursew                             Bile production
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0319.jpg

Animation/Slidesho   {Insert media popup types here}
w/Audio/Video
                      Link in Onscreen       Bile Production
                      Text

                      Media Type             Animation

                      Media Title

                      Pop-Up                 http://www.coursewareobjects.com/objects/leon
                      Content/Source         ard6e_v1/mod10/assets/10s01l0319p.htm

Engineering Notes




MMTO                                      48 of 259
Screen Number        8.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 2: The Digestive Tract

Screen Title     2.8 Pancreas

On Screen Text   One additional organ we should consider is the pancreas, a long, narrow organ that lies
                 horizontally in the upper abdomen, surrounded by curvature of the duodenum (see illustration).
                 This organ produces digestive enzymes and secretes them into the pancreatic duct.
                 The pancreas also secretes insulin and glucagon, hormones that help release sugar from the
                 blood and glycogen from the liver, making energy-producing glucose available to the cells.



Glossary Terms   pancreas, enzymes, insulin

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  49 of 259
On Screen Image

                             Source                 Description      Alternate Text

                      http://www.coursew                          The pancreas
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0320.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    50 of 259
Screen Number                9.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 2: The Digestive Tract

Screen Title            2.9 Activity: Fill-In: Terms Related to the Digestive Tract

On Screen Text          Let's review the material we've covered in this lesson by completing the activities that follow.

{Insert Activities below this text}

                  Fill-In (Drag & Drop) - {fill out the engine template below}

 Instructions     Click and drag the correct term to complete each statement.



                  Bold correct answer(s) in each question            Media Link

 Question 1       The medical term for the act of swallowing is
                  deglutition.

 Question 2       When a bolus of food passes from the
                  pharynx, it enters the esophagus.

 Question 3       The circular muscle between the esophagus
                  and the stomach is called the cardiac
                  sphincter.

 Question 4       The circular muscle between the stomach
                  and the duodenum is the pyloric sphincter.

 Question 5       Food is moved through the alimentary tract
                  by rhythmic contractions called peristalsis.

 Question 6       The uppermost portion of the stomach, just
                  distal to the cardiac sphincter, is called the
                  fundus.

 Question 7       The distal portion of the stomach, just
                  proximal to the pyloric sphincter, is called the
                  pylorus.

 Question 8       The second and longest portion of the small
                  intestine is called the jejunum.

 Question 9       The sphincter between the small intestine
                  and the large intestine is called the ileocecal

MMTO                                          51 of 259
Screen Number                9.
                valve.

 Question 10    Microscopic finger-like projections from the
                mucosal lining of the small intestine that are
                responsible for absorption of nutrients are
                called villi.

 Distracters    papillae                  body

                epiglottis                mastication

 Engineering
 Notes



Engineering Notes




MMTO                                       52 of 259
Screen Number                10.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 2: The Digestive Tract

Screen Title            2.10 Activity: Fill-In: Terms Related to the Digestive Tract

On Screen Text          Click and drag the correct term to complete each statement.

{Insert Activities below this text}

                  Fill-In (Drag & Drop) - {fill out the engine template below}

 Instructions     Click and drag the correct term to complete each statement.

                  Bold correct answer(s) in each question           Media Link

 Question 1       A long, narrow organ that lies horizontally in
                  the upper abdomen and produces digestive
                  enzymes, insulin, and glucagon is the
                  pancreas.

 Question 2       A sac-like organ on the inferior surface of the
                  liver where the bile is stored and
                  concentrated is called the gallbladder.

 Question 3       The membrane that holds the intestines in
                  place is called the mesentery.

 Question 4       Both the common bile duct and the
                  pancreatic duct enter the duodenum at the
                  ampulla of Vater.

 Question 5       The largest organ of the body, located in the
                  right upper quadrant of the abdomen, is the
                  liver.

 Question 6       The act of expelling solid waste from the body
                  through the anus is called defecation.

 Question 7       After a meal, the bile is forced into the
                  common bile duct by the contraction of the
                  gallbladder.

 Question 8       A yellowish-green liquid that aids in the
                  digestion of fats is called bile.



MMTO                                         53 of 259
Screen Number             10.

 Question 9     The medical term that means pertaining to
                both the colon and the rectum is colorectal.

 Question 10    The sphincter between the rectum and the
                outside of the body is called the anus.

 Distracters    saliva                   sigmoid

                enzymes

 Engineering
 Notes



Engineering Notes




MMTO                                      54 of 259
Screen Number                11.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 2: The Digestive Tract

Screen Title
                        2.11 Activity: Identification: Structures of the Digestive System
On Screen Text

{Insert Activities below this text}

                                              Identification

 Pickup Source      http://coursewareobjects.elsevier.com/objects/leonard6e_v1/mod10/10s01l0323.htm



Engineering Notes




MMTO                                       55 of 259
Screen Number                  12.

Screen Type                Activity

Module Title               Module 10: The Digestive System

Section Title              Section I: Anatomy And Physiology

Lesson Title               Lesson 2: The Digestive Tract

Screen Title               2.12 Activity: Memory Match: Combining Forms Related to the Digestive Tract

On Screen Text

{Insert Activities below this text}

                     Memory Match - {fill out the engine template below}

 Instructions

 Activity Data                        Terms                                 Clues

                   gastr/o                                stomach

                   ile/o                                  third portion of the small intestine

                   duoden/o                               first portion of the small intestine

                   proct/o                                rectum and anus

                   col/o                                  large intestine

                   cec/o                                  first portion of the large intestine

 Engineering
 Notes




Engineering Notes




MMTO                                          56 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 3: Digestive Physiology

Screen Title     3.1 Metabolism (animation)

On Screen Text   You will recall from Lesson 1 that the digestive tract is sometimes called the alimentary canal.
                 The process of providing nutrition for the body is called alimentation. All of the processes the
                 body undergoes to use the nutrients we feed it are referred to as the body's metabolism. Within
                 that global process are two smaller phases.


                 Catabolism has to do with breaking down molecules into other substances so that the body can
                 use them. Anabolism is the opposite type of process. It refers to the way our body uses these
                 nutrients to build body cells and other needed materials.


                 Metabolism



Glossary Terms   alimentation, metabolism

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 57 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description        Alternate Text

                      http://www.coursew                             Metabolism
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0402.gif

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



                      Link in Onscreen       Metabolism
                      Text

                      Media Type             Animation

                      Media Title

                      Pop-Up                 http://www.coursewareobjects.com/objects/leon
                      Content/Source         ard6e_v1/images/spacer.gif




Engineering Notes




MMTO                                      58 of 259
Screen Number        2.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 3: Digestive Physiology

Screen Title     3.2 Mechanical Digestion

On Screen Text   Two kinds of digestion take place at the same time: mechanical digestion and chemical
                 digestion.


                 Mechanical digestion begins with the ingestion of food, taking it into the mouth. It includes
                 mastication, or chewing, and deglutition, which is the process of swallowing. Once food
                 enters the esophagus, mechanical digestion also includes motility, the physical processes of
                 propelling, breaking apart, and mixing.


                 Because the duodenum is so much smaller than the stomach, the stomach contents are ejected
                 into the duodenum about every 20 seconds. Stomach motility is controlled by hormonal and
                 nervous signals that prevent overloading the duodenum.


                 Once food enters the intestines, the two types of mechanical digestion are peristalsis, or
                 forward movement (the suffix –stalsis means contraction), and segmentation, which is primarily
                 a mixing movement.



Glossary Terms   ingestion, peristalsis, –stalsis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 59 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Mechanical digestion
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0403.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      60 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 3: Digestive Physiology

Screen Title     3.3 Chemical Digestion

On Screen Text   At the same time that mechanical digestion is occurring, chemical changes take place as the
                 food travels through the digestive tract. This chemical digestion includes secretion of specific
                 digestive enzymes.


                 Chemical digestion begins in the mouth where saliva mixes with the food in preparation for
                 swallowing. The enzyme amylase in saliva begins the breakdown of starch.


                 The stomach secretes hydrochloric acid, pepsin, and intrinsic factor, which aid digestion or
                 absorption of specific nutrients. These gastric juices are mixed with the partially digested food
                 to form a creamy semi-fluid called chyme.


                 As chyme moves into the intestines, both the pancreas and the liver release digestive juices
                 and enzymes that contribute to the chemical breakdown of food and its conversion to
                 substances the body can use.



Glossary Terms   amylase, absorption, chyme

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  61 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Chemical digestion
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0404.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      62 of 259
Screen Number           4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 3: Digestive Physiology

Screen Title     3.4 Chemical Secretions

On Screen Text   As you learned in the previous lesson, the liver secretes bile, which is concentrated and stored
                 in the gallbladder until it is needed for digestion. Bile emulsifies fats, turning fat globules into
                 very tiny particles. Bile also increases the pH of chyme and provides the means for excretion of
                 cholesterol and bile pigments.


                 The intestines secrete mucus and water for mixing and lubrication, and sodium bicarbonate to
                 neutralize acid for optimum enzyme function.



Glossary Terms   bile

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  63 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Liver, gallbladder and
                      areobjects.com/obj                            intestines
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0405.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      64 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 3: Digestive Physiology

Screen Title     3.5 Macronutrients

On Screen Text   Glucose is a simple sugar that is the body’s primary source of energy. Gluc/o and glyc/o are
                 combining forms that mean glucose, and the suffix –ose means sugar. Glycolysis is the
                 process of breaking down glucose to provide energy.


                 The nutrients absorbed from the small intestine are of four basic types: sugars, starches, fats,
                 and proteins. Much of this nutrition is in the form of large molecules called macronutrients that
                 the body cannot use, so they must be broken down into usable substances.


                 Lact/o is the combining form that means milk, and fruct/o means fruit. Knowing also that –ose
                 means sugar, it is easy to deduce that lactose means milk sugar, and fructose means fruit
                 sugar.


                 Macronutrients classed as carbohydrates include both sugars and starches. The combining
                 form that indicates starch is amyl/o. Starch is easily broken down and reduced to glucose
                 before being absorbed into the bloodstream. This digestion of starch is called amylolysis.


                 Fats and other fat-like substances are termed lipids, and the combining form for fat is lip/o . An
                 excess of fat in the blood is called hyperlipidemia, and the breakdown of fats is termed
                 lipolysis. The term lipoid means resembling fat.


                 Proteins are nutrient molecules containing nitrogen and are designated by the combining form
                 prote/o. The breakdown of protein is called proteolysis.



Glossary Terms   glucose, gluc/o, glyc/o, glycolysis, –ose, lact/o, lactose, fructose, amyl/o, amylolysis,
                 lipids, lip/o, hyperlipidemia, lipoid, proteins, prote/o, proteolysis




MMTO                                  65 of 259
Popup

                      Link in Onscreen
                      Text

                      Pop-Up Title

                      Pop-Up Content




External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      66 of 259
Screen Number        6.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 3: Digestive Physiology

Screen Title     3.6 Enzymes

On Screen Text   An enzyme is a protein molecule that promotes chemical reactions in other substances without
                 being destroyed or altered by those reactions.


                 Enzymes that break down macronutrients into usable sugars are produced in the pancreas and
                 are denoted by the suffix –ase. These include protease for digesting proteins and polypeptides,
                 lipase for digesting emulsified fats, nuclease for digesting nucleic acids, and amylase that
                 breaks down starches as illustrated in this diagram. Recall that amylase is also present in
                 saliva.


                 Enzymes have names that are similar to the substances they act upon, but they end in the suffix
                 –ase. Lactase, for example, acts upon lactose and fructase aids in the breakdown of fructose.



Glossary Terms   enzyme, –ase, protease, lipase, amylase, lactase, fructase

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 67 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Amylolysis
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0407.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      68 of 259
Screen Number           7.

Screen Type         Catch That

Module Title        Module 10: The Digestive System

Section Title       Section I: Anatomy And Physiology

Lesson Title        Lesson 3: Digestive Physiology

Screen Title        3.7 Catch That?

On Screen Text      Did you catch that? Note carefully the slight difference in spelling of between lactose and
                    lactase. In lactose, the suffix means ______________; in lactase, the suffix means
                    _______________.


                    Type your answers in the text box below, and then click Submit to check your answers.



Feedback Popup      Correct answer: sugar, enzyme
Content




On Screen Image

                             Source                 Description          Alternate Text




Engineering Notes




MMTO                                    69 of 259
Screen Number        8.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section I: Anatomy And Physiology

Lesson Title     Lesson 3: Digestive Physiology

Screen Title     3.8 Glycogenolysis and Gluconeogenesis

On Screen Text   In addition to producing bile, the liver stores excess glucose in the form of a starch called
                 glycogen. Glycogen is not found in plants; it is produced only in animals and humans. The
                 combining form that means glycogen is glycogen/o.


                 The liver converts glycogen back into glucose when the blood sugar level drops. This process
                 is called glycogenolysis. Analyze this term to identify that it means, literally, the breakdown of
                 glycogen.


                 The liver can perform both lipolysis and proteolysis, converting fats and proteins into glucose
                 when the body needs sugar. This process of creating glucose from other molecules is called
                 gluconeogenesis. The literal meaning of this term is new formation of glucose.


                 Besides all of these functions, the liver also manufactures blood proteins for clotting, releases
                 bilirubin, and detoxifies the blood.



Glossary Terms   glycogen, glycogen/o, glucose, glycogenolysis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  70 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Glycogenolysis,
                      areobjects.com/obj                            gluconeogenesis
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0406.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      71 of 259
Screen Number                9.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 3: Digestive Physiology

Screen Title            3.9 Activity: Write It, Find It Terms Related to Digestive Physiology

On Screen Text          Let's review the material we've covered in this lesson by completing the activities that follow.

{Insert Activities below this text}

                                               Write It, Find It

 Pickup Source      http://coursewareobjects.elsevier.com/objects/leonard6e_v1/mod10/10s01l0408.htm



Engineering Notes




MMTO                                         72 of 259
Screen Number                10.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 3: Digestive Physiology

Screen Title            3.10 Activity: Word Shop Terms Related to Digestive Physiology

On Screen Text

{Insert Activities below this text}

                   Word Shop - {fill out the engine template below}

 Instructions       Combine the specified number of word parts to create a term
                    that correctly completes each statement.

 Question 1         Definition        breakdown of glycogen (2)

                    Answer            glycogenolysis

                    Wordpart 1        glycogen/o        Wordpart 3

                    Wordpart 2        -lysis            Wordpart 4

 Question 2         Definition        a simple sugar the body uses for energy (2)

                    Answer            glucose

                    Wordpart 1        gluc/o            Wordpart 3

                    Wordpart 2        -ose              Wordpart 4

 Question 3         Definition        breakdown of simple sugar to provide energy

                    Answer            glycolysis

                    Wordpart 1        glyc/o            Wordpart 3

                    Wordpart 2        -lysis            Wordpart 4

 Question 4         Definition        a sugar found in fruits (2)

                    Answer            fructose

                    Wordpart 1        fruct/o           Wordpart 3



MMTO                                            73 of 259
Screen Number              10.

                    Wordpart 2   -ose              Wordpart 4

 Question 5         Definition   enzyme that breaks down milk sugar (2)

                    Answer       lactase

                    Wordpart 1   lact/o            Wordpart 3

                    Wordpart 2   -ase              Wordpart 4

 Question 6         Definition   resembling fat (2)

                    Answer       lipoid

                    Wordpart 1   lip/o             Wordpart 3

                    Wordpart 2   -oid              Wordpart 4

 Question 7         Definition   enzyme that breaks down starches (2)

                    Answer       amylase

                    Wordpart 1   amyl/o            Wordpart 3

                    Wordpart 2   -ase              Wordpart 4

 Distracters        -genesis



 Engineering
 Notes



Engineering Notes




MMTO                                       74 of 259
Screen Number                11.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section I: Anatomy And Physiology

Lesson Title            Lesson 3: Digestive Physiology

Screen Title            3.11 Activity: Short Answer: Terms Related to Digestive Physiology

On Screen Text

{Insert Activities below this text}

                Short Answer (Framed) - {fill out the engine template below}

 Instructions

 Question 1         What is the term that means to take in     Media Link
                    food?


 Correct            ingestion
 Answer

 Question 2         What is the medical term for the act of    Media Link
                    chewing?



 Correct            mastication
 Answer

 Question 3         What is the medical term for the act of    Media Link
                    swallowing?


 Correct            deglutition
 Answer

 Question 4         What is the name of the process by which   Media Link
                    the liver makes glucose from proteins or
                    fats?



 Correct            gluconeogenesis
 Answer

 Question 5         What is the substance produced by the      Media Link



MMTO                                        75 of 259
Screen Number               11.
                    liver that functions to emulsify lipids?

 Correct            bile
 Answer

 Question 6         From what source does the body obtain        Media Link
                    fructose?


 Correct            fruit
 Answer

 Question 7         What is the term for the enzyme that         Media Link
                    breaks down milk sugar?


 Correct            Lactase
 Answer

 Question 8         What is the term for the simple sugar that   Media Link
                    the body uses primarily for energy?


 Correct            glucose
 Answer

 Question 9         What is the name of the process by which     Media Link
                    the liver turns glycogen into glucose?


 Correct            glycogenolysis
 Answer

 Question 10        What is the term for the breakdown of        Media Link
                    emulsified fats?


 Correct            lipolysis
 Answer

 Engineering
 Notes



Engineering Notes




MMTO                                          76 of 259
Objective
            {Insert Objective Quiz questions here}
Quiz:


            Objective:
Objective
            Objective Summary:
Overview:
            Keywords:




MMTO                                     77 of 259
       Asset Summary:


       Images
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0301.jpg
                                                                         12
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0302.jpg
                                                                         14
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0303.jpg
                                                                         16
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0304.jpg
                                                                         18
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0306.jpg
                                                                         20
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0307.jpg
                                                                         23
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0308.jpg
                                                                         25
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0309.jpg
                                                                         27
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0310.jpg
                                                                         29
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0312.jpg
                                                                         36
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0313.jpg
                                                                         38
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0314.jpg
                                                                         40
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0315.jpg
                                                                         42
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0316.gif
                                                                         44
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0317.gif
                                                                         46
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0319.jpg
                                                                         48
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0320.jpg
                                                                         50
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0402.gif
                                                                         58
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0403.jpg
                                                                         60
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0404.jpg
                                                                         62
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0405.jpg
MMTO                              78 of 259
                                                                         64
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0407.jpg
                                                                         68
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0406.jpg
                                                                         71
MMTO   79 of 259
Objective:




Screen Number             1.

Screen Type         Section Objectives

Module Title        Module 10: The Digestive System

Section Title       Section II: Digestive System Pathologies

Lesson Title

Screen Title        Section II Objectives

On Screen Text      In this section you will learn to:
                    •          Match the pathologic conditions of the digestive system with their descriptions.
                    •          Write the meanings of the word parts associated with conditions of the digestive system
                               and use them to build and analyze terms.



On Screen Image

                               Source                    Description         Alternate Text

                        http://www.coursew                               Student at computer
                        areobjects.com/obj
                        ects/leonard6e_v1/
                        mod10/images/10s0
                        1l0201.jpg



Engineering Notes




MMTO                                       80 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.1 Dental Disease

On Screen Text   The most common pathologic condition of the mouth is dental caries, or tooth decay. Debris in
                 the mouth combines with saliva and bacteria to form plaque, a film on the teeth that can soften
                 tooth enamel and create a pit of decay called a cavity.


                 Recall from the previous section that the combining form gingiv/o means gums. Thus,
                 gingivalgia means painful gums, and gingivitis means inflammation of the gums.
                 When gingivitis is unchecked and involves the periodontium, the condition is called
                 periodontitis. Another term for this condition is pyorrhea, literally meaning discharge of pus.


                 Recall that gloss/o means tongue. Thus, glossitis is inflammation of the tongue, and
                 gingivoglossitis refers to inflammation of both the tongue and the gums.



Glossary Terms   dental caries, plaque, gingiv/o, gingivalgia, gingivitis, periodontitis, pyorrhea, gloss/o,
                 glossitis, gingivoglossitis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  81 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Plaque, dental caries
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0101.gif

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      82 of 259
Screen Number        2.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.2 Mouth Sores

On Screen Text   Two common conditions involve inflammation of the mouth. These two mouth sores are
                 frequently confused, but their etiologies and appearances differ. The canker sore (top
                 illustration), known as aphthous stomatitis, is idiopathic. Canker sores are small, painful lesions
                 within the mouth. It would be correct to say that canker sores cause stomatodynia, pain in the
                 mouth.


                 The cold sore, or fever blister (bottom illustration), is an inflammation caused by infection with
                 the herpes simplex virus (HSV); thus, its name herpetic stomatitis.


                 Stomat/o, like or/o, means mouth. Stomatomycosis is a fungal condition of the mouth. The
                 combining form myc/o means fungus.


                 An inflammation of the lip (cheil/o) is called cheilitis. Cheilosis involves splitting of the lips due
                 to a riboflavin deficiency in the diet.



Glossary Terms   canker sore, stomatodynia, herpetic stomatitis, stomat/o, or/o, stomatomycosis, myc/o,
                 cheil/o, cheilitis, cheilosis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  83 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Aphthous stomatitis,
                      areobjects.com/obj                            herpetic stomatitis
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0102.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      84 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.3 Cleft Palate

On Screen Text   Cleft palate is a congenital condition in which the two sides of the palate fail to fuse during fetal
                 development. It is sometimes accompanied by cleft lip, a split in the upper lip. Both of these
                 conditions make it difficult to talk and to swallow, and they are usually corrected surgically soon
                 after birth.




Glossary Terms   cleft palate, cleft lip

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                   85 of 259
On Screen Image

                             Source                 Description       Alternate Text

                      http://www.coursew                          Cleft palate
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0103.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    86 of 259
Screen Number        4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.4 Salivary Disorders

On Screen Text   Be reminded that sialaden/o is the combing form for salivary gland. Thus, sialadenitis means
                 inflammation of one or more salivary glands. You will recall from Module 7 that a sialolith is a
                 stone in a salivary gland or duct.


                 The combining form parot/o indicates the parotid gland or glands. Thus, the term parotitis
                 refers specifically to inflammation of the parotid salivary glands. Another name for infectious
                 parotitis is mumps. At one time this was a common childhood disease, but immunization against
                 mumps has greatly reduced the incidence of this disease.



Glossary Terms   sialaden/o, sialadenitis, sialolith, parotitis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  87 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      88 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.5 Oral Leukoplakia

On Screen Text   Less common, and distinguished from both canker sores and herpetic stomatitis, are white
                 patches or plaque on the oral mucosa. This precancerous condition is called oral leukoplakia.


                 The risk of this condition is much higher in men than in women and is greatest in long-term
                 smokers and users of smokeless tobacco.


                 Although this condition may become malignant, many people who have this condition do not
                 develop oral cancer.



Glossary Terms   leukoplakia

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 89 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Oral leukoplakia
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0105.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      90 of 259
Screen Number                  6.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section II: Digestive System Pathologies

Lesson Title            Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title            1.6 Activity: Memory Match: Pathologic Conditions of the Oral Cavity

On Screen Text

{Insert Activities below this text}

                     Memory Match - {fill out the engine template below}

 Instructions      Match the pathologic conditions of the oral cavity with the specific
                   structures that they affect.

 Activity Data                      Terms                                Clues

                   pyorrhea                             periodontium

                   gingivitis                           gums

                   sialolith                            salivary gland or duct

                   mumps                                parotid glands

                   cheilosis                            lips

                   caries                               teeth

 Engineering
 Notes




Engineering Notes




MMTO                                        91 of 259
Screen Number        7.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.7 Gastroenterology

On Screen Text   The study of the diseases that affect the alimentary tract is gastroenterology, as you may
                 recall from Module 2.


                 Remember that gastr/o means stomach, and enter/o means intestines, as does intestin/o.
                 Thus, gastric means pertaining to the stomach, and both enteral and intestinal mean
                 pertaining to the intestines.



Glossary Terms   gastroenterology, gastr/o, stomach, enter/o, gastric, enteral, intestinal

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 92 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Graphic list of
                      areobjects.com/obj                            gastroenterology
                      ects/leonard6e_v1/                            word parts
                      mod10/images/10s0
                      2l0106.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      93 of 259
Screen Number        8.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.8 Swallowing Disorders

On Screen Text   Eating and swallowing are both represented by the suffix –phagia. For instance, an inability to
                 swallow is called aphagia; difficulty with eating or swallowing is called dysphagia; and
                 excessive eating, you’ve learned, is called polyphagia.




Glossary Terms   –phagia, aphagia, dysphagia, polyphagia

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  94 of 259
On Screen Image

                             Source                 Description      Alternate Text

                      http://www.coursew                          Eating/swallowing
                      areobjects.com/obj                          terms
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0107.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    95 of 259
Screen Number        9.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.9 Eating Disorders

On Screen Text   Anorexia, or lack of appetite, can result from several very different factors. An– means no or
                 without, and –orexia means appetite. Anorexia is another of those unusual terms composed of
                 a prefix and a suffix with no combining form.


                 In its simplest form, anorexia may be a natural response to intense emotion. If the individual is
                 very angry or very anxious, the body cannot simultaneously focus on both emotional responses
                 and digestion. Thus, eating may be delayed temporarily.


                 But anorexia can also be abnormal. It can signal the presence of a condition such as
                 malignancy or liver disease, or it may occur full blown and independent of other disease. In the
                 absence of other causative factors, anorexia is considered to be an eating disorder called
                 anorexia nervosa.


                 Bulimia is the term for a somewhat different eating disorder. This condition is characterized by
                 cycles of craving and bingeing, followed by purging through the use of laxatives or by vomiting.
                 Irritation or inflammation of the esophagus, a condition known as esophagitis, occurs with
                 excessive vomiting, or hyperemesis, as seen in bulimia. Recall that –emesis is a suffix that
                 means vomiting or vomit.



Glossary Terms   anorexia, an–, –orexia, anorexia nervosa, bulimia, esophagitis, hyperemesis, –emesis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  96 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                   Description      Alternate Text

                      http://www.coursew                            Anorexia nervosa
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0108.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      97 of 259
Screen Number           10.

Screen Type         Discussion Board

Module Title        Module 10: The Digestive System

Section Title       Section II: Digestive System Pathologies

Lesson Title        Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title        1.10 Discussion Board: Anorexia Nervosa

On Screen Text      Briefly research and discuss causes of anorexia nervosa.
                    Post and share information about specific cases, causes, and effective treatment strategies on
                    the discussion board titled ―Anorexia Nervosa.‖




On Screen Image

                              Source                Description          Alternate Text




Engineering Notes




MMTO                                    98 of 259
Screen Number        11.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.11 Obesity

On Screen Text   While lack of food intake can be a serious health problem, overeating can also have a negative
                 impact on health. Polyphagia and hyperalimentation are terms used to specify patterns of
                 overeating.


                 The term adipose refers to fatty tissue; the combining form adip/o means fat. Obesity is an
                 excess of body fat that can result in a significant impairment of health. Individuals whose weight
                 is 30% or more above their ideal weight are generally considered to be obese. Obesity
                 increases the risk of many health problems, including heart attack, stroke, hypertension and
                 diabetes.


                 When obesity is caused by excessive food intake, it is termed exogenous, meaning that the
                 cause originates outside the body. Endogenous obesity originates within the body, usually as a
                 result of endocrine disorders or uncontrolled diabetes.



Glossary Terms   polyphagia, hyperalimentation, adipose, adip/o, obesity, exogenous, endogenous

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  99 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      100 of 259
Screen Number        12.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.12 Malaise

On Screen Text   Although every disease is unique, some symptoms are encountered in numerous disorders of
                 the GI tract. We'll look at some of the most frequently encountered symptoms.


                 One common symptom of many problems of the digestive system is malaise. This term refers
                 to a vague, uneasy feeling of bodily fatigue and discomfort, often marking the onset of disease
                 and persisting throughout its course.



Glossary Terms   malaise

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 101 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      102 of 259
Screen Number        13.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.13 Nausea, Vomiting, Dyspepsia

On Screen Text   Other common symptoms of gastrointestinal disorders include nausea, emesis, and dyspepsia.
                 Nausea is often described as an unpleasant sensation in the throat or stomach. It results from
                 irritation of specific nerve endings in the stomach that sends a message to the vomiting reflex
                 center in the brain.


                 Nausea often, but not always, precedes vomiting, or emesis.
                 Nausea and vomiting may be symptoms of a disease, organ perforation or obstruction, or may
                 be a natural reaction to toxins in the stomach. Extraordinary stress can also produce these
                 symptoms. As mentioned previously, excessive vomiting is termed hyperemesis. When blood
                 is present in emesis, this is termed hematemesis.


                 Recall that the prefix dys– means bad or difficult; the suffix –pepsia means digestion. Thus,
                 dyspepsia is used to refer to any form of bad or difficult digestion. Normal digestion is called
                 eupepsia (eu– means normal or good).


                 Dyspepsia may be accompanied by eructation, also called belching, and hiccups, involuntary
                 spasmodic contractions of the diaphragm.



Glossary Terms   emesis, nausea, hyperemesis, hematemesis, dys–, –pepsia, dyspepsia, eupepsia, eu-,
                 eructation, hiccups

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 103 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Vomiting reflex
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0112.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      104 of 259
Screen Number        14.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.14 Pathology of the Esophagus

On Screen Text   Now, let's look at specific disorders of the gastrointestinal tract, starting with the esophagus.


                 You will quickly appreciate that esophagitis (esophag/o plus –itis) is the term for inflammation
                 of the esophagus. This condition is often caused by irritation from the backflow of stomach
                 contents, which are highly acidic, into the lower esophagus. When the cardiac sphincter fails to
                 prevent this backflow, the condition is called gastroesophageal reflux disease (GERD).


                 Esophageal atresia is a congenital defect in which the esophagus is not open to the passage
                 of food. The term atresia has both Greek and Latin roots and means without perforation. The
                 esophagus may end in a blind pouch or be extremely narrowed. This condition is correctible
                 surgically.


                 Achalasia is a relatively rare disorder of the esophagus characterized by failure of the cardiac
                 sphincter to relax so that food can pass into the stomach, and by the loss of peristalsis. These
                 two conditions result in dilation of the esophagus. Achalasia causes difficulty in swallowing both
                 solids and liquids, and frequent regurgitation of food. Symptoms may also include heartburn and
                 cough. It can occur at any age, but is more common in middle-aged and older adults.


                 Esophageal varices (sing., varix) are unevenly dilated veins at the distal end of the esophagus.
                 They occur as a result of hypertension in the portal circulation, the venous system that routes
                 blood from the digestive tract through the liver for filtration before it enters the systemic
                 circulation. Esophageal varices are a very serious condition, both because of their underlying
                 cause and because they are particularly subject to hemorrhage.



Glossary Terms   esophagitis, esophag/o, –itis, gastroesophageal reflux disease (GERD), esophageal
                 atresia, achalasia, esophageal varices




MMTO                                  105 of 259
Popup

                      Link in Onscreen
                      Text

                      Pop-Up Title

                      Pop-Up Content




External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Esophageal varices
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0121.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      106 of 259
Screen Number        15.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.15 Gastric Disorders

On Screen Text   By now you are familiar with the combining form that means stomach, gastr/o, and with many
                 of the suffixes that indicate abnormal conditions.


                 For example, gastropathy is the general term for any abnormal condition affecting the
                 stomach, and gastritis means inflammation of the stomach. Gastroenteritis is the term for
                 inflammation affecting both the stomach and the intestines.


                 Gastromegaly is an abnormal enlargement of the stomach. This term is sometimes also used
                 to refer to abdominal enlargement. Gastromalacia is the term for a morbid softening of the
                 stomach. The term for cancer of the stomach is gastric carcinoma.


                 A very common condition affecting the stomach is called hiatal hernia. This is the term for
                 protrusion of the stomach through the esophageal hiatus of the diaphragm and into the chest
                 cavity. This is due to a widening of the diaphragmatic opening. Often a portion of the stomach
                 moves back and forth through this opening depending on the position of the body and on
                 whether the stomach is distended with food. Many people are unaware that they have this
                 condition because often there are no symptoms, but GERD is a relatively common complaint.



Glossary Terms   gastr/o, gastropathy, gastritis, gastroenteritis, gastromegaly, gastromalacia, gastric
                 carcinoma, hiatal hernia

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 107 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Hiatal hernia
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0122.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      108 of 259
Screen Number        16.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.16 Ulcers

On Screen Text   Perhaps one of the most familiar terms for disorders of the GI tract is the ulcer, an open wound
                 or sore. An ulcer in the wall of the esophagus, stomach, or duodenum is called a peptic ulcer
                 (PU).


                 Although most people would suspect that the stomach is the most common site of ulcer
                 development, it is actually in the duodenum where these lesions are most likely to occur.



Glossary Terms   ulcer, peptic ulcer (PU)

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 109 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Stomach ulcer,
                      areobjects.com/obj                             duodenum ulcer
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0124.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      110 of 259
Screen Number        17.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.17 Untreated Ulcers

On Screen Text   Ulcerous tissues, if left untreated, will continue to erode the stomach or intestinal wall. Most
                 ulcers are caused by bacterial infections involving H. pylori, but overproduction of hydrochloric
                 acid in the stomach can cause or contribute to ulcer formation as well.


                 Although ulcers rarely lead to perforation and life-threatening hemorrhage, untreated ulcers can
                 eventually cause anemia from persistent bleeding, even though it may be slight.



Glossary Terms

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 111 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Untreated ulcers
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0125.gif

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      112 of 259
Screen Number        18.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title     1.18 Pyloric Stenosis

On Screen Text   Pyloric stenosis, also known as infantile hypertrophic pyloric stenosis (IHPS), is the most
                 common cause of intestinal obstruction in infancy. It occurs because of excessive growth
                 (hypertrophy and hyperplasia) of the muscular layers of the pylorus. Infants with this condition
                 become undernourished because milk cannot pass to the small intestine for absorption.
                 Forceful vomiting may occur.


                 In adults this condition may develop as a result of ulceration or scarring caused by ulceration,
                 which can cause narrowing or constriction at the pylorus that prevents food from passing
                 normally into the duodenum.



Glossary Terms   pyloric stenosis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 113 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      114 of 259
Screen Number                 19.

Screen Type               Activity

Module Title              Module 10: The Digestive System

Section Title             Section II: Digestive System Pathologies

Lesson Title              Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title              1.19 Activity: Choices: Disorders of the Upper Gastrointestinal Tract

On Screen Text            Let's review the material we've covered in this lesson by completing the activities that follow.

{Insert Activities below this text}

                Multiple Choice (Framed) - {fill out the engine template below}

 Instructions

 Question 1         The term hyperalimentation means:

 Answer                        Answer Choices                        Specific Feedback
 Choices and
                          (Bold the correct response)
 Specific
 Feedback
                    lack of appetite

                    malabsorption

                    overeating

                    inflammation




 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 2         The term adipose refers to:

 Answer                        Answer Choices                        Specific Feedback
 Choices and
                          (Bold the correct response)
 Specific
 Feedback
                    fat


MMTO                                          115 of 259
Screen Number             19.

                ulcers

                constriction

                perforation




 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 3     Achalasia is a rare pathology that affects the:

 Answer                    Answer Choices                         Specific Feedback
 Choices and
                    (Bold the correct response)
 Specific
 Feedback
                pharynx

                esophagus

                stomach

                duodenum




 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 4     H. pylori is a bacterium that causes:

 Answer                    Answer Choices                         Specific Feedback
 Choices and
                    (Bold the correct response)
 Specific
 Feedback
                eupepsia

                eructation

                atresia

MMTO                                    116 of 259
Screen Number               19.

                ulcers




 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 5     The condition in which one’s weight is 30% or more above their ideal
                weight is termed:

 Answer                      Answer Choices                 Specific Feedback
 Choices and
                    (Bold the correct response)
 Specific
 Feedback
                obesity

                malaise

                anorexia

                eupepsia




 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 6     An unpleasant sensation in the throat or stomach that may precede
                emesis is called:

 Answer                      Answer Choices                 Specific Feedback
 Choices and
                    (Bold the correct response)
 Specific
 Feedback
                polyphagia

                cheilitis

                nausea

                pyorrhea

MMTO                                    117 of 259
Screen Number            19.




 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 7     Glossitis means inflammation of the:

 Answer                   Answer Choices               Specific Feedback
 Choices and
                      (Bold the correct response)
 Specific
 Feedback
                lip

                tongue

                gums

                cheek




 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 8     Stomatomycosis is the condition of:

 Answer                   Answer Choices               Specific Feedback
 Choices and
                      (Bold the correct response)
 Specific
 Feedback
                stones in a salivary gland

                fungus of the mouth

                film on the teeth

                spasmodic contraction of the
                diaphragm




MMTO                                     118 of 259
Screen Number             19.



 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 9     The congenital condition of a split in the roof of the mouth is called:

 Answer                    Answer Choices                       Specific Feedback
 Choices and
                    (Bold the correct response)
 Specific
 Feedback
                bulimia

                leukoplakia

                pyloric stenosis

                cleft palate




 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 10    A common complication of bulimia is:

 Answer                    Answer Choices                       Specific Feedback
 Choices and
                    (Bold the correct response)
 Specific
 Feedback
                esophagitis

                hiatal hernia

                gingivalgia

                gastromalacia




 General

MMTO                                     119 of 259
Screen Number       19.
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Engineering
 Notes




Engineering Notes




MMTO                      120 of 259
Screen Number                20.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section II: Digestive System Pathologies

Lesson Title            Lesson 1: Disorders of the Upper Gastrointestinal Tract

Screen Title            1.20 Activity: Matching: Disorders of the Upper Gastrointestinal Tract

On Screen Text

{Insert Activities below this text}

                         Matching - {fill out the engine template below}

 Instructions

 Questions                 Terms                     Clues                 Media Link

                    eructation            belching

                    hyperemesis           excessive vomiting

                    polyphagia            excessive eating

                    dysphagia             difficult swallowing

                    herpetic stomatitis   fever blister

                    hiatal hernia         protrusion of the
                                          stomach through the
                                          diaphragm

                    dyspepsia             indigestion

                    malaise               a vague, uneasy feeling
                                          of bodily fatigue and
                                          discomfort

                    pyloric stenosis      constriction of the
                                          opening between the
                                          stomach and the
                                          duodenum

                    peptic ulcer          open wound or sore in
                                          the esophagus,
                                          stomach, or duodenum

 Distracters        canker sore           emesis


MMTO                                        121 of 259
Screen Number              20.

                    esophageal atresia

 Engineering
 Notes



Engineering Notes




MMTO                                     122 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.1 Gastrointestinal Bleeding

On Screen Text   Bleeding is a symptom that can occur with a number of different disorders of the gastrointestinal
                 tract; it can occur anywhere in the GI tract due to disease or injury.


                 The presence of bright red blood in the stool is indicative of a problem in the colon or rectum,
                 often from hemorrhoids, which are dilated, varicose rectal veins. The illustration shows both
                 internal and external rectal and anal hemorrhoids.


                 Melena, on the other hand, is the condition of black, tarry stools that usually means blood is
                 coming from the upper part of the GI tract: the esophagus, stomach, or duodenum. Bleeding
                 ulcers are often suspected when this condition is noted.


                 Another indication of bleeding in the upper portion of the gastrointestinal tract is vomiting of
                 blood. The term for this condition is hematemesis.



Glossary Terms   hemorrhoids, melena, hematemesis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  123 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Hemorrhoids
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0116.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      124 of 259
Screen Number        2.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.2 Malabsorption Syndrome

On Screen Text   Now consider malabsorption syndrome as an example of a group of symptoms often found
                 together in response to the small intestine's failure to absorb nutrients.


                 The prefix mal– means bad; thus, malabsorption suggests poor absorption of nutrients. As
                 nutrients are passed without absorption, the symptoms that occur include anorexia (depressed
                 appetite), abdominal bloating, cramps, anemia, and fatigue.


                 Related to malabsorption is steatorrhea, which is the improper absorption of fats. Steat/o is a
                 combining form that means related to fat or sebum. Thus, steatorrhea means discharge of fats,
                 which occurs with defecation when the fats are not properly absorbed.



Glossary Terms   malabsorption syndrome, mal–, anorexia, anemia, steat/o

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 125 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Graphic of
                      areobjects.com/obj                             malabsorption
                      ects/leonard6e_v1/                             syndrome
                      mod10/images/10s0
                      2l0115.gif

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      126 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.3 Constipation

On Screen Text   Constipation is a decreased motility of the colon; defecation becomes difficult because the
                 feces are dry and hard. For this reason, dyschezia, difficulty passing feces, is a common
                 symptom of constipation. Slow peristalsis or inadequate diet can cause constipation.




Glossary Terms   constipation

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  127 of 259
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Graphic of
                      areobjects.com/obj                           constipation
                      ects/leonard6e_v1/                           symptoms
                      mod10/images/10s0
                      2l0114.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    128 of 259
Screen Number        4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.4 Diarrhea

On Screen Text   In contrast to constipation, diarrhea is the frequent passage of loose, watery stools, usually
                 occurring in response to a toxin or infection, and sometimes accompanied by abdominal
                 cramping.




Glossary Terms   diarrhea

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  129 of 259
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Graphic of diarrhea
                      areobjects.com/obj                           symptoms
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0113.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    130 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.5 Threaded Case Study: Mrs. Kreider

On Screen Text   Remember Mrs. Kreider? As Dr. Maldonado questioned her further, she revealed that she has
                 frequent problems with flatulence (excessive intestinal gas) and occasional bouts of
                 constipation and diarrhea.


                 To add perspective to what Mrs. Kreider is experiencing, let’s explore some additional disorders
                 of the lower digestive tract.



Glossary Terms   flatulence

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 131 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Mrs. Kreider
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0301.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      132 of 259
Screen Number        6.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.6 Dysentery

On Screen Text   Dysentery is the term for several different diseases characterized by acute colitis
                 (inflammation of the colon) and diarrhea, usually with blood and mucus.


                 The most common types of dysentery are shigellosis, an infection caused by the Shigella genus
                 of bacteria; and amebic dysentery, infestation by an amoeba, Entamoeba histolytica. Both of
                 these types of dysentery are spread by fecal contamination of food and water and are most
                 common where sanitation is poor. They are primarily diseases of the tropics, but may occur in
                 any climate.


                 Similar types of infections are commonly called food poisoning. One common form is
                 salmonellosis, a foodborne illness caused by the bacterium Salmonella. Symptoms include
                 nausea, vomiting, abdominal cramps, diarrhea, fever, and headache.




Glossary Terms   Dysentery, colitis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  133 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Graphic of dysentery
                      areobjects.com/obj                             symptoms
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0126.gif

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      134 of 259
Screen Number        7.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.7 Irritable Bowel Syndrome

On Screen Text   Irritable bowel syndrome (IBS) is a functional disorder that is extremely common, affecting
                 more than 10% of the population to some degree. The symptoms are constipation and bloating,
                 alternating with episodes of diarrhea and cramping. The condition is often associated with
                 emotional stress.


                 Other terms for IBS include spastic colon, mucous colitis, spastic colitis, and irritable colon (IC).


                 While medication is sometimes used to control symptoms, the best treatment for this condition
                 is usually dietary modification and lifestyle change.




Glossary Terms   irritable bowel syndrome

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  135 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      136 of 259
Screen Number        8.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.8 Inflammatory Bowel Disease

On Screen Text   Inflammatory bowel disease (IBD) is chronic inflammation of the digestive tract that can be
                 painful and debilitating.


                 Ulcerative colitis is one of the two most common types of IBD. It is an autoimmune disease of
                 the large intestine that may produce bleeding ulcers within the colon. It is an idiopathic, chronic,
                 and recurrent disease.



Glossary Terms   inflammatory bowel disease, ulcerative colitis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  137 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description       Alternate Text

                      http://www.coursew                             Ulcerative colitis
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0128.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      138 of 259
Screen Number        9.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title
                 2.9 Crohn Disease
On Screen Text   The other common type of inflammatory bowel disease is also an autoimmune disorder of the
                 gastrointestinal tract and is called Crohn disease. Crohn disease is very similar to ulcerative
                 colitis — so similar, in fact, that they're often mistaken for one another. Both inflame the lining of
                 the digestive tract, and both can cause severe bouts of watery diarrhea and abdominal pain. But
                 Crohn disease can occur anywhere in the digestive tract, often spreading deep into the layers of
                 affected tissues. Ulcerative colitis, on the other hand, usually affects only the innermost mucosal
                 lining of the colon and the rectum.


                 Crohn disease usually develops into chronic intestinal inflammation and most commonly occurs
                 in the terminal ileum and colon. The disease is characterized by weight loss, symptoms
                 resembling irritable bowel syndrome (IBS), and lower abdominal pain.


                 With Crohn disease, inflammation leads eventually to fissures, or grooves, in the mucosa.
                 Ulcerations begin in the intestinal mucosa and spread deep into the intestinal wall. Fistulae
                 sometimes form as well. Fistulae are abnormal passages, either between two internal organs or
                 leading from an organ to the surface of the body. You can see here, as you compare the normal
                 bowel wall at the top with Crohn disease below, how the multiple ulcers have formed a rough
                 "cobblestone" texture.



Glossary Terms   Crohn disease, fissures, fistulae

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  139 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Normal bowel v.
                      areobjects.com/obj                             Crohn’s disease
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0129.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      140 of 259
Screen Number           10.

Screen Type         Catch That

Module Title        Module 10: The Digestive System

Section Title       Section II: Digestive System Pathologies

Lesson Title        Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title        3.10: Activity: Catch That?

On Screen Text      Did you catch that? Irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) are
                    easily confused. Crohn disease and ulcerative colitis are both very serious conditions that are
                    defined as _____________________________. A more common and less serious condition
                    that is characterized by alternating episodes of constipation and diarrhea is defined as
                    ____________________.


                    Type your answers in the text box below, and then click Submit to check your answers.



Feedback Popup      Correct answers: inflammatory bowel disease, irritable bowel syndrome
Content
                    Inflammatory bowel disease (IBD) is chronic inflammation of the digestive tract that can be
                    painful and debilitating.
                    Irritable bowel syndrome (IBS) is a functional disorder that is extremely common, affecting
                    more than 10% of the population to some degree. The symptoms are constipation and bloating,
                    alternating with episodes of diarrhea and cramping. The condition is often associated with
                    emotional stress.
                       Want a quick review to reinforce this? Click on the following link to review screen x.xx. Or if you
                       prefer, you can come back to it later.
                       Click here to proceed.




On Screen Image

                              Source                   Description             Alternate Text




Engineering Notes




MMTO                                      141 of 259
Screen Number          11.

Screen Type         Discussion Board

Module Title        Module 10: The Digestive System

Section Title       Section II: Digestive System Pathologies

Lesson Title        Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title        2.11 Discussion Board: Inflammatory Bowel Disease

On Screen Text      Discussion
                    Team up with three classmates to discuss reasons for the development of inflammatory bowel
                    disease (IBD).
                    On the discussion board titled ―Inflammatory Bowel Disease,‖ post your conclusions or share
                    information on how treatment options for this condition may vary.




On Screen Image

                             Source                 Description        Alternate Text




Engineering Notes




MMTO                                   142 of 259
Screen Number        12.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.12 Diverticulosis

On Screen Text   A diverticulum is a saclike pouching in a wall of the gastrointestinal tract. It is actually a
                 herniation through the muscle layer of the intestinal wall. These abnormal pockets occur most
                 often in the colon. The plural form of diverticulum is diverticula, and the combining form is
                 diverticul/o.


                 The condition of having diverticula is called diverticulosis. This condition is quite common after
                 the age of 50; it occurs most frequently in the sigmoid colon and is usually not symptomatic,
                 although flatulence, mild cramps, bloating, constipation, and diarrhea can occur.


                 The term diverticulitis contains the suffix –itis, indicating inflammation. In this more serious
                 condition, the diverticula are accompanied by inflammation, causing pain and tenderness.


                 Complications of diverticulitis may include bleeding, infections, perforations or tears, or
                 blockages. When infection is present, fever, nausea, vomiting, chills, cramping, and constipation
                 may occur. The severity of symptoms depends on the extent of the infection and complications.
                 Dietitians advise patients to eat a variety of high-fiber foods to decrease the likelihood of
                 developing diverticulosis.



Glossary Terms   diverticulum, diverticulosis, diverticulitis, –itis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                   143 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description       Alternate Text

                      http://www.coursew                             Diverticulosis
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0131.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      144 of 259
Screen Number        13.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.13 Intestinal Obstruction

On Screen Text   Intestinal obstruction is the term for a serious condition that blocks the alimentary canal,
                 preventing food from passing. Obstruction may be partial or complete. There are many possible
                 causes.


                 An obstructing condition that occurs in infants, but not in adults, is called intussusception,
                 telescoping of the intestine within itself. This leads to swelling, inflammation, and decreased
                 blood flow to the intestine involved.


                 Volvulus is a twisting of the bowel that causes obstruction. This condition occurs in infants and
                 in adults.


                 Abdominal surgery, injury, or inflammation can heal with bands of scar tissue that bind intestinal
                 surfaces together, preventing normal movement. These abnormal connections, most often
                 affecting the small intestine, are called adhesions and are sometimes responsible for bowel
                 obstruction.


                 Tumors are the most common cause of obstruction that occurs in the colon. Surgery is usually
                 necessary to correct intestinal obstruction.

Glossary Terms   Intussusception, volvulus, adhesions

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 145 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Intussusception,
                      areobjects.com/obj                             volvulus
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0134.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      146 of 259
Screen Number        14.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title     2.14 Ascites, Peritonitis

On Screen Text   Ascites is an abnormal accumulation of serous fluid in the abdominal cavity (shown in the
                 illustration). Ascites is not a disease, but rather a symptom seen with other serious disease
                 processes. Liver disease and cancer of abdominal organs can cause this condition. Ascites may
                 be alleviated by abdominal paracentesis, which you will recall is the surgical puncture of a
                 body cavity for the withdrawal of fluid.


                 Peritonitis is the term for inflammation of the peritoneum, the membrane that lines the
                 abdominal cavity. Peritonitis occurs as a result of a rupture or perforation of the digestive tract.
                 Perforated ulcer, ruptured appendix, perforated diverticulum, or traumatic perforation permits
                 bacteria from the digestive tract to enter the peritoneal cavity, which is usually a sterile
                 environment. Peritonitis is a life-threatening condition, and is treated aggressively with
                 antibiotics.

Glossary Terms   ascites, paracentesis, peritonitis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  147 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Ascites
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0133.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      148 of 259
Screen Number                15.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section II: Digestive System Pathologies

Lesson Title            Lesson 2: Disorders of the Lower Gastrointestinal Tract

Screen Title            2.15 Activity: Fill-In: Terms Related to Disorders of the Lower Gastrointestinal Tract

On Screen Text          Let's review the material we've covered in this lesson by completing the activity that follows.

{Insert Activities below this text}

                  Fill-In (Drag & Drop) - {fill out the engine template below}

 Instructions



                  Bold correct answer(s) in each question           Media Link

 Question 1       Dilated rectal veins are called hemorrhoids.

 Question 2       Fissures and fistulae are characteristic of
                  Crohn disease.

 Question 3       Dyschezia is characteristic of constipation.

 Question 4       Colitis and diarrhea are characteristic of
                  dysentery.

 Question 5       Adhesions are a possible cause of bowel
                  obstruction.

 Question 6       Telescoping of the intestine within itself is
                  termed intussusception.

 Question 7       The condition of black, tarry stools that
                  usually means blood is coming from the
                  upper part of the GI tract is called melena.

 Question 8       The term for an abnormal collection of serous
                  fluid in the abdominal cavity is ascites.

 Question 9       The condition of having saclike pouching in a
                  wall of the gastrointestinal tract is called
                  diverticulosis.

 Question 10      There are two common types of inflammatory
                  bowel disease: one is Crohn disease and the

MMTO                                          149 of 259
Screen Number              15.
                other is ulcerative colitis.

 Distracters    volvulus                  malabsorption
                                          syndrome

                irritable bowel           hematemesis
                syndrome

 Engineering
 Notes



Engineering Notes




MMTO                                       150 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.1 Jaundice

On Screen Text   Perhaps the two most notable diseases affecting the liver (hepat/o) are hepatitis and cirrhosis.


                 Hepatitis is inflammation of the liver caused by a viral infection that manifests itself through
                 anorexia, malaise, abdominal discomfort, pale feces, and dark urine. Victims may also suffer
                 joint pain. Severe cases cause nausea and jaundice, the yellow tint of body tissues, particularly
                 the skin, mucosa, and sclera, that results when bilirubin (bile pigment) accumulates in the blood.


                 Jaundice is best recognized on the sclera, the tough, white outer covering of the eye. The
                 sclera is normally white in all ethnic groups, but in those persons with jaundice, it becomes
                 yellow. On further examination, the patient may have an enlarged liver or elevated liver
                 enzymes, which would indicate liver damage

Glossary Terms   hepat/o, hepatitis, jaundice, sclera

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 151 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Jaundice
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0201.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      152 of 259
Screen Number        2.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.2 Hepatitis A

On Screen Text   There are five common types of hepatitis, classified A through E. Hepatitis A is the most
                 common and results from a specific hepatitis A virus (HAV); it is transmitted by means of
                 contaminated food or water.


                 Hepatitis A is an acute, self-limiting disorder, and can become life threatening.


                 The hepatitis E virus (HEV) is also transmitted via food and water that is contaminated with the
                 feces of infected persons. It is not common in the United States.



Glossary Terms

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 153 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Hepatitis A
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0202.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      154 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.3 Hepatitis B

On Screen Text   Hepatitis B is caused by a bloodborne virus (HBV), and is almost always more severe than
                 hepatitis A. It is sometimes referred to as serum hepatitis because it can be acquired
                 parenterally through blood and body fluids.


                 Fortunately, a vaccine is available to provide immunity to those who are occupationally exposed
                 to potentially infectious blood or body fluids, and also to patients who are at risk because they
                 suffer from conditions that may be treated with blood transfusions. The most recent technology
                 for testing donated blood and the vaccination of those at risk has resulted in a significant
                 decrease in HBV transmission through blood transfusion. It is now very rare.


                 The hepatitis D virus (HDV) is also bloodborne. It appears only as a co-infection with hepatitis
                 B.



Glossary Terms

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 155 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      156 of 259
Screen Number        4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.4 Hepatitis C

On Screen Text   The hepatitis C virus (HCV) also is bloodborne and is contracted primarily through blood or
                 blood products. It can also be acquired through sexual contact and, very rarely, through mother-
                 infant transmission.


                 Even though hepatitis C is slightly more likely than hepatitis B to lead to chronic liver conditions
                 such as hepatic fibrosis and cirrhosis, these cases are not common, occurring only about 10%
                 of the time.



Glossary Terms

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  157 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Hepatitis C
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0204.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      158 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.5 Cirrhosis of the Liver

On Screen Text   Cirrhosis is a degeneration of liver tissue. The severity of this disease is better understood
                 when you realize that the liver is an organ known for its regenerative capabilities.


                 Cirrhosis occurs when toxicity levels are so high that regeneration cannot keep up and
                 damaged portions are replaced with scar tissue, as shown in this photograph. These dangerous
                 levels of toxicity can be caused by malnutrition, chronic alcohol abuse, or by an infection such
                 as hepatitis.



Glossary Terms   cirrhosis, malnutrition

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 159 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description       Alternate Text

                      http://www.coursew                             Cirrhosis of the liver
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0205.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      160 of 259
Screen Number        6.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.6 Hepatoma

On Screen Text   You should become familiar with the names of a few additional conditions affecting the liver.


                 Hepatoma (seen in illustration) is a specific type of primary liver carcinoma.


                 Hepatomegaly is the term for enlargement of the liver, and hepatosplenomegaly is
                 enlargement of both the liver and the spleen.



Glossary Terms   hepatoma, hepatomegaly, hepatosplenomegaly

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 161 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description     Alternate Text

                      http://www.coursew                             Hepatoma
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0206.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      162 of 259
Screen Number                7.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section II: Digestive System Pathologies

Lesson Title            Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title            3.7 Activity: Fill-In: Liver Pathology

On Screen Text

{Insert Activities below this text}

                  Fill-In (Drag & Drop) - {fill out the engine template below}

 Instructions     Click and drag the terms that correctly complete these statements about
                  liver disease.

                  Bold correct answer(s) in each question            Media Link

 Question 1       The term that means liver enlargement is
                  hepatomegaly.

 Question 2       Degeneration of liver tissue caused by
                  infection, malnutrition, or alcohol abuse is
                  called cirrhosis.

 Question 3       The most common type of hepatitis is caused
                  by the food- and water-borne virus; its
                  abbreviation is HAV.

 Question 4       A hepatoma is a malignant tumor of the liver.

 Question 5       A yellow discoloration of the skin, mucosa,
                  and sclera that can accompany liver
                  disorders is called jaundice.

 Question 6       Health care workers that are exposed to
                  blood and blood products should be
                  vaccinated for the bloodborne pathogen
                  abbreviated HBV.

 Question 7       When bilirubin in the blood causes body
                  tissues, particularly the skin, mucosa, and
                  sclera, to take on a yellow tint, this condition
                  is called jaundice.

 Question 8



MMTO                                          163 of 259
Screen Number         7.

 Question 9

 Question 10

 Distracters    HCV        malaise



 Engineering
 Notes



Engineering Notes




MMTO                       164 of 259
Screen Number        8.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.8 Diabetes Mellitus

On Screen Text   You will recall from an earlier lesson in this module that one important function of the pancreas
                 is the production of insulin, an enzyme that is essential for glycolysis, the breakdown of
                 glucose so that it can be utilized by the body.


                 Diabetes mellitus is a disease characterized by the inability of the body to metabolize glucose,
                 usually as a result of inadequate insulin production by the pancreas. Without insulin, glucose
                 levels in the blood increase dangerously. Hyperglycemia is the term for this condition; it literally
                 means blood condition of excess sugar. Even though there is more than enough sugar in the
                 bloodstream, the body cannot use it properly.


                 Symptoms of diabetes include weight loss and excessive thirst. The combining form that means
                 thirst is dips/o; excessive thirst is termed polydipsia. A lack of thirst would be called adipsia.


                 Hypoglycemia is the condition of low blood sugar. When diabetic patients do not eat after they
                 have received insulin, they may develop hypoglycemia, characterized by the sudden onset of
                 weakness, sweating, quivering, and finally loss of consciousness. Some individuals who do not
                 have diabetes also experience hypoglycemia.



Glossary Terms   insulin, glycolysis, diabetes mellitus, hyperglycemia, dips/o, polydipsia, adipsia,
                 Hypoglycemia

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 165 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Pancreas releasing
                      areobjects.com/obj                             insulin
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0208.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      166 of 259
Screen Number        9.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.9 Pancreatitis

On Screen Text   We have seen how the pancreas, represented by the combining form pancreat/o, is
                 responsible for the endocrine disorder diabetes, but the pancreas may be involved in other
                 serious conditions, such as damage from digestive enzymes or alcohol. Stones from the biliary
                 system may create a blockage of the pancreatic duct, causing inflammation of the pancreas.


                 Acute pancreatitis is a severe condition of inflammation characterized by pain, massive
                 swelling, and bleeding. When the acute phase is past, this condition sometimes becomes
                 chronic.



Glossary Terms   pancreat/o, pancreatitis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 167 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Pancreatitis
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0209.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      168 of 259
Screen Number        10.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.10 Complications of Pancreatitis

On Screen Text   Pancreatitis can lead to several types of serious complications.


                 One complication is the formation of pancreatic pseudocysts, collections of fluid within the
                 pancreas, like those shown here. The fluid in the cyst is usually pancreatic juice that has leaked
                 out of a damaged pancreatic duct. While this condition often resolves without treatment, surgery
                 is required if it becomes severe.


                 Another complication of pancreatitis is pancreatolysis, destruction of pancreatic tissue by
                 pancreatic enzymes. Normally these enzymes are not activated until they reach the small
                 intestine, but when severe inflammation interferes with this process, the enzymes attack the
                 pancreatic tissue and it literally begins to digest itself.


                 Necrosis, or tissue death, can occur as a result of either the inflammatory process or
                 pancreatolysis. The necrotic tissue may be sterile or infected. If infected, the condition is more
                 severe and more apt to spread. Surgery may be required to clear away the necrotic tissue.



Glossary Terms   pancreatolysis, pancreatolysis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 169 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Pseudocysts in
                      areobjects.com/obj                             pancreatitis
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0210.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      170 of 259
Screen Number        11.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.11 Gallbladder Disorders

On Screen Text   The most common disorder affecting the gallbladder is cholelithiasis, commonly referred to as
                 gallstones. Another name for a gallstone is a cholelith. Attacks of severe pain, or biliary colic,
                 occur when a stone blocks a duct. Biliary colic is a severe abdominal pain caused by spasms
                 within the blocked biliary system.


                 We have noted that the combining form bil/i means bile. Similarly, the combining form chol/e
                 refers to bile or gall. The combining form cyst/o means a bladder or sac, so combining both
                 chol/e and cyst/o creates the combining form for gallbladder, which is cholecyst/o. Thus,
                 cholecystitis is an inflammation of the gallbladder, and cholangitis is inflammation of a bile
                 duct.



Glossary Terms   cholelithiasis, cholelith, biliary colic, bil/i, chol/e, cyst/o, cholecyst/o, cholecystitis,
                 cholangitis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 171 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Gallstones
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0211.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      172 of 259
Screen Number       12.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section II: Digestive System Pathologies

Lesson Title     Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title     3.12 Common Bile Duct Disorders

On Screen Text   The combining form choledoch/o refers to the common bile duct. An inflammation of the
                 common bile duct, then, is called choledochitis, and the presence of a calculus in the common
                 bile duct is termed choledocholithiasis.


                 Blockage or suppression of bile flow, as caused by a stone in this illustration, is termed
                 cholestasis. Cholestasis may have other causes, and may occur in the hepatic ducts as well.



Glossary Terms   choledoch/o, choledochitis, choledocholithiasis, cholestasis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 173 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Common bile duct
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0214.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      174 of 259
Screen Number                13.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section II: Digestive System Pathologies

Lesson Title            Lesson 3: Disorders of the Accessory Organs of Digestion

Screen Title            3.13 Activity: Fill-In: Terms Related to Disorders of the Accessory Organs of Digestion

On Screen Text          Let's review the material we've covered in this lesson by completing the activity that follows.

{Insert Activities below this text}

                  Fill-In (Drag & Drop) - {fill out the engine template below}

 Instructions     Click and drag the correct term to complete each statement.



                  Bold correct answer(s) in each question           Media Link

 Question 1       Diabetes mellitus is characterized by high
                  levels of blood sugar, termed
                  hyperglycemia, and polydipsia, the medical
                  term for excessive thirst.

 Question 2       The term for severe abdominal pain caused
                  by spasm of the gallbladder and/or bile ducts
                  is biliary colic.

 Question 3       Three complications of pancreatitis are the
                  formation of pseudocysts; the breakdown of
                  tissue, called pancreatolysis; and tissue
                  death, called necrosis.

 Question 4       The term for the presence of a calculus in the
                  common bile duct is choledocholithiasis.

 Question 5       The suppression of bile flow is termed
                  cholestasis.

 Question 6       The term for inflammation of one or more bile
                  ducts is cholangitis.

 Question 7       The medical term for a gallstone is cholelith.

 Question 8       The pancreatic enzyme that is essential to
                  the process of glycolysis is insulin.

 Question 9       When diabetic patients do not eat after they

MMTO                                        175 of 259
Screen Number             13.
                have received insulin, they may become
                weak, sweat, tremble, and finally lose
                consciousness. This condition is called
                hypoglycemia.

 Question 10    The term for inflammation of the gallbladder
                is cholecystitis.

 Distracters    choledochitis            adipsia

                cholelithiasis

 Engineering
 Notes



Engineering Notes




MMTO                                      176 of 259
{Insert Screens Here}




Objective
             {Insert Objective Quiz questions here}
Quiz:


             Objective:
Objective
             Objective Summary:
Overview:
             Keywords:




MMTO                                     177 of 259
       Asset Summary:


       Images
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0201.jpg
                                                                         80
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0101.gif
                                                                         82
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0102.jpg
                                                                         84
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0103.jpg
                                                                         86
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0105.jpg
                                                                         90
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0106.jpg
                                                                         93
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0107.jpg
                                                                         95
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0108.jpg
                                                                         97
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0112.jpg
                                                                         104
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0121.jpg
                                                                        106
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0122.jpg
                                                                         108
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0124.jpg
                                                                         110
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0125.gif
                                                                         112
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0116.jpg
                                                                         124
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0115.gif
                                                                         126
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0114.jpg
                                                                         128
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0113.jpg
                                                                         130
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0301.jpg
                                                                         132
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0126.gif
                                                                         134
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0128.jpg
                                                                         138
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0129.jpg
MMTO                              178 of 259
                                                                         140
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0131.jpg
                                                                        144
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0134.jpg
                                                                         146
MMTO   179 of 259
Objective:




Screen Number       1.

Screen Type      Section Objectives

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title

Screen Title     Section III Objectives

On Screen Text      In this section you will learn to:
                            Recall and define the word parts used to describe tests and procedures used to
                             diagnose pathologic conditions associated with the digestive system.
                            Analyze, define, and build terms related to tests and procedures used to diagnose
                             pathologic conditions of the digestive system.
                            Pronounce and spell terms related to tests and procedures used to diagnose
                             pathologic conditions of the digestive system.
                            Define terms related to the digestive system tests and procedures that cannot be
                             analyzed.
                            Recognize and define abbreviations used to describe tests and procedures used to
                             diagnose pathologic conditions of the digestive system.
                            Recall and define the word parts used to describe interventions and treatments for
                             pathologic conditions associated with the digestive system.
                            Analyze, define, and build terms related to interventions and treatments for
                             pathologic conditions of the digestive system.
                            Pronounce and spell terms related to interventions and treatments for pathologic
                             conditions of the digestive system.
                            Define terms related to interventions and treatments for the digestive system that
                             cannot be analyzed.
                            Recognize and define abbreviations used to describe interventions and treatments
                             for pathologic conditions of the digestive system.




MMTO                                  180 of 259
On Screen Image

                          Source                Description      Alternate Text

                    http://www.coursew                        Student at computer
                    areobjects.com/obj
                    ects/leonard6e_v1/
                    mod10/images/10s0
                    1l0201.jpg



Engineering Notes




MMTO                               181 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 1: Diagnostic Tests and Procedures

Screen Title     1.1 Laboratory Analyses

On Screen Text   A number of possible laboratory tests may aid in the diagnosis of gastrointestinal disorders. For
                 example, blood tests for hematocrit and hemoglobin levels may reveal anemia caused by
                 bleeding within the gastrointestinal tract.


                 Blood in fecal waste, termed hematochezia, may be present even though it is not visible. Blood
                 in feces can be detected by a laboratory test called the stool guaiac test, or fecal occult blood
                 test (FOBT).


                 Leukocytosis, revealed by the white blood count, is indicative of infectious conditions, and is a
                 signal symptom of appendicitis when accompanied by right lower quadrant pain.


                 Two types of laboratory blood tests that are used to assess liver function are aspartate amino
                 transferase (AST or SGOT) and alanine amino transferase (ALT or SGPT). These tests identify
                 enzymes normally present in the heart and the liver that are released into the blood whenever
                 the heart or the liver is damaged. The group of laboratory analyses called liver function tests
                 (LFT) includes these enzyme tests plus serum bilirubin and alkaline phosphatase.


                 Blood glucose levels are measured to aid in the management of diabetes.



Glossary Terms   anemia, hematochezia, stool guaiac, leukocytosis, appendicitis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 182 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://coursewareob                            Appendectomy
                      jects.elsevier.com/o
                      bjects/lafleur7e_v1/
                      mod11/images/11s0
                      3l0801.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      183 of 259
Screen Number        2.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 1: Diagnostic Tests and Procedures

Screen Title     1.2 Sialography

On Screen Text   Recall that a sialolith is a stone in a salivary gland or duct. Sialography (see illustration) is the
                 radiographic process of imaging the salivary glands and ducts with injection of a contrast agent
                 through a special cannula.




Glossary Terms   sialolith, sialography

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  184 of 259
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Sialogram
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0104.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    185 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 1: Diagnostic Tests and Procedures

Screen Title     1.3 Gastrointestinal Radiography

On Screen Text   The classic radiographic procedures for evaluation of the lining of the gastrointestinal tract are
                 fluoroscopic studies using a suspension of barium sulfate as a contrast medium and a
                 fluoroscope, a type of x-ray machine that permits the radiologist to view the x-ray image in real
                 time, demonstrating both structure and function. Moving pictures and still images can be
                 recorded during these procedures.


                 Esophagram and esophagogram are terms for the fluoroscopic evaluation of the esophagus.
                 This study is also sometimes called a barium swallow.


                 An upper gastrointestinal (GI) series, seen in this illustration, is a fluoroscopic examination of
                 the esophagus, stomach, and duodenum, during and following oral administration of a barium
                 meal. This study is commonly performed when peptic ulcer is suspected, but may reveal many
                 other pathologies of the upper GI tract as well. Hiatal hernia is also diagnosed by means of an
                 upper GI series.


                 A lower gastrointestinal (GI) series is an examination of the colon, during and after the rectal
                 administration of a barium suspension. This procedure is also referred to as a barium enema.



Glossary Terms   fluoroscope, esophagram, barium swallow, upper gastrointestinal (GI) series, hiatal
                 hernia, lower gastrointestinal (GI) series

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 186 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Upper GI series
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0119.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      187 of 259
Screen Number        4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 1: Diagnostic Tests and Procedures

Screen Title     1.4 Endoscopy

On Screen Text   Several previous modules have provided information about endoscopy, the general term for a
                 wide range of procedures that involve the use of a tubular fiberoptic device that allows the
                 physician to make a direct visual inspection of structures that are within the body and cannot
                 otherwise be directly examined.


                 There are many variations in the design of endoscopes to suit them for specific purposes, and
                 these individual designs have names that indicate their purpose. For example, a gastroscope
                 is an endoscope designed for examination of the stomach. This specific procedure is termed
                 gastroscopy.


                 Following this example, it is apparent that the combining form for an organ or body part,
                 followed by the suffix
                 –scope, provides the specific name of the instrument used to examine the body part, and –
                 scopy is used in the same way to name the specific examination procedure. Use this method to
                 create the terms for instruments and procedures to examine the following portions of the
                 gastrointestinal tract:
                           esophagus (esophag/o)
                           pylorus (pylor/o)
                           duodenum (duoden/o)
                           small intestine (enter/o)
                           colon (colon/o)
                           sigmoid colon (sigmoid/o)
                           anus and rectum (proct/o)



Glossary Terms   endoscopy, gastroscope, gastroscopy, –scope, –scopy




MMTO                                   188 of 259
Popup

                      Link in Onscreen
                      Text

                      Pop-Up Title

                      Pop-Up Content




External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Endoscopy
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0120.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      189 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 1: Diagnostic Tests and Procedures

Screen Title     1.5 Threaded Case Study: Mrs. Kreider

On Screen Text   Dr. Maldonado instructed Mrs. Kreider to have a complete blood count and a stool guaiac test
                 for fecal occult blood. He also scheduled her for sigmoidoscopy examination.


                 Later, after examining the results of her laboratory tests and sigmoidoscopy, Dr. Maldonado
                 reports that the FOBT was negative. No blood was found in her feces sample, but her white
                 blood count was somewhat elevated. The sigmoidoscopy revealed presence of a number of
                 small pouches in the colon wall. He explains that these are called diverticula.


                 "This condition," Dr. Maldonado tells her, "is called diverticulosis, and it is undoubtedly what's
                 been causing your symptoms!"



Glossary Terms   stool guaiac, diverticulosis

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 190 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Mrs. Kreider
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      1l0301.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      191 of 259
Screen Number        6.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 1: Diagnostic Tests and Procedures

Screen Title     1.6 Cholangiography

On Screen Text   A transhepatic cholangiogram is a radiographic procedure performed by placing a needle
                 through the liver and into the common bile duct so that a contrast medium can be injected. The
                 term transhepatic literally means through or across the liver, indicating the path of the needle in
                 this procedure. Cholangiography is the term for radiography of the bile ducts. Note the word
                 parts that are used to build this term:


                  chol/o (bile) + angi/o (vessel) + -graphy (process of recording or making an image) =
                 cholangiography


                 When the gallbladder is removed, a T-shaped tube may be placed temporarily in the stump of
                 the cystic duct to drain bile. This tube can also be used as a route for administration of a
                 contrast agent to examine the biliary ducts radiographically. The procedure may be done as part
                 of the surgical procedure, or afterwards if the tube is left in place. The examination is called a T-
                 tube cholangiogram.



Glossary Terms   transhepatic, cholangiography

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  192 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://coursewareob                            Cholangiogram
                      jects.elsevier.com/o
                      bjects/elr/Frank/Mer
                      rillsAtlas11e/IC/ima
                      ges/016029.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      193 of 259
Screen Number        7.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 1: Diagnostic Tests and Procedures

Screen Title     1.7 Pancreatography

On Screen Text   Radiographic imaging of the pancreas is called pancreatography and involves injection of the
                 pancreatic duct with a contrast medium for visualization on x-ray images. If this radiographic
                 study includes the bile ducts as well, it is called cholangiopancreatography.


                 The injections for these procedures are accomplished by placing a catheter into the pancreatic
                 duct and/or common bile duct via an endoscope that is threaded into the duodenum. This
                 procedure is called endoscopic retrograde cholangiopancreatography (ERCP).



Glossary Terms   pancreatography, cholangiopancreatography, endoscopic retrograde
                 cholangiopancreatography (ERCP)

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 194 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      195 of 259
Screen Number        8.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 1: Diagnostic Tests and Procedures

Screen Title     1.8 Gallbladder Imaging

On Screen Text   Radiographic imaging of the gallbladder is called cholecystography, and the image taken is
                 called a cholecystogram. For this procedure, the patient takes tablets containing an iodine
                 compound on the night before the examination and the gallbladder becomes opacified and
                 visible on x-ray images the following day.


                 Although cholecystography is occasionally performed today, it was once much more common. It
                 has now been largely replaced by abdominal sonography.



Glossary Terms   cholecystography, cholecystogram, sonography

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 196 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      197 of 259
Screen Number                9.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title            Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title            Lesson 1: Diagnostic Tests and Procedures
                        1.9 Activity: True or False: Tests and Procedures to Diagnose Pathologic Conditions of
Screen Title
                        the Digestive System
On Screen Text          Let's review the material we've covered in this lesson by completing the activity that follows.

{Insert Activities below this text}

                        True/False - {fill out the engine template below}

 Instructions

 Question 1         Anemia caused by a bleeding ulcer may be diagnosed by means of
                    laboratory tests.

 Answer                      Answer Choices                       Specific Feedback
 Choices and
                       (Bold the correct response)
 Specific
 Feedback
                    True

                    False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 2         Endoscopic examination of the rectum and anus is termed proctoscopy.

 Answer                      Answer Choices                       Specific Feedback
 Choices and
                       (Bold the correct response)
 Specific
 Feedback
                    True

                    False

 General
 Correct
 Feedback



MMTO                                        198 of 259
Screen Number           9.

 General
 Incorrect
 Feedback

 Question 3     A laboratory measurement of serum bilirubin is useful in the diagnosis
                of appendicitis.

 Answer                 Answer Choices                      Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 4     A barium swallow is an endoscopic examination of the esophagus.

 Answer                 Answer Choices                      Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 5     An ERCP study is a radiographic examination of the small intestine.

 Answer                 Answer Choices                      Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback



MMTO                                   199 of 259
Screen Number           9.

 General
 Incorrect
 Feedback

 Question 6     The gallbladder is principally examined by means of sonography.

 Answer                 Answer Choices                     Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 7     Barium enema is a common term for a lower gastrointestinal series.

 Answer                 Answer Choices                     Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 8     Peptic ulcers and hiatal hernias may be diagnosed by means of an
                upper GI series.

 Answer                 Answer Choices                     Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback



MMTO                                   200 of 259
Screen Number           9.

 General
 Incorrect
 Feedback

 Question 9     Transhepatic cholangiography is a radiographic examination of the liver.

 Answer                 Answer Choices                      Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 10    A cholecystogram is a radiographic examination of the gallbladder.

 Answer                 Answer Choices                      Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 11    Hematochezia may be diagnosed by means of a stool guaiac test.

                        Answer Choices                      Specific Feedback
                  (Bold the correct response)

                True

                False

 General
 Correct
 Feedback

 General
 Incorrect

MMTO                                   201 of 259
Screen Number           9.
 Feedback

 Question 12    A gastroscope is an instrument for visual examination of the sigmoid
                colon.

                        Answer Choices                        Specific Feedback
                  (Bold the correct response)

                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 13    Leukocytosis is characteristic of appendicitis.

                        Answer Choices                        Specific Feedback
                  (Bold the correct response)

                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 14    A stone in a parotid duct might be diagnosed by means of sialography.

                        Answer Choices                        Specific Feedback
                  (Bold the correct response)

                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback


MMTO                                    202 of 259
Screen Number               9.

 Question 15        Injection of a contrast agent via a T-tube is a method for studying the
                    common bile duct radiographically.

                            Answer Choices                       Specific Feedback
                      (Bold the correct response)

                    True

                    False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Engineering
 Notes




Engineering Notes




MMTO                                        203 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 2: Medical Treatments

Screen Title     2.1 Treatments for Gastric Disorders

On Screen Text   Many different types of medications are available to treat problems affecting the stomach.


                 For example, the treatment for nausea and vomiting is a drug of the class called antiemetics.


                 When ulcers are caused by H. pylori, they can often be treated successfully with antibiotics.


                 When overproduction of hydrochloric acid in the stomach causes or contributes to ulcer
                 formation, drugs to reduce the production of hydrochloric acid can be very helpful, especially
                 when the condition is identified at an early stage. In severe cases, a surgical procedure called
                 proximal gastric vagotomy is used to sever the branch of the vagus nerve that enervates the
                 part of the stomach that secretes acid.


                 Dyspepsia and GERD often respond well to treatment with antacid medications, many types of
                 which are available without prescription.


                 Hiatal hernia is also treated medically. Surgical correction is possible, but rarely necessary.




Glossary Terms   nausea, antiemetics, antibiotics, vagotomy, dyspepsia, GERD, antacid, hiatal hernia

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 204 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      205 of 259
Screen Number        2.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 2: Medical Treatments

Screen Title     2.2 Conservative Treatments for Obesity

On Screen Text   Conservative treatment for obesity includes both diet and exercise.


                 Drugs may also be prescribed to decrease appetite. These medications are variously referred to
                 as anorexiants, anoretics, or anorectics.



Glossary Terms   anorexiants

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  206 of 259
On Screen Image

                             Source                  Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    207 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 2: Medical Treatments

Screen Title     2.3 Enteral and Parenteral Nutrition

On Screen Text   When a patient cannot chew or swallow food, but can digest and absorb nutrients, enteral
                 nutrition provides nutrients, bypassing the mouth. A nasogastric tube (NG tube) that passes
                 through the nose, pharynx, esophagus, and into the stomach provides a route for supplying
                 liquids. This tube can also be attached to a suction machine to empty the stomach. When long-
                 term enteral nutrition is required, a feeding tube may be placed directly through the abdominal
                 wall into the stomach (gastrostomy), or into the small intestine (jejunostomy).


                 The term parenteral means pertaining to a route other than the alimentary canal, so parenteral
                 nutrition is that delivered intravenously. If long-term parenteral nutrition is required, an
                 indwelling catheter may be surgically placed for this purpose. Total parenteral nutrition (TPN)
                 refers to administration of all nutrition through an indwelling catheter. This method is also
                 referred to as intravenous alimentation or hyperalimentation. You will recall that the term
                 hyperalimentation is also used to refer to overeating or overfeeding.



Glossary Terms   enteral, nasogastric tube, gastrostomy, jejunostomy, parenteral, hyperalimentation

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 208 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      209 of 259
Screen Number        4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 2: Medical Treatments

Screen Title     2.4 Laxatives and Antidiarrheals

On Screen Text   Several types of medications are prescribed to cope with constipation. Stool softeners are very
                 mild medications used to prevent constipation. Laxatives cause evacuation of the bowel within
                 8 to 12 hours and are a relatively gentle treatment for constipation.


                 Strong medications that promote complete evacuation of the bowel are called cathartics or
                 purgatives. They are used in to prepare the lower intestine for surgery or diagnostic studies
                 such as barium enema or colonoscopy.


                 Because diarrhea causes dehydration and tends to upset the body’s electrolyte balance,
                 diarrhea is treated by the administration of liquids, particularly liquids designed to maintain a
                 proper balance of electrolytes.
                 Antidiarrheals are medications that work to control diarrhea; there are several types that work
                 in different ways. For example, some slow the passage of stools through the intestines, allowing
                 more time for water and salts in the stools to be absorbed back into the body. Others adsorb
                 diarrhea-causing substances and pull them from the digestive tract. Some decrease the
                 secretion of fluid into the intestine and inhibit the activity of bacteria. Still others act on the nerve
                 supply of the digestive tract, relieving both diarrhea and cramping.



Glossary Terms   laxatives, cathartics, colonoscopy, antidiarrheals

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                   210 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      211 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 2: Medical Treatments

Screen Title     2.5 Threaded Case Study: Treatment for Diverticulosis

On Screen Text   As Dr. Maldonado and Mrs. Kreider discuss her diverticulosis, Mrs. Kreider recalls that other
                 women in her family have been treated for diverticulitis, and wonders if she has this condition.


                 Dr. Maldonado says, "Well, at this point, we only know for sure that it's diverticulosis, but your
                 elevated white blood count suggests the possibility of early diverticulitis. Prompt treatment and
                 proper diet are essential to prevent complications.‖


                 Mrs. Kreider's therapy includes initial treatment with laxatives, gradually decreased as her
                 symptoms improve, and increasing bran and fiber in her diet as she needs fewer doses of
                 laxative.



Glossary Terms

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 212 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Treatment for
                      areobjects.com/obj                             diverticulosis
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0132.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      213 of 259
Screen Number        6.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 2: Medical Treatments

Screen Title     2.6 Treatment for Diabetes Mellitus

On Screen Text   Diabetes mellitus is treated with diet, exercise, and insulin replacement therapy. Such therapy
                 involves the administration of medications, such as insulin injections or oral hypoglycemic
                 agents.


                 Hypoglycemia is the condition of low blood sugar, so a hypoglycemic agent is one that lowers
                 the blood glucose level.


                 When a diabetic individual becomes hypoglycemic as a result of taking insulin without adequate
                 food, the treatment is the administration of sugar. Hard candy or sweet fruit juice is appropriate
                 for the conscious and cooperative patient. Emergency kits may contain a glucose paste that can
                 be applied inside the cheek of a patient who is hypoglycemic.



Glossary Terms   insulin replacement therapy, hypoglycemia

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 214 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      215 of 259
Screen Number                7.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title            Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title            Lesson 2: Medical Treatments
                        2.7 Activity: Matching: Medical Treatments for Pathologic Conditions of the Digestive
Screen Title
                        System
On Screen Text          Let's review the material we've covered in this lesson by completing the activity that follows.

{Insert Activities below this text}

                         Matching - {fill out the engine template below}

 Instructions       Click and drag the number of the treatment to the condition for which it
                    is appropriate.

 Questions                 Terms                     Clues                  Media Link

                    antibiotics            ulcers caused by H.
                                           pylori

                    antacids               GERD

                    antiemetics            nausea and vomiting

                    anorexiants            hyperalimentation

                    parenteral nutrition   inability to digest food

                    enteral nutrition      aphagia

                    laxatives              constipation

                    glucose paste          hypoglycemia

                    hypoglycemic           hyperglycemia
                    agents

                    cathartics             preparation for
                                           colonoscopy

 Distracters



 Engineering
 Notes


MMTO                                        216 of 259
Screen Number       7.




Engineering Notes




MMTO                     217 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.1 Oral Surgery

On Screen Text   Surgical repair of the lip is called cheiloplasty. This is the treatment for the condition of cleft lip,
                 but the term also applies to surgical repair of the lip for other reasons.


                 Stomatoplasty is surgical repair of the mouth. Surgical repair of both the mouth and lip is called
                 cheilostomatoplasty.


                 cheil/o (lip) + stomat/o (mouth) + -plasty (repair) = cheilostomatoplasty


                 Recall that gloss/o is the combining form meaning tongue. Glossectomy is excision of all or
                 part of the tongue, a surgical procedure that may be used to treat carcinoma of the tongue.



Glossary Terms   cheiloplasty, stomatoplasty, cheilostomatoplasty, gloss/o, glossectomy

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                  218 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      219 of 259
Screen Number        2.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.2 Gastrointestinal Surgery

On Screen Text   Many types of disorders of the gastrointestinal tract can require surgery. Malignant tumors may
                 occur at nearly any location throughout the digestive tract, but are most common in the stomach
                 and in the colon. In addition, other severe disorders, such as perforated ulcers of the stomach,
                 duodenum, or colon, or extensive and severe chronic ulcerative colitis or Crohn disease, may
                 also require surgery.


                 When gastroptosis, displacement of the stomach, is a significant problem, surgery called
                 gastropexy is used to anchor the stomach to the abdominal wall.


                 Suturing of the stomach is termed gastrorrhaphy, and partial or complete excision of the
                 stomach is called gastrectomy.



Glossary Terms   gastroptosis, gastropexy, gastrorrhaphy, gastrectomy

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 220 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      221 of 259
Screen Number        3.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.3 Surgical Treatment for Obesity

On Screen Text   When conservative methods are not successful, morbidly obese patients may be treated
                 surgically. Gastroplasty and gastric bypass surgery (illustrated here) are two methods with
                 somewhat different goals. Gastroplasty reshapes or partitions the stomach, reducing its
                 capacity and thereby reducing the quantity of food that can be consumed. With gastric bypass,
                 the stomach is reduced in size and attached directly to the jejunum, reducing both capacity and
                 absorption.


                 Surgical procedures to remove localized collections of fat for cosmetic reasons include
                 lipectomy and liposuction. Lipectomy is excision of subcutaneous fat; liposuction is a
                 technique for removing adipose tissue using a suction pump device.



Glossary Terms   gastroplasty, gastric bypass, lipectomy, liposuction

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 222 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://coursewareob                            Vertical banded
                      jects.elsevier.com/o                           gastroplasty
                      bjects/lafleur7e_v1/
                      mod11/images/11s0
                      3l0606.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      223 of 259
Screen Number        4.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.4 Anastomosis and Ostomy

On Screen Text   When a segment of the digestive tract is removed, the remaining portions may be connected
                 surgically. This type of connection is called an anastomosis and is specifically named using
                 terms to indicate the parts that are connected. For example, when a partial gastrectomy results
                 in removal of the distal portion of the stomach, the remaining portion of the stomach must then
                 be attached to the first portion of the small intestine in a procedure called a
                 gastroduodenostomy, the formation of a new opening between the remaining stomach and
                 the duodenum.


                 You’ll recall that the suffix –stomy refers to the creation of a surgical opening. The opening
                 itself may be referred to as an ostomy.


                 If the entire stomach was removed and the esophagus attached to the duodenum, the
                 procedure would be called an esophagoduodenostomy.


                 When all or part of the colon is removed, the surgery is called a colectomy. The remaining
                 portion of the digestive tract must then be routed to the outside of the body through the
                 abdominal wall, forming an artificial anus, called a stoma, on the abdominal surface for the
                 evacuation of feces.


                 When a portion of the colon remains to form the stoma, the procedure is called a colostomy.
                 When the entire colon is removed and the digestive tract terminates at the ileum, the procedure
                 is termed an ileostomy.



Glossary Terms   anastomosis, gastrectomy, gastroduodenostomy, –stomy, ostomy, colectomy, stoma,
                 colostomy, ileostomy




MMTO                                 224 of 259
Popup

                      Link in Onscreen
                      Text

                      Pop-Up Title

                      Pop-Up Content




External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description      Alternate Text

                      http://www.coursew                             Subtotal gastric
                      areobjects.com/obj                             resection
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0135.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      225 of 259
Screen Number        5.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.5 Pylorotomy and Pyloroplasty

On Screen Text   Congenital pyloric stenosis is corrected surgically by incision of the pyloric sphincter. The
                 procedure may be called either pylorotomy or pyloromyotomy.


                 When pyloric stenosis develops in adulthood, the surgical repair of this condition is termed
                 pyloroplasty (as seen in the illustration).



Glossary Terms   pylorotomy, pyloromyotomy, pyloroplasty

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  226 of 259
On Screen Image

                             Source                  Description      Alternate Text

                      From Mosby                                   Pyloroplasty
                      Dictionary 7e p1572

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    227 of 259
Screen Number        6.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.6 Surgeries Involving the Liver and the Pancreas

On Screen Text   Tumors of the liver, such as hepatoma, may be removed by surgical incision into the liver,
                 called hepatotomy, or by hepatectomy, the excision of part of the liver.


                 Because the liver is essential for life, the entire organ cannot be removed unless a liver
                 transplant is available.


                 Removal of pancreatic stones is called pancreatolithectomy. Incision of the pancreas is called
                 pancreatotomy, and removal of all or part of the pancreas is called a pancreatectomy.



Glossary Terms   hepatoma, hepatotomy, hepatectomy, pancreatolithectomy, pancreatotomy,
                 pancreatectomy

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 228 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      229 of 259
Screen Number       7.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.7 Laparoscopic Cholecystectomy

On Screen Text   Treatment of gallstones may involve traditional surgery, called cholecystectomy, to remove the
                 gallbladder, but more and more often, a laparoscope is used to remove gallstones or the
                 damaged gallbladder through a much smaller incision. Removal of stones using this procedure
                 (see illustration) is called laparocholecystotomy. The procedure is termed laparoscopic
                 cholecystectomy when the entire gallbladder is removed. These laparoscopic procedures
                 have reduced recovery times significantly.


Glossary Terms   cholecystectomy, laparoscopic cholecystectomy

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  230 of 259
On Screen Image

                             Source                  Description      Alternate Text

                      http://www.coursew                           Laparoscopic
                      areobjects.com/obj                           cholecystectomy
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0212.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    231 of 259
Screen Number        8.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.8 Surgery Involving the Common Bile Duct

On Screen Text   Sometimes, after a cholecystectomy, a temporary opening into the common bile duct is made
                 through the abdominal wall for drainage purposes, to prevent cholestasis while the swelling
                 subsides. This surgical opening is called a choledochostomy.


                 Surgical repair of the common bile duct is called choledochoplasty, and the surgical formation
                 of a new opening between this duct and the duodenum is called a choledochoduodenostomy.


                 A surgical incision of the common bile duct to remove a stone is called a
                 choledocholithotomy.



Glossary Terms   cholestasis, choledochostomy, choledochoplasty, choledochoduodenostomy,
                 choledocholithotomy

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 232 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      233 of 259
Screen Number        9.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title     Lesson 3: Surgical Interventions

Screen Title     3.9 Lithotripsy

On Screen Text   A less invasive treatment for gallstones in the gallbladder or in the bile ducts is extracorporeal
                 shock wave lithotripsy (ESWL). This technique may be effective in some situations,
                 eliminating the need for surgical intervention.


                 The suffix –tripsy means surgical crushing. You will recall that you learned about this
                 procedure and these terms with respect to treatment for kidney stones in a previous module.



Glossary Terms   extracorporeal, lithotripsy, –tripsy

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




MMTO                                 234 of 259
External Site
Popup
                      Link in Onscreen
                      Text

                      External Site URL



                      Link in Onscreen
                      Text

                      External Site URL




On Screen Image

                             Source                    Description       Alternate Text

                      http://www.coursew                             Lithotripsy
                      areobjects.com/obj
                      ects/leonard6e_v1/
                      mod10/images/10s0
                      2l0213.jpg

Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                      235 of 259
Screen Number                10.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title            Section III: Diagnostic Tests and Therapeutic Interventions

Lesson Title            Lesson 3: Surgical Interventions
                        3.10 Activity: Write it, Find It:
Screen Title
                        Surgical Interventions for Pathologic Conditions of the Digestive System
On Screen Text          Let's review the material we've covered in this lesson by completing the activity that follows.

{Insert Activities below this text}

                  Write It, Find It (Text) - {fill out the engine template below}

 Instructions

                                      Bold the correct answer(s) in each question

 Question 1         One treatment for gallstones is ESWL, which stands for
                    extracorporeal shockwave lithotripsy.

 Question 2         Congenital cleft palate and cleft lip requires surgical repair of
                    the lip and mouth, which is called cheilostomatoplasty.

 Question 3         When adults develop pyloric stenosis as a result of ulceration
                    and scarring, the surgical treatment for this condition is called
                    pyloroplasty.

 Question 4         The surgical removal of stones from the pancreas is termed
                    pancreatolithectomy.

 Question 5         When can cancer requires surgical removal of all or part of the
                    tongue, this surgery is called glossectomy.

 Question 6         A surgical opening into the stomach to provide enteral
                    nutrition is called a gastrostomy.

 Question 7         An opening from the common bile duct to the outside of the
                    body to provide drainage of bile is called choledochostomy.

 Question 8         The surgical removal of part of the liver is called
                    hepatectomy.

 Question 9         The surgical correction of pyloric stenosis in a newborn may be
                    termed pylorotomy or pyloromyotomy.




MMTO                                           236 of 259
Screen Number             10.

 Question 10        Surgical removal of fatty tissue for cosmetic reasons is called
                    lipectomy.

 Engineering
 Notes




Engineering Notes




MMTO                                     237 of 259
{Insert Screens Here}




Objective
             {Insert Objective Quiz questions here}
Quiz:


             Objective:
Objective
             Objective Summary:
Overview:
             Keywords:




MMTO                                     238 of 259
       Asset Summary:


       Images
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0201.jpg
                                                                         181
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0104.jpg
                                                                         185
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0119.jpg
                                                                         187
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0120.jpg
                                                                        189
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s01l0301.jpg
                                                                         191
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0132.jpg
                                                                         213
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0135.jpg
                                                                         225
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0212.jpg
                                                                         231
                http://www.coursewareobjects.com/objects/leonard6e_v1/mod10/images/10s02l0213.jpg
                                                                        235


       Animations
                 Error! No table of contents entries found.
       Audio
                 Error! No table of contents entries found.
       Videos
                 Error! No table of contents entries found.
       Slideshows
                 Error! No table of contents entries found.
       Engines
                True/False                                              198
                Matching                                                216
                Write It, Find It (Text)                                236




MMTO                                  239 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title    Section IV: Building Your Word Bank

Lesson Title

Screen Title     4.1 Word Parts

On Screen Text   If you've completed the combining forms and terminology section of your text, you're now ready
                 for the additional practice you'll receive with word parts in this module. For definitions of all the
                 word parts used in the following exercises, click the appropriate button on your toolbar. To
                 review construction of medical terms using prefixes, combining forms, and suffixes, return to
                 earlier modules in this series. Click Next to begin.



Glossary Terms

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  240 of 259
On Screen Image

                             Source                  Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    241 of 259
Screen Number                2.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section IV: Building Your Word Bank

Lesson Title

Screen Title            4.2 Activity: Memory Match

On Screen Text

{Insert Activities below this text}

                                           Memory Match

 Pickup Source      http://coursewareobjects.elsevier.com/objects/leonard6e_v1/mod10/10s03l0102.htm



Engineering Notes




MMTO                                     242 of 259
Screen Number                3.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section IV: Building Your Word Bank

Lesson Title

Screen Title            4.3 Activity: Listen and Spell

On Screen Text

{Insert Activities below this text}

                                            Listen and Spell

 Pickup Source      http://coursewareobjects.elsevier.com/objects/leonard6e_v1/mod10/10s03l0103.htm



Engineering Notes




MMTO                                       243 of 259
Screen Number                4.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section IV: Building Your Word Bank

Lesson Title

Screen Title            4.4 Activity: Fill-In

On Screen Text

{Insert Activities below this text}

                                                Fill-In (drag & drop)

 Pickup Source      http://coursewareobjects.elsevier.com/objects/leonard6e_v1/mod10/10s03l0105.htm



Engineering Notes




MMTO                                            244 of 259
Screen Number                5.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section IV: Building Your Word Bank

Lesson Title

Screen Title            4.5 Activity: Matching

On Screen Text

{Insert Activities below this text}

                                                 Matching

 Pickup Source      http://coursewareobjects.elsevier.com/objects/leonard6e_v1/mod10/10s03l01063.htm



Engineering Notes




MMTO                                      245 of 259
Screen Number                6.

Screen Type             Activity

Module Title            Module 10: The Digestive System

Section Title           Section IV: Building Your Word Bank

Lesson Title

Screen Title            4.6 Activity: Matching

On Screen Text

{Insert Activities below this text}

                                                 Matching

 Pickup Source      http://coursewareobjects.elsevier.com/objects/leonard6e_v1/mod10/10s03l0107.htm



Engineering Notes




MMTO                                      246 of 259
Screen Number                1.

Screen Type             Case Study

Module Title            Module 10: The Digestive System

Section Title           Section V: Applications

Lesson Title

Screen Title            Case Study 1

On Screen Text          Sandra, a 38-year-old female, has come to the emergency department while on her vacation.
                        She complains of diarrhea and abdominal cramping. When the physician takes her history, she
                        reports that she drank creek water while hiking in the woods yesterday. Today she is
                        experiencing severe diarrhea and abdominal cramping. Stool assessment reveals the presence
                        of mucus, blood, and amoebae.



On Screen Image

                                  Source                   Description                Alternate Text

                         http://www.coursew                                    Patient photo of
                         areobjects.com/obj                                    Sandra
                         ects/leonard6e_v1/e
                         ngines/graphics/10s
                         04l0101.jpg

{Insert Activities below this text}

                  Fill-In (Drag & Drop) - {fill out the engine template below}

 Instructions     Drag the correct answer into each blank.



                  Bold correct answer(s) in each question                Media Link

 Question 1       The probable diagnosis for this patient is
                  <blank word="dysentery" />.

 Question 2       The term for the wavelike contractions that
                  move food along the digestive tract is <blank
                  word="peristalsis" />.

 Question 3       The portion of the gastrointestinal tract that is
                  primarily affected by this patient's condition is
                  the <blank word="colon" />.

 Question 4       Inflammation of the large intestine is termed
                  <blank word="colitis" />.


MMTO                                          247 of 259
Screen Number               1.

 Question 5

 Question 6

 Question 7

 Question 8

 Question 9

 Question 10

 Distracters    diverticulitis   duodenum

                liver            constipation

 Engineering
 Notes



Engineering Notes




MMTO                             248 of 259
Screen Number                2.

Screen Type             Case Study

Module Title            Module 10: The Digestive System

Section Title           Section V: Applications

Lesson Title

Screen Title            Case Study 2

On Screen Text          Max Larson, age 43, is rushed to the emergency department with severe abdominal pain. An
                        abdominal ultrasound exam reveals gallstones in the common bile duct. When a surgeon is
                        consulted, she determines that the best course is to remove the stones laparoscopically.




On Screen Image

                                  Source                 Description           Alternate Text

                          http://www.coursew                                Patient photo of Max
                          areobjects.com/obj                                Larson
                          ects/leonard6e_v1/e
                          ngines/graphics/10s
                          04l0101.jpg

{Insert Activities below this text}

                        True/False - {fill out the engine template below}

 Instructions       Click True or False for each statement.

 Question 1         Cholelith is a term that means gallstone.

 Answer                      Answer Choices                       Specific Feedback
 Choices and
                       (Bold the correct response)
 Specific
 Feedback
                    True

                    False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback


MMTO                                        249 of 259
Screen Number           2.

 Question 2     The term for Max's condition is cholecystitis.

 Answer                 Answer Choices                           Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 3     The term for the surgery Max needed is choledocholithotomy.

 Answer                 Answer Choices                           Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback

 Question 4     While recovering from this procedure, Max had no appetite. This
                symptom is called anorexia.

 Answer                 Answer Choices                           Specific Feedback
 Choices and
                  (Bold the correct response)
 Specific
 Feedback
                True

                False

 General
 Correct
 Feedback

 General
 Incorrect
 Feedback



MMTO                                    250 of 259
Screen Number       2.

 Engineering
 Notes




Engineering Notes




MMTO                     251 of 259
Screen Number        3.

Screen Type      Medical Report

Module Title     Module 10: The Digestive System

Section Title    Section V: Applications

Lesson Title

Screen Title     Medical Report Activity

On Screen Text   Medical Report


                 Click on the Medical Report link to read the report. Answer the questions below.




MMTO                                 252 of 259
Medical Report
Popup
                 Pop-Up Title       Medical Report

                 Pop-Up Content           OUTPATIENT SURGERY REPORT
                                                      Olivia Kleuter


                                    PROCEDURE: FLEXIBLE SIGMOIDOSCOPY


                                    PATIENT: Olivia Kleuter is a 47-year-old
                                    female, married, who is generally in good
                                    health except for reports of widespread and
                                    unpredictable bouts of indigestion that has
                                    been ongoing.


                                    CHIEF COMPLAINT: Patient complains of
                                    widespread, intermittent cramping, diarrhea,
                                    flatulence, and constipation.


                                    PAST MEDICAL HISTORY: The patient has no
                                    significant history as applies to this procedure.


                                    ALLERGIES: None.


                                    CURRENT MEDICATIONS: None.


                                    VITAL SIGNS: Blood pressure 120/76, pulse
                                    60, temperature 98.6°F.


                                    LABS (PREPROCEDURE): Positive for
                                    leukocytosis.


                                    GENERAL: The patient is well and alert on
                                    arrival.


                                    PROCEDURE: Sedative was administered by
                                    IV. The Olympus-60 scope was passed to 40
                                    cm. On withdrawal, three polyps were noted,
                                    each measuring between 3 to 4 mm. One was
                                    seen at 35 cm, another at 22 cm, and the third
                                    at 20 cm. Multiple diverticula were noted in the
                                    sigmoid colon. Scope was not advanced past
                                    60 cm, due to sharp flexures of the sigmoid
                                    colon. Mucosa was otherwise normal. Patient
                                    tolerated procedure well.


                                      PROCEDURE/LAB FINDINGS:
MMTO                              253 of 259

                                    1.      Adenocarcinoma ruled out.
                                    Diverticulosis confirmed. Diverticulitis ruled out,
                                    but confirmed at risk.
                                    2.      Successful removal of polyps.
Screen Number                3.

{Insert Activities below this text}

                  Write It, Find It (Text) - {fill out the engine template below}

 Instructions       Type in the correct term(s).

                                      Bold the correct answer(s) in each question

 Question 1         What term in this report describes colorectal cancer? <blank
                    word="adenocarcinoma" alt="Adenocarcinoma" />

 Question 2         A diagnosis of diverticul<blank word="-itis" alt="itis" /> would mean that
                    this patient has an inflammation of the diverticula.

 Question 3         What term in this report describes abnormal saclike outpouchings in the
                    intestinal wall? <blank word="diverticula" alt="Diverticula" />

 Question 4         What term in this report describes the <i>presence</i> of these same
                    outpouchings? <blank word="diverticulosis" alt="Diverticulosis" />

 Question 5         What term in this report describes an abnormal white cell count? <blank
                    word="leukocytosis" alt="Leukocytosis" />

 Question 6         Provide the definitions of these word parts:
                    a. -osis <blank word="abnormal condition" alt="Abnormal condition"
                    alt2="Abnormal Condition" />
                    b. -itis <blank word="inflammation" alt="Inflammation" />
                    c. -oma <blank word="tumor" alt="swelling" alt2="Tumor"
                    alt3="Swelling" />

 Question 7

 Question 8

 Question 9

 Question 10

 Engineering
 Notes




Engineering Notes




MMTO                                           254 of 259
Screen Number        1.

Screen Type      Learning Links

Module Title     Module 10: The Digestive System

Section Title    Section V: Applications

Lesson Title

Screen Title     Learning Links

On Screen Text   For additional information about the digestive system, visit these sites:
                 Gastroenterology (General)
                 Hepatitis
                 Diagnosis Health: On health, digestion/indigestion, other diseases and diagnosis and treatment
                 DietSite (Diets for Health and Disease)




MMTO                                 255 of 259
                    Line in Onscreen Text       Gastroenterology (General)



                    External Site URL           http://www.gastrojournal.org/



                    Line in Onscreen Text       Hepatitis



                    External Site URL           http://www.cdc.gov/ncidod/diseases/hepatitis/index.htm



                    Line in Onscreen Text       Diagnosis Health: On health, digestion/indigestion, other
                                                diseases and diagnosis and treatment



                    External Site URL           http://www.diagnosishealth.com/



                    Line in Onscreen Text       DietSite (Diets for Health and Disease)

                    External Site URL           http://www.dietsite.com/dt/Diets/dietintro.asp




Engineering Notes




MMTO                                    256 of 259
Screen Number        1.

Screen Type      Content

Module Title     Module 10: The Digestive System

Section Title

Lesson Title

Screen Title     Conclusion

On Screen Text
                 You have completed all of the lessons and activities in Module 10. If you are still uncertain
                 about any of the information presented in this module, you should go back and review the
                 content of the module again.
                 When you feel ready, return to the module folder to take the final exam.



Glossary Terms

Popup

                  Link in Onscreen
                  Text

                  Pop-Up Title

                  Pop-Up Content




External Site
Popup
                  Link in Onscreen
                  Text

                  External Site URL



                  Link in Onscreen
                  Text

                  External Site URL




MMTO                                  257 of 259
On Screen Image

                             Source                  Description   Alternate Text




Animation/Slidesho
w/Audio/Video
                     {Insert media popup types here}



Engineering Notes




MMTO                                    258 of 259
MMTO   259 of 259

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:11
posted:7/28/2011
language:English
pages:259