1. Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 6 Gastroenterology

2. Figure 6-1 Dermatome chart. Somatic pain follows neural routes determined by the dermatomes to the spinal column. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

3. Figure 6-2 The gastrointestinal tract is one long tube divided structurally and functionally into different parts. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

4. Figure 6-3 (a) Esophageal varices occur when the esophageal veins dilate and emerge from their sheaths. (b) Endoscopic view of an esophageal varix. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

5. Figure 6-3 (a) Esophageal varices occur when the esophageal veins dilate and emerge from their sheaths. (b) Endoscopic view of an esophageal varix. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

6. Figure 6-4 Mucosal surfaces of GI tract. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

7. Figure 6-5 (a) Peptic ulcer. (b) Endoscopic view of a duodenal ulcer. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

8. Figure 6-5 (continued) (a) Peptic ulcer. (b) Endoscopic view of a duodenal ulcer. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

9. Figure 6-6 Ulcerative colitis. As ulcers heal, granular tissue replaces the ulcerations, thickening the mucosa. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

10. Figure 6-7 Crohn’s disease. The intestinal wall eventually becomes rubbery and nondistendable due to hypertrophy and fibrosis of the muscles underlying the submucosa. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

11. Figure 6-8 (a) Diverticulosis. (b) Endoscopic view of diverticula. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

12. Figure 6-8 (continued) (a) Diverticulosis. (b) Endoscopic view of diverticula. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

13. Figure 6-9 Hemorrhoids are small masses of swollen veins. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

14. Figure 6-10a Inguinal hernia. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

15. Figure 6-10b Intestinal intussusception. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

16. Figure 6-10c Intestinal volvulus. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

17. Figure 6-10d Intestinal adhesion. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

18. Figure 6-11 McBurney point is a common site of pain in appendicitis. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

19. Figure 6-12 The gallbladder is located below the liver. Bryan E. Bledsoe, Robert S. Porter, and Richard A. Cherry Paramedic Care, Principles & Practice: Medical Emergencies Copyright ©2006 by Prentice-Hall, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.