from the pubic symphysis to the superior fundus uterus
What tests for colorectal cancer?
yearly fecal occult blood
flexible signoidoscopy every 5 years ore colonscopy every 10 years
What risks are increased during pregnancy?
Gall bladder statis, gallstones, renal stones, and urinary statsis
Gallbladder
concentrates and stores bile
Liver Function
Stores glycogen, vitamins and iron
Detoxifies and secretes bile
Converts fat soluble wastes into water soluble material for renal excretion
Produces antibodies, substances for blood coagulation and plasma proteins
Common Bile Duct Obstruction
enlarged, non-tender gall bladder
Cruse ships and raw shellfish
norwalk virus
Apley Rule
Farther from the naval the patient points when asked where the pain is, the more likely the pain is organic
If the patient points to teh naval and is otehrwise well think non-organic
