Abdomen Flashcards

1
Q

Peritoneum

A

double layer system of serous membrane covering abdominal organs

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2
Q

Solid Viscera organs

A

adrenal glands
liver
ovaries
pancreas
spleen
uterus

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3
Q

hollow viscera organs

A

bladder
colon
gallbladder
small intestine

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4
Q

when are hollow viscera organs palpable?

A

only in the setting of pressure or inflammation
-typically not palpable

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5
Q

costovertebral angle

A

near the kidneys
- 12th posterior rib
test used for pyelonephritis

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6
Q

lower UTI

A

bladder and below

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7
Q

upper UTI

A

Pyelonephritis
above the bladder

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8
Q

what type of UTI is harder to treat?

A

upper UTI

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9
Q

LUQ organs

A

kidney (L)
Liver (left lobe)
Pancreas (Body)
Stomach
Colon (descending/ transverse)

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10
Q

If spleen is damaged/ post mono you can not….

A

play contact sports for 2 months

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11
Q

RUQ organs

A

Colon (ascending/ transverse)
Duodenum
Gallbladder
Liver
Pancreas (head)

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12
Q

what quadrant is the majority of the liver in?

A

RUQ

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13
Q

what quadrant is the majority of the stomach in?

A

LUQ

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14
Q

What quadrant is slightly more tender than the others?

A

LLQ

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15
Q

LLQ organs

A

ovary/tube
ureter
descending colon
Sigmoid colon

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16
Q

RLQ organs

A

Appendix
cecum
ovary
ureter

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17
Q

age related changes in older adults

A

constipation
decreased peristalsis
dehydration
bowel obstruction
decreased activity
more meds
low fiber
hypothyroidism

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18
Q

what is a normal stool pattern?

A

varies from patient to patient
- at least 3 per week

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19
Q

symptoms to evaluate for bowel movement

A

strain
stool consistency
feeling (incomplete evacuation)

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20
Q

acute high or low sodium can cause ….?

A

seizures

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21
Q

high or low potassium may cause..?

A

heart arrhythmias or heart attacks

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22
Q

visceral pain descriptors

A

dull, general

23
Q

parietal pain descriptors

A

sharp, localized

24
Q

referred pain

A

pain felt somewhere other than the source

25
Q

example of visceral pain

A

menstrual cramps
gallstones
pancreatitis
(organs)

26
Q

hematemesis

A

bloody vomit

27
Q

what can be the cause of hematemesis ?

A

GI ulcers

28
Q

Melena

A

coffee ground stool, tarry, Occult blood

29
Q

Gray stool

A

hepatitis

30
Q

Bright red blood per rectum

A

lower GI bleed / hemorrhoids

31
Q

dysphagia

A

difficulty swallowing

32
Q

pyrosis

A

heartburn

33
Q

what med group can cause peptic ulcers/ GI issues?

A

NSAIDS

34
Q

Absent bowel sounds over 5 mins is ?

A

a medical emergency

35
Q

what is the order for abdominal exam

A

IAPP
inspection
auscultation
percussion
palpation

36
Q

scaphoid stomach

A

concave/ sunken

37
Q

protuberant

A

bulging or rounded
- obesity
- pathology

38
Q

stomach descriptors

A

flat
scaphoid
rounded
protuberant

39
Q

Hernia

A

protrusion of bowel through muscle wall

40
Q

Striae

A

broken elastic fibers of the skin
associated with weight gain, pregnancy, Cushing syndrome
- stretch marks

41
Q

Borborygmus

A

HYPERactive bowel sounds

42
Q

what is normal bowel sounds frequency?

A

5-30/min

43
Q

normal sounding bowels?

A

gurgling
high pitched
irregular
cascading

44
Q

how do you check accuracy of NG tube placement?

A

X-ray
pH

45
Q

Normal sound of percussion on the abdomen

A

tympany

46
Q

what direction will you percuss?

A

clockwise

47
Q

light palpation depresses..

A

1 cm

48
Q

acute involuntary rigidity of the stomach can be associated with

A

peritonitis
surgical emergency

49
Q

deep palpation depresses…

A

5-8 cm

50
Q

what technique is used for deep palpation?

A

bimanual technique

51
Q

the sigmoid colon is where and associated with what?

A

LLQ
mild tenderness

52
Q

mass evaluation

A

consistency
location
mobility
pulsatility
shape/ size
tenderness

53
Q

Liver description

A

firm regular ridge, may not be palpable in a healthy adult

54
Q

Spleen evaluation

A

NOT palpable in a healthy patient
- use “ duck bill: position to evaluate