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PP - Patient Assessment > Abdominal > Flashcards

Abdominal Flashcards

1
Q

End Of Bed Assessment
[critical]
ABDO

A 
Safety
Patients general appearance
Levels of consciousness
Age
Gender
Obvious Pain/position
Environment
Obese/Wasted
Time Critical
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2
Q

Initial Approach To Patient
[critical]
ABDO

A

Greets the patient

Obtains Consent

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3
Q

Communication

ABDO

A 
Explains clearly
Builds Rapport
Shows empathy
Avoids jargon
Responds to concerns/expectations
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4
Q

Taking A History
[critical]
ABDO

A 
Presenting complaint
History of presenting complaint
Previous medical history
Drug history and allergies
Family/social history
Review of systems
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5
Q

Pain Assessment
[critical]
ABDO

A

SOCRATES

Site
Onset
Character
Radiation
Alleviating factors
Timing
Exasperating factors
Score 0-10

Pain score good explanation to patient

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6
Q

JACCO

ABDO

A 
Jaundice
Anaemia
Cyanosis
Clubbing
Oedema
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7
Q

Inspection
[critical]
ABDO

A

Obese/Size
Symmetry
Swelling
Scars/Lacerations
Bruising:
1. Grey Turner - bruising flanks (between last rib and hip) = ?pancreatitis
2. Cullen sign - bruising around the umbilicus = ?ectopic

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8
Q

Auscultation
[critical]
ABDO

A

Good technique:

  1. Use diaphragm
  2. Correct location

Bowel Sounds:
3. Sounds - hypoactive = constipation. Hyperactice = diarrhoea/after eating.
Present or Absent.

  1. Comment on normal range 5-34 per minute
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9
Q

Percussion
[critical]
ABDO

A
  1. explain to patient
  2. Good technique
  3. Correct locations - 4 quadrants
  4. Comment on - tympany or dullness
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10
Q

Palpation
[critical]
ABDO

A
  1. Explain to patient
  2. Technique - light
  3. Look for response/discomfort in patients face
  4. Location - 4 quadrants
  5. Note: Guarding/rigidity
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11
Q

Special Tests

ABDO

A

Rosving: Push on left, let go = pain on right = appendicitis

Psoas: Lay on left side, pull leg posteriorly = appendicitis

Obturator: right angle at hip and knee. abduct lower leg maintaining right angles = appendicitis

Murphy’s sign: Breath out and place hand below costal margin on right mid clavicular = inflamed gall bladder

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12
Q

Further Tests
[critical]
ABDO

A

BP

BM

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13
Q

NEWS2/Pathfinder/PRT

ABDO

A

NEWS2
Pathfinder
PRT

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14
Q

Impression
[critical]
ABDO

A

1.
2.
3.
4.

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15
Q

Plan: Non-conveyed

ABDO

A
  1. Ongoing care
  2. Safety Netting - advice to patient.

Referral to another HCP

  1. Accurate details
  2. Structure - use SBAR
  3. PRF signed
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16
Q

Plan: Conveyed

ABDO

A
  1. Destination
  2. On-going care
  3. Reassessment of observations

Hand over to HCP

  1. Accurate details
  2. Structure - use SBAR

PP - Patient Assessment (5 decks)

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