Abdominal Assessment Flashcards
Blood Transfusion could mean
liver issues
What would a profession be that is immobile and low fiber diet leading to constipation?
Truck Driver
DysphaGia
difficulty swallowing
Abdominal assessment order
inspect–> auscultate–> percuss–> palpate
Scaphoid
looks like stomach is protruding in
How to test abdominal muscles
have patient move head off pillow to contract abs; can also be used to find a hernia
Cullen’s Sign
Looking for blueish coloration of stomach to indicate abdominal bleeding, circle around belly button
Six F’s of Distention
fat
fluid
flatus (gas)
feces
fetus
fibroid
Aorta Bruit can indicate
aneurysm
What side of stethoscope should you use to listen for venous hum
bell
What does a venous hum suggest
cirrhosis or portal hypotension
Borborygmi
growling of stomach
Normal Liver span
6-12 cm should hear dullness
Normal Spleen
should barley extend out of ribcage
CVA Tenderness
pain when percussing kidneys on back; can mean UTI or kidney infection
Hook Method
stand behind patient and “hook” under ribcage
Should we be able to palpate liver?
No
Shifting Dullness Test
determines if there is fluid in abdomen; Positive if you have 2 separate lines
Fluid Wave Test
watch for “waving” of stomach
Rebound Tenderness
Palpate deeply and let go, if it is painful, it is indicative of appendicitis
Psoas Sign
have pt. raise right knee which contracts the muscle over appendices, if there is pain in RLQ it is indicating appendicitis
Operator Sign
have pt flex hip and take hip and rotate in and out; positive test is pain in RLQ
What Tests are used to test for appendicitis?
Psoas, Rebound tenderness and operator
Murphys Sign
palpate liver margin while patient takes a deep breath; abnormal is pain on palpation; tests for cholecystitis
Cholecystitis
inflammation of gallbladder
Peptic Ulcer Disease
break in the lining of the stomach
