Abdominal assessment

Question 1

What is the abdomen made up of

Answer 1

• Genito-urinary system
• The Genito-intestinal system
• the renal system
  -the endocrine system

Question 2

What do we look for in the hands

Answer 2

Clubbing, Koilonychia, leukonychia, erythema, liver flap, needle use marks

Question 3

What do we look for in the face

Answer 3

Jaudice, conjunctival pallor, angular stomatis, glossitis, lymphadenopathy

Question 4

What do we look for in the inspection

Answer 4

Scars, bruising, hernias, distention, spider nivea, capcut medusae

Question 5

What do we do in ausculation

Answer 5

1. listen to all 4 quadrants
2. listen up to 2 min
   Normal: gurgling, Abnormal, tinkling, Absent, ileus

Question 6

What do we do in Palpation

Answer 6

1. Ask about pain
2. Look for signs of discomfort
3. Do all 9 areas
4. Tenderness
5. Rebound tenderness- pain worse on releasing pressure
6. Guarding- involuntary tension in the abdominal muscles
7. Masses

Question 7

What areas do we palpate

Answer 7

Liver
Spleen
Gall bladder

Question 8

What do we do in end of bed assessment

Answer 8

1. how do they look
2. body mass
3. hydration status
4. fever
5. distress/pain
6. environment