abdominal assessment

Question 1

what organs are in the right upper quadrant ?

Answer 1

Liver
Gallbladder
Duodenum
Head of pancreas
Right kidney and adrenal gland
Hepatic flexure of colon
Part of ascending and transverse colon

Question 2

what organs are in the left upper quadrant

Answer 2

Stomach
Spleen
Left lobe of liver
Body of pancreas
Left kidney and adrenal gland
Splenic flexure of colon
Part of transverse and descending colon

Question 3

what organs are in the right lower quadrant ?

Answer 3

Cecum
Appendix
Right ovary and tube
Right ureter
Right spermatic cord

Question 4

what organs are in the left lower quadrant

Answer 4

Part of descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord

Question 5

with the aging adult, what changes will we see in the abdomen

Answer 5

Abdominal wall musculature relaxes
Changes of the GI system occur with aging, but most do not significantly affect function as long as no disease is present.

Salivation decreases, leading to a dry mouth and decreased sense of taste.
Esophageal emptying and gastric acid secretion are delayed

Incidence of gallstones increases with age.
Although liver size decreases, most liver functions remain normal; however, drug metabolism is impaired

Aging adults frequently report constipation.

Question 6

pain

Answer 6

opqrst

Question 7

what to ask about bowel habits

Answer 7

frequency, color, consistency, diarrhea or constipation.
any recent changes.
laxative use—type, amount and frequency.

Question 8

Past abdominal history: Ask about

Answer 8

GI disease/pathology.
GI diagnostic procedures.
GI surgeries and clinical response.

Question 9

questions to ask adolescants for abdomen

Answer 9

dietary pattern for meals and snacks and calorie consumption.
exercise pattern.
weight status relative to gain or loss.
determining impact on activity and/or body changes.
impact of peers and family.

Question 10

inspecting the abdomen

Answer 10

Pulsation or movement- Normally you may see pulsations from aorta beneath skin in epigastric area, particularly in thin persons with good muscle wall relaxation.

if there is a mass and it is pulsating, dont touch it. could rupture

Demeanor- A comfortable person is relaxed quietly on examining table and has a benign facial expression and slow, even respirations.

Question 11

what is a hernia

Answer 11

a rip in the abdominal musculature, not usually dangerous unless you get stricture( when we cant push them back in

Question 12

abdominal aortic aneurysm

Question 13

a silent abdmen

Answer 13

could mean obstruction, slowed the bowel down so mcuh, apendicitis( seen with anorexia )

Answer 14

left lower quadratn may sound dull, while the other ones will sound tympanic

Question 15

always palpate the area that hurts last

Question 16

distended bladder

Answer 16

will feel like a water balloon

Question 17

is the spleen palpable ?

Answer 17

normally spleen is not palpable and must be enlarged three times its normal size to be felt.

Question 18

what is rebound tenderness ?

Answer 18

pushing down on the apendix, hurts when let go after pushing down

Question 19

inspiratory arrest

Answer 19

seen with the gallbladder

Question 20

Mcburneys point tenderness

Answer 20

used to find appendicitis

Question 21

AVA

Answer 21

umbillical cord, 2 arteries and one vein

Question 22

diasetesis recti in pregancy

Question 23

strangulated hernia

Answer 23

an emercency when the intestines get all tangled together

Question 24

rhe abdomen will look different in a 4 year old compared to a 12 year old

Question 25

abnormal findings of abdominal distention

Answer 25

Obesity
Air or gas
Ascites
Ovarian cyst
Pregnancy
Feces
Tumor

Question 26

the gallbaldder can be felt

Answer 26

in right upper quadrant or the back

Question 27

the appendix

Answer 27

right lower quad pain but will shoot to the belly button