Assessment Flashcards
COLDSPA
Character
Onset
Location
Duration
Severity
Pattern
Associated factors
Types of Abdominal Pain
- Visceral Pain
- Parietal Pain
- Referred Abdominal Pain
Types of Abdominal Pain
Caused by distention hollow organs or stretching of solid organs
Visceral Pain
Types of Abdominal Pain
Description: Achy, Burning, Colicky, Crampy, Dull, Poorly localized
Onset: Gradual
Visceral Pain
Types of Abdominal Pain
Caused by inflammation or irritation of parietal peritoneum (appendicitis, peritonitis)
Parietal Pain
Auscultation of the Abdomen: where to start?
Start from RLQ in a clockwise rotation
Listen for 1 minute per quadrant or 3 minutes before determining absent bowel sounds
Types of Abdominal Pain
Description: sharp, stabbing pain, steady, and severe, tenderness, guarding, rigidity, rebound, well localized
Onset: Sudden
Parietal Pain
Types of Abdominal Pain
Pain occurs, travels or refers from the primary site and becomes highly localized at distant sites
Referred Abdominal Pain
Sequence of Abdominal Assessment
Inspection
Auscultation
Percussion (use diaphragm of stethoscope)
Palpation
Normal bowel sounds
1 sound every 5-15 seconds or 5-30 soft clicks or gurgles per minute per quadrant
Abnormal bowel sounds
Hypoactive
Hyperactive (Borborygmi)
Absent
Abnormal percussion
Hyperresonance - heard over gaseous distended abdomen
Dullness - heard over liver or spleen
Palpation of the Abdomen: where to start?
Start from RUQ
note: examine the point of area with tenderness last
Sequence of percussion
Clockwise or up-down
COLDSPA
describes the sign or symptoms
abd pain
dyspepsia (indigestion)
intestinal gas
N/V
change in bowerl habits and stool characteristics
Character
COLDSPA
When it started
Onset
COLDSPA
Where? Radiating?
Location
COLDSPA
how long it last? recurring?
Duration
COLDSPA
mild, moderate, severe? pain scale question
Severity
COLDSPA
activities that makes it worse or relieve (factors that exacerbate or allieviate)
Pattern
COLDSPA
Other symptoms
Associated factors
