ch 22 - abdomen

Question 1

what are the components of inspection of the abdomen?

Answer 1

contour, hair distribution, umbilical, pulsation, skin, symmetry

Question 2

what are the four categories you could put a person laying down in?

Answer 2

flat, portruding, rounded, scaphoid

Question 3

where do you start auscultating bowel sounds? why?

Answer 3

you start at the RLQ because that is where you typically hear bowel sounds

Question 4

what are five different descriptions of bowel sounds?

Answer 4

normoactive, hyperactive, hypoactive, b (means gas), silent

Question 5

what is the technique used to palpate the abdomen?

Answer 5

using your four fingers press 1 cm deep into person’s skin and use a rotating motion

Question 6

what are you looking for when palpating someone’s abdomen?

Answer 6

• if muscle guarding is voluntary or involuntary
• masses that could be tumors

Question 7

what should you leave for last when palpating the abdomen?

Answer 7

leave any tender areas for last

Question 8

which organs can you normally palpate?

Answer 8

xyphoid process, edge of liver, kidney, pulsating aorta, abs, sigmoid colon, ascending colon, uterus, bladder

Question 9

what can indicate inflammation in the kidneys?

Answer 9

costovertebral tenderness

Question 10

what are 7 reasons someone’s abdomen could be distended?

Answer 10

obesity, air, tumor, feces, pregnancy, ascites (fluid), ovarian cyst

Question 11

what are abnormalities you could find upon inspecting the abdomen?

Answer 11

abdominal, umbilical or epigastric hernia and diastasis

Question 12

what are 7 questions you need to ask when taking someone’s GI history?

Answer 12

access to groceries, 24 hour dietry recall, eating alone or social, bowel movements, medications, activities done after meals, nutrition