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Physical Assessment > Chapter 22 Abdominal Assessment > Flashcards

Chapter 22 Abdominal Assessment Flashcards

1
Q

What do you look for during inspection of the abdomen (4)

A

-Scars
-Brusing
-Skin integrity
-Discharge/fluids

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2
Q

What color are old scars?

A

White

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3
Q

What color are new scars?

A

Pink

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4
Q

What sound does the diaphragm of the stethoscope pick up?

A

High sounds

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5
Q

Normal findings for palpation of the abdomen (2)

A

-Soft
-Moves

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6
Q

Where is kidney pain found

A

Back/flank

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7
Q

What diseases are found in the RUQ? (2)

A

-Cholecystitis
-Gall bladder disease

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8
Q

Where does diverticulitis present itself first?

A

LLQ

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9
Q

What do you listen with when listening to the renal arteries, iliac arteries, and aorta?

A

The bell

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10
Q

What are you assess with light palpation of the abdomen?

A

-Pain
-Soft
-Mobile
-Lesions/masses

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11
Q

Deep palpation of the abdomen assess?

A

Organs

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12
Q

Organs in the RUQ (6)

A

-Liver
-Gallbladder
-Duodenum
-Head of pancreas
-Right kidney
-Hepatic feature of colon

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13
Q

Organs is LUQ (6)

A

Stomach
-Spleen
-Left lobe of liver
-Body of pancreas
-Left kidney
-Splenic flexure of colon

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14
Q

Organs in RLQ

A

-Cecum
-Appendix
-Right ovary and tube
-Right ureter
-Right spermatic cord

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15
Q

Organs in LLQ (5)

A

Descending colon
-Sigmoid colon
-Left ovary and tube
-Left ureter
-Left spermatic cord

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16
Q

Subjective assessment of abdomen (9)

A

-Appetite
-Dysphagia
-Food intolerance
-Abdominal pain
-Nausea/vomiting
-Bowel habits
-Past abdominal Hx
-Medication
-Nutritional assessment

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17
Q

4 Types of contour

A

-Flat
-Scaphoid
-Rounded
-Protuberant

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18
Q

Normal umbilicus

A

Inverted

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19
Q

Findings for distention due to obesity

A

-Rounded
-Normal bowel sounds
-Normal palpation

20
Q

Findings for distention due to air or gas

A

-Single rounded curve
-Hyperactive bowel sounds
-May have muscle spasm

21
Q

Finding for distention due to ascities

A

-Single curve
-Elevated umbilicus
-Bulging flanks
-Normal bowel sounds
-Taut skin

22
Q

Findings for distention due to ovarian cyst

A

-Curve in lower half of abdomen
-Everted umbilicus

23
Q

Symptoms of hepatitis (4)

A

-Mild to moderate pain in RUQ
-Anorexia
-Nausea
-Low-grade fever

24
Q

GERD symptoms

A

-Burning pain
-Heartburn

25
Q

Gallbladder symptoms

A

-Sudden pain in RUQ
-Nausea
-Vomiting

26
Q

Pancreas symptoms

A

-Acute midepigastric pain
-Severe nausea and vomiting

27
Q

Duodenum ulcer symptoms

A

-Dull, aching pain
-Relieved by food

28
Q

Gastric ulcer symptoms

A

-Dull, aching pain in epigastric
-Brought on by food

29
Q

Kidney stone symptoms

A

-Sudden onset of severe low back/flank pain

30
Q

Gastroenteritis Symptoms

A

-Generalized abdominal pain

31
Q

Large bowel obstruction

A

-Moderate, colicky pain
-Gradual onset in lower abdomen
-Bloating

32
Q

IBS Symptoms

A

-Sharp, burning pain
-Brought on by food

33
Q

Umbilical hernia occurs when

A

-Pregnancy
-Chronic ascites
-Chronic increased intrathoracic pressure

34
Q

Incisional hernia occurs when

A

Sx

35
Q

Epigastric hernia occurs where

A

Epigastrium

36
Q

Diastasis Recti is what

A

A seperation of the abdomina rectus muscles

37
Q

Hyperactive bowel sounds are said to be what

A

Borborygmi

38
Q

In arterial sounds in the abdomen, a bruit indicates what

A

-Turbulent blood flow
-Constricted, abnormally dialated

39
Q

Venous hum occurs where

A

Periumbilical region

40
Q

Venous hum occurs with what diseases (2)

A

-Portal hypertension
-Cirrhosis

41
Q

Enlarged liver is tender with what diseases (3)

A

-Early heart failure
-Acute hepatitis
-Hepatic abscess

42
Q

Enlarged nodular liver occurs when (3)

A

-Late portal cirrhosis
-Metastatic cancer
-Tertiary syphilis

43
Q

Enlarged tender gallbladder occurs when

A

Cholecystitis

44
Q

Enlarged non-tender gallbladder occurs with

A

-Gall stones
-Bile duct obstruction

45
Q

Enlarged kidney

A

Physical Assessment (13 decks)

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