Digestive System Flashcards
Organs contained in RUQ
liver, gallbladder, duodenum, head of pancreas, right kidney, hepatic flexure of colon, parts of ascending and transverse colon.
Organs contained in LUQ
stomach, spleen, left lobe of liver, body of pancreas, left kidney, splenic flexure of colon, parts of transverse and descending colon.
Organs contained in the RLQ
cecum, appendix, right ovary and fallopian tube, right ureter, right spermatic cord.
Organs contained in LLQ
– part of descending colon, sigmoid colon, left ovary and fallopian tube, left ureter, left spermatic cord.
What is the position of the aorta
– it runs just to the left of midline in the upper part of abdomen. It then bifurcates 2 cm below the umbilicus into the right and left common iliac arteries
The aortic pulsations can be felt in the left upper anterior abdominal wall.
Liver may produce dull pain where
RUQ
Medication admin for patient with dysphagia
Crush up and put in apple sauce
Subjective history for GI tract
Appetite, dysphagia, bowel habits, food intolernces, abdominal history
Which direction do u inspect abdomen
Start RLQ and END LLQ
Order of assessment of the abdomen
Inspection, auscultation, percussion, palpation
Normal amount of bowel sounds
5-30 times per min.
Voluntary guarding
Patient is cold, tense, or ticklish
Blumberg’s sign
Pain on rebound (post palpation)
Murphy’s sign
Inspiratory arrest
elicited in patients with acute cholecystitis by asking the patient to take in and hold a deep breath while palpating the right subcostal area. If pain occurs on inspiration, when the inflamed gallbladder comes into contact with the examiner’s hand, Murphy’s sign is positive.
Prostate Gland
Position in pelvis= in front of the anterior wall of the rectum and 2 cm behind the symphysis pubic