HA: ABDOMINAL ASSESSMENT Flashcards
roar
forms the upper surface of the abdomen
diaphragm
is the body space between the thorax (chest) and
pelvis.
abdomen (commonly called the belly)
These organs are held together loosely by
_____________________ that allow them to expand and to slide against each other.
connecting tissues (mesentery)
At the level of the pelvic
bones the ______ end and the _______ begins.
abdomen ; pelvis
contains all the digestive organs, including the stomach, small and large intestines, pancreas, liver, and gallbladder.
abdomen
The abdomen also contains the _________ and ____________
kidneys and spleen.
Many important blood vessels travel through the abdomen, including the ___________________
aorta, inferior
vena cava, and dozens of their smaller branches.
In the front, the abdomen is protected by a
thin, tough layer of tissue called __________
fascia
In front of the fascia are the __________ and __________
abdominal muscles and
skin.
In the rear of the abdomen are the ________ and ___________
back muscles and spine
The abdomen is bordered:
Superiorly by the ____________
Inferiorly by the _______________
Laterally by the _____________
coastal margins
symphysis pubis and inguinal canals
flanks
TRUE OR FALSE: It is important to understand the anatomic divisions known as the abdominal quadrants, the abdominal muscle walls, and the internal anatomy of the abdominal cavity in order to perform an adequate assessment of the abdomen.
TRUE
What are the 4 Abdominal Quadrants?
a. Right Upper
Quadrant (RUQ)
b. Right Lower
Quadrant (RLQ)
c. Left Upper
Quadrant (LUQ)
d. Left Lower
Quadrant (LLQ)
TRUE OR FALSE: The quadrants are determined by an imaginary vertical line (midline( extending from
the tip of the sternum(xiphoid) through the umbilicus to the symphysis pubis.
TRUE
TRUE OR FALSE: This line is bisected perpendicularly by the lateral line, which runs through the umbilicus across the abdomen.
TRUE
What are the Abdominal Regions?
- Epigastric
region - Umbilical region
- Hypogastric or
suprapubic region.
Ascending Colon
Transverse Colon
Duodenum
Gall Bladder
Hepatic Flexure of Colon
Liver
Head of the Pancreas
Pylorus (small bowel or ileum which
transverses all quadrants)
Right adrenal gland
Right kidney (upper pole)
Right ureter
RIGHT UPPER QUADRANT (RUQ)
Appendix
Ascending Colon
Cecum
Right kidney (lower pole)
Right ovary and fallopian tube
Right ureter
Right spermatic cord
RIGHT LOWER QUADRANT (RLQ)
Left adrenal gland
Left kidney (upper pole)
Left ureter
Body and tail of the Pancreas
Spleen
Splenic flexure of colon
Stomach
Transverses Descending Colon
LEFT UPPER QUADRANT (LUQ)
Left kidney (lower pole)
Left ovary and fallopian tube
Left ureter
Left spermatic cord
Descending colon
Sigmoid colon
LEFT LOWER QUADRANT (LLQ)
Liver
Gallbladder
Right kidney
Small intestine
RIGHT HYPOCHONDRIAC
REGION
Gallbladder
Liver
Right colon
RIGHT LUMBAR REGION
Appendix
Cecum
RIGHT ILIAC (INGUINAL)
REGION
Stomach
Liver
Pancreas
Duodenum
Spleen
Adrenal glands
EPIGASTRIC REGION
Umbilicus (Navel)
Duodenum
Parts of the small
intestine
UMBILICAL REGION
Urinary Bladder
Sigmoid colon
Female reproductive
system
HYPOGASTRIC REGION
Pancreas
Spleen
Colon
Left kidney
LEFT HYPOCHONDRIAC
REGION
Left Kidney
Descending colon
LEFT LUMBAR REGION
Descending colon
Sigmoid colon
LEFT ILIAC (INGUINAL)
REGION
Functions of the _____________:
1. Protect the internal organs
2. Allow normal compression during functional activities such as coughing, sneezing, urination, defecation, and childbirth.
Abdominal Wall Muscles
3 layers of Muscle
a. External Abdominal Oblique – outer most layer
b. Internal Abdominal Oblique – middle layer
c. Transverse Abdominis – innermost layer
outer most layer of muscle
External Abdominal Oblique
middle layer of the muscle
Internal Abdominal Oblique
innermost layer of the muscle
Transverse Abdominis
Connective tissue from these muscles extends forward to encase a vertical muscle of the anterior abdominal wall. This also provides strength to the abdominal wall.
RECTUS ABDOMINIS
Fibers and connective tissue extensions.
APONEUROSES
- Joining of these muscle fibers and aponeurons at the midline of the abdomen and forms a white line.
- Extends vertically from the xiphoid process of the sternum to the symphysis pubis
LINEA ALBA
___________ is a thin, shiny, serous membrane that lines the abdominal cavity (parietal peritoneum) and provides a protective covering for most of the internal abdominal organs (visceral peritoneum).
Peritoneum
Within the abdominal cavity are structures (abdominal viscera) of several different body systems:
Gastrointestinal System
Female Reproductive System
Lymphatic System
Urinary System
2 Types of Abdominal Viscera
- Solid Viscera
- Hollow Viscera
These are organs that maintain their shape consistently.
Liver, pancreas, spleen, adrenal glands, kidneys, ovaries, and uterus.
- Solid Viscera
Consists of structures that change shape depending on their contents.
Stomach, gallbladder, small intestine, colon and bladder.
- Hollow Viscera
TRUE OR FALSE: Whether abdominal viscera are palpable it still depends on location, structural
consistency and size.
TRUE
Characteristics of ____________
Largest solid organ
in the body
Composed of 4 lobes
LIVER
Characteristics of ____________
Long gland
PANCREAS
Characteristics of ____________
Soft, flat structure
SPLEEN
Characteristics of ____________
The female gonads
Primary female
reproductive organs
UTERUS & OVARIES
Characteristics of ____________
Glandular, bean
shaped organs
Considered posterior
organs
Tops of both kidneys
are protected by the
posterior rib cage
KIDNEYS
LOCATION of ________________
Below the diaphragm
Extends below the
right costal margin
RUQ of the abdomen
LIVER
LOCATION of ________________
Mostly behind the
stomach deep in the
upper abdomen
Extends across the
abdomen from the
RUQ to the LUQ
PANCREAS
LOCATION of ________________
Above the left
kidney
Below the
diaphragm at the
level of 9th, 10th and
11th ribs.
Posterior to the left
mid axillary line
Posterior and lateral
to the stomach
In some healthy
adults, lower tip can
be felt below the left
costal margin
SPLEEN
LOCATION of ________________
High and deep under
the diaphragm
Approximate with the
level of the T12 to L3
vertebrae
R kidney is
positioned slightly
lower because of the
presence of the liver
KIDNEYS
LOCATION of ________________
RLQ and LLQ
UTERUS & OVARIES
MEASUREMENT of _____________
Increases with age
From an average of
5cm at the age of
5y/o to 15cm in
adulthood and varies
with gender.
M: 10.5cm; F:7cm
LIVER
MEASUREMENT of _____________
6in long
PANCREAS
MEASUREMENT of _____________
7cm wide
SPLEEN
MEASUREMENT of _____________
10 x 5 x 2.5
KIDNEYS
MEASUREMENT of _____________
3.5cm x 2.5cm x
1.5cm (average
normal size)
2cm x 1.5cm x 1cm
or less (after
UTERUS & OVARIES
FUNCTIONS OF __________________
Helps in digestion
Regulates blood
sugar
PANCREAS
FUNCTIONS OF __________________
Filter the blood of
cellular debris
Digest
microorganisms
Return the
breakdown products
to the liver
SPLEEN
FUNCTIONS OF __________________
Glucose storage
Formation of blood
plasma proteins and
clotting factors
Urea synthesis
Cholesterol
production
Bile formation
Destruction of RBC
Storage of iron and
vitamins
Detoxification
LIVER
FUNCTIONS OF __________________
Filtration and
elimination of waste
products
Blood pressure
control
Maintenance of fluid
and electrolyte
balances
KIDNEYS
FUNCTIONS OF __________________
Secrete hormones
Release eggs for
possible fertilization
UTERUS & OVARIES
FINDINGS DURING
PALPATION of LIVER
PALPABLE
FINDINGS DURING
PALPATION of PANCREAS
NOT PALPABLE
FINDINGS DURING
PALPATION of SPLEEN
NOT PALPABLE
FINDINGS DURING
PALPATION of KIDNEYS
Bottom portion of the
kidney are palpable
(for some thin
clients)
FINDINGS DURING
PALPATION of UTERUS AND OVERIES
Normally Palpated
during bimanual
examination of the
internal genitalia
CHARACTERISTICS of ____________
Distensible, flask-like
organ
STOMACH
CHARACTERISTICS of ____________
Muscular sac
GALLBLADDER
CHARACTERISTICS of ____________
Longest portion of
the digestive tract
Named for its small
diameter
SMALL INTESTINE
CHARACTERISTICS of ____________
AKA colon
3 major sections:
Ascendig Colon,
Transverse Colon,
LARGE INTESTINE
CHARACTERISTICS of ____________
Distensible muscular
sac
URINARY BLADDER
LOCATION of _______________
LUQ just below the
diaphragm and
between the liver
and spleen
STOMACH
LOCATION of _______________
Near the posterior
surface of the liver
lateral to the mid
clavicular line
GALLBLADDER
LOCATION of _______________
Lies coiled in all 4
quadrants
SMALL INTESTINE
LOCATION of _______________
Originates in the
RLQ.
The ascending Colon extends up along the
RUQ flexes at a right angle and becomes
Transverse Colon runs across the
upper abdomen. In the LUQ near the
spleen, forms another right angle
then extends downward as the
Descending Colon
LARGE INTESTINE
LOCATION of _______________
Behind the pubic bone
in the midline of the
abdomen
URINARY BLADDER
MEASUREMENT of _______________
When it’s empty it is
about 12in long and
about 6in across
STOMACH
MEASUREMENT of _______________
10cm long
GALLBLADDER
MEASUREMENT of _______________
Approximately 7m
long
Approximately 2.5cm
wide
SMALL INTESTINE
MEASUREMENT of _______________
Approximately 6cm
wide
Approximately 1.4m
long
LARGE INTESTINE
MEASUREMENT of _______________
Normal capacity of
the bladder is 400-
600mL
Normal bladder can
hold 1 ½ to 2 cups
(300-400mL) of urine
during the day and
about 4 cups (800mL)
at night
URINARY BLADDER
FUNCTIONS OF _______________
Store, churn and
digest food
STOMACH
FUNCTIONS OF _______________
Store bile needed to
digest fat
GALLBLADDER
FUNCTIONS OF _______________
Digestion
Absorption
SMALL INTESTINE
FUNCTIONS OF _______________
Secrete large
amounts of alkaline
mucus
Water absorption
LARGE INTESTINE
FUNCTIONS OF _______________
Temporary receptacle
for urine
URINARY BLADDER
FINDINGS DURING
PALPATION OF STOMACH
NOT PALPABLE
FINDINGS DURING
PALPATION OF GALLBLADDER
NOT PALPABLE
FINDINGS DURING
PALPATION OF SMALL INTESTINE
NOT PALPATED
FINDINGS DURING
PALPATION OF LARGE INTESTINE
Sigmoid Colon is
often felt as firm
structure; Cecum
may feel softer;
Transverse &
Descending Colon
can be palpated
FINDINGS DURING
PALPATION OF URINARY BLADDER
Bladder filled with
urine can be palpated
in the abdomen above
the symphysis pubis
The abdominal organs are supplied with arterial blood by the _________________ and its major branches
Abdominal Aorta
TRUE OR FALSE: Pulsations of the aorta are frequently visible and palpable midline in the upper abdomen.
TRUE
TRUE OR FALSE: Pulsations of the right and left iliac arteries may be felt in the RLQ and LLQ.
TRUE
TRUE OR FALSE: YOU’RE THE CRAYONS IN HIS LIFE
TRUE