Quiz 3 Flashcards
What is the sequence of skills you should perform when assessing the abdomen?
Inspection, Ausculatiation, percussion, palpation.
What is a fan shaped fold of the peritoneum that covers most of the small intestine and anchors it to the posterior abdominal wall?
Mesentery
What is the alimentary tract? (Length)
Tube from mouth to anus (27 feet)
How long is the esophagus ?
10 inches
How long is the small intestine?
21 feet
How long is the large intestine?
4.5 to 5 ft long
What connects the pharynx to the stomach?
Esophagus
Where does the esophagus enter the stomach?
Cardiac orifice
What are the parts of the small intestines and their sizes?
Duodenum 12 in, jejunum 8 feet, ilium 12 feet..
Liver is on what side?
Upper right
What side is the spleen on?
Upper left (below kidney)
When does the pancreatic buds, liver and gallbladder begin to from in gestation?
4th week
What is an end product of fetal metabolism and is produced at about 17weeks?
Meconium
When is the gastrointestinal tract capable of adapting to extrauterine life?
By 36-38 weeks gestation
When is the spleen active in formation of blood ?
Till First year
When is the kidney able to produce urine in gestation ?
12 weeks
What are the 9 regions the abdomen can be broken down into?
Epigastric, umbilical, hypogastric, R and L hypochondriac, r and L lumbar, and R and L Inguinal
Marked pulsation in the abdomen many occur as a result of what?
Abdominal aortic aneurysm
When auscultating the abdomen you should hear clicks and gurgles that occur in what range per min?
5-35
What are loud prolonged gurgles called?
Borborygmi (stomach growling)
When auscultating the abdomen what sounds would cause you to think there is an emergency ?
No sounds after 5 min
High pitched tinkling sounds suggests what in the abdomen ?
Intestinal fluid and air under pressure (early obstruction)
Decreased bowl sounds occur in what?
Peritonitis and paralytic ileus
What till have greater tympani the small or large intestines?
Small