step 6 Flashcards
what happens at step 7
Palpation of the abdomen
running order when palpating ?
light
deep
liver and spleen
kidneys
aorta
special test
where are we lightly palpating and what are we looking for?
palpating the 9 regions
look for guarding, grimacing and or masses
where are we deeply palpating ? and what are we looking for?
across the 9 regions
look for
guarding
grimacing
masses
how are we palpating the spleen and liver?
ask the patient to take a deep breath in and out as you move from the right iliac fossa to the organs.
what should we do for the kidneys.
Ballot each kidney
how do we ballot each kidney? and what are we looking for?
place hands anterior and posterior and ballot the kidney.
note any pain or discomfort
what do we need to do to the aorta?
palpate the aorta
what palpation do we do to the aorta light or deep?
light
where are we applying light pressure?
inner mid-clavicular line of the abdomen.
what are we looking for when assessing the aorta? and what can it indicate
pulsating mass which can indicate a Abdominal aortic aneurysm
Special tests
1- murphy’s sign
2- roving sign
3- posts sign
What does murphy’s sign test
cholecystitis
how do we perform Murphys sign
have the patient lie supine
place left hand with the fingers pointing midline
what can Murphys sign indicate
suspected cholecystitis pain and tenderness
