week 6 abdominal assessment Flashcards

1
Q

muscles of the abdomen

A
external oblique (outside of ribcage)
transverse abdominis
rectus abdominis (abs)
internal oblique (beneath ribcage)
external oblique aponeurosis
white line (linea alba)
Rectus sheath
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2
Q

rectus abdominis

A

nipple line down to symphysis pubis

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3
Q

older adult muscle changes

A

less musculature

-> less guarding and rebound

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4
Q

murphey’s sign

A

take a breath and hold it.

when gallbladder is inflamed it will be palpable.

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5
Q

spleen position

A

lies against diaphragm at approx. 9th-11th rib

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6
Q

kidney position

A

approx. 11th-12th rib

midclavicular

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7
Q

abdominal aorta

A

just to left of umbilicus upper

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8
Q

McBurney’s point

A

2/3 way between umbilicus and iliac crest

  • R. side
  • appendicitis
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9
Q

Region 1 of abdomen

A

epigastric

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10
Q

region 2 of abdomen

A

umbilical

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11
Q

region 3 of abdomen

A

hypogastric (pubic)

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12
Q

region 4 of abdomen

A

right hypochondriac

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13
Q

region 5 of abdomen

A

left hypochondriac

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14
Q

region 6 of abdomen

A

right lumbar

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15
Q

region 7 of abdomen

A

left lumbar

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16
Q

region 8 of abdomen

A

right inguinal

17
Q

region 9 of abdomen

A

left inguinal

18
Q

costal margin

A

rectus muscle

right lower border of liver

19
Q

xiphoid

A

over aorta and liver

20
Q

iliac crest

A

at midclavicular line

- iliac arteries

21
Q

symphysis pubis

A

bladder

22
Q

midline umbilicus

A

aorta above

colon below

23
Q

Gallbladder pain referred to

A

right shoulder

right flank to mid-back

24
Q

diaphragm pain referred to

A

right shoulder

25
Q

stomach pain referred to

A

left anterior chest around side to left posterior chest

26
Q

kidney referred pain to

A

flank

27
Q

Kehr’s sign

A

splenic injury/LUQ pain

referred to left shoulder

28
Q

cullen’s sign

A

blue halo around umbilicus indicating bleeding into tissues

29
Q

gray-turner

A

discoloration/bruising of skin of flank, umbilicus, and CVA

  • retroperitoneal hematoma
  • hemorrhagic pancreatitis
30
Q

capute medusa

A

blood supply draining abnormally

- veins look like medusa on abdomen

31
Q

spider angiomas

A

liver disease

32
Q

borborygmi

A

hear bowel sounds without stethoscope

- like when stomach growls with hunger