week 6 abdominal assessment Flashcards
muscles of the abdomen
external oblique (outside of ribcage) transverse abdominis rectus abdominis (abs) internal oblique (beneath ribcage) external oblique aponeurosis white line (linea alba) Rectus sheath
rectus abdominis
nipple line down to symphysis pubis
older adult muscle changes
less musculature
-> less guarding and rebound
murphey’s sign
take a breath and hold it.
when gallbladder is inflamed it will be palpable.
spleen position
lies against diaphragm at approx. 9th-11th rib
kidney position
approx. 11th-12th rib
midclavicular
abdominal aorta
just to left of umbilicus upper
McBurney’s point
2/3 way between umbilicus and iliac crest
- R. side
- appendicitis
Region 1 of abdomen
epigastric
region 2 of abdomen
umbilical
region 3 of abdomen
hypogastric (pubic)
region 4 of abdomen
right hypochondriac
region 5 of abdomen
left hypochondriac
region 6 of abdomen
right lumbar
region 7 of abdomen
left lumbar
region 8 of abdomen
right inguinal
region 9 of abdomen
left inguinal
costal margin
rectus muscle
right lower border of liver
xiphoid
over aorta and liver
iliac crest
at midclavicular line
- iliac arteries
symphysis pubis
bladder
midline umbilicus
aorta above
colon below
Gallbladder pain referred to
right shoulder
right flank to mid-back
diaphragm pain referred to
right shoulder
stomach pain referred to
left anterior chest around side to left posterior chest
kidney referred pain to
flank
Kehr’s sign
splenic injury/LUQ pain
referred to left shoulder
cullen’s sign
blue halo around umbilicus indicating bleeding into tissues
gray-turner
discoloration/bruising of skin of flank, umbilicus, and CVA
- retroperitoneal hematoma
- hemorrhagic pancreatitis
capute medusa
blood supply draining abnormally
- veins look like medusa on abdomen
spider angiomas
liver disease
borborygmi
hear bowel sounds without stethoscope
- like when stomach growls with hunger
