week 3 Highlights of ABD-LF Flashcards Preview

SUM '20 - Health Assessment > week 3 Highlights of ABD-LF > Flashcards

Flashcards in week 3 Highlights of ABD-LF Deck (70)
Loading flashcards...
1

what is the most important part of any patient assessment

how do we do chief complaint

patient history. try to stay relevant to current problems.
chief complaints are exactly what patient says

2

PQRST

precise location
quality/quantity
radiant/referred
severity
time frame

3

what are the A's of what else you can tell me about your problem

what else can you tell me

associated symptoms
absent symtpoms
alarm symptoms

4

most common GI diagnosis

gerd

5

review of abdomen exam

inspection
auscultation
percussion
palpate (light and deep)

6

Right Upper Quadrant structures

Liver
Gallbladder
Duodenum
Head of the pancreas
Right kidney and adrenal
Part of the ascending and transverse colon (Umbilical)

7

Left Upper Quadrant

Stomach (Epigastric)
Spleen
Left lobe of the liver
Body of the pancreas (Epigastric)
Left kidney and adrenal
Part of the transverse and descending colon (Umbilical)

8

Right Lower Quadrant

Cecum
Appendix
Right ovary and tube
Right ureter
Right spermatic cord

9

Left Lower Quadrant

Part of the descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord

10

Suprapubic

Bladder
Uterus

11

visceral pain
parietal pain
referred pain

v- pain associated with hollow/solid organs

P-occurs with inflammation of hollow or solid organs that effect the parietal peritoneum

referred-felt at distant sites that share innervation from the spinal level,

12

Developmental Considerations
Infants and Children

Breast feeding vs bottle feeding – formula used
Eating habits of the child
Constipation
Childhood obesity

13

Developmental Considerations
Elderly

ADLS are important to consider – how do they receive and prepare food
Blunting of abd pain is common
Bowel habits
Dentition

14

why is order important for abdomen exam

because if you percuss or palpate before auscultation- it will elicit bowel sounds and does not give an accurate indication of patients condition

15

inspection of abdomen includes what odd thing that hammon discussed in class

tangential lighting for peristalsis and pulsations

16

name all the places to auscultate on the abdomen

bowel sounds each quadrant.

diaphragm over aorta, iliac, femoral - checking for bruits/hums

place diaphragm over liver and spleen to listen for friction rub

17

where do you percuss
for tympani

dullness

tympani- over intestines

dullness -liver, spleen, large stool, or mass.

18

when should percussion of the spleen be tympanic

percussing the lowest interspace in the left anterior axillary lines. then have the patient take a deep breath and repeat.

called splenic percussion sign

19

deep palpation detects

masses

20

light palpation detects

tenderness and guarding

21

if patient is obese what technique can help locate the liver

hooking technique

22

patient has ascites- what is the presentation?

what will percussing the middle and sides produce

testing fluid wave

protuberant abdomen with bulging flanks

tympany in the center. dullness lateral sides

tap the side for fluid wave with hand in the center of abdomen

23

what are reasons for enlarged spleen

should it be palpable

mono
hematological disorders- cause enlargements of spleen

should not be palapble

24

murphy signs

with cholecystitis there is pain when you hold your fingers under the liver border and have the client take a deep breath. The test is positive when the client cannot complete the breath but rather stops the breath abruptly.

25

pancreas presents with abdominal pain radiating where.

what symptoms are common

to the back

n&v

alcoholism accounts for 80% of admissions

26

school age children who present with stomach pain- suspect what

bully at school

anxiety can cause belly pain

27

what is concerning about the spleen and significant trauma

it can easily rupture

28

stomach

Positive hemoccult

Tenderness

Bruits

can indicate upper GI bleed or malignancy- should occur with any epigastric pain

PUD and pancreatitis

abdominal aortic aneurysm

29

Blumberg’s sign

appendicitis
(Pushing perpendicular on the abdomen in a site away from the pain. Release of the pressure will cause pain).

30

McBurney’s point

appendicitis- Mild palpation to RLQ will increase pain significantly