Anatomy landmarks
- xiphoid process
- umbilicus
- costal margins
- iliac crests
- pubic bone
Organs that don't belong using the quadrant method are:
- Abdominal aorta
- urinary urinary bladder
- uterus
What Forms when ribs articulate with the vertebra
Costovertebral angle
Increase stress levels cause
- Gastritis
- gastric or duodenal ulcers
- ulceratice colitis
Common risk factor for depression and withdrawal are
Gastrointestinal surgery
Which ethnicity has an increase chance of colorectal cancer ?
- African American
Which ethnicity have increase chance or h-pylori ( peptic ulcer disease) ?
- African American
- Mexican Americans
pulsations and wave life movement below xiphoid process are normal finds for ?
Thin adults
Order of PA for abdomen
- Survey
- map abdomen
- auscultate
- palpation
Flat, rounded and scaphoid contour are
Normal findings
Protuberant on toddlers and pregnancy are
Normal findings
Protuberance on other individuals may indicate?
- Obesity
- ascites
Flat ( straight horizontal) are
Normal finding
Protrubance are expected for individuals with
Pregnancy or toddler
Rounded (convex abdomen ) horizontal line now curve outward are due to
Increase fat or decrease muscle
Scaphoid (concave) horizontal line now curve toward vertebral column is expected findings for
Thin individuals
Umbilicus expected findings are
- no discharge
- must be in the center
-it maybe be inverted or protruding
Protruding or displacement in pregnancy is a
Normal finding
Umbilical that are protruding or displaced for non pregnant is due to ?
Abdominal mass
distended urinary bladder
Drainage in the umbilical can be possible signs of ?
Infection or complications from laparoscopy
Priority for the nurse if drainage is detected in the umbilicus ?
Call Provider
Displace or protruding umbilical on a child is a ________?
Hernia
Taut and glistening are expected findings of
Ascite
Lesions, Macule, mole and freckles
Normal finding
Use tangential light across the abdomen shows shadows indicating
Bulges or masses.
Bulges can be ?
- tumors
-cyst
-hernias
When using tangential light make patients to take a deep breath to
Accentuate masses
Pulsation in the abdomen can indicate
Aortic aneurysm
or
increase pulse pressure
Increase peristaltic activity can indicate
Gastroenteritis or obstructive process
Peristaltic waves are normal with
Thin individual
The pattern to auscultate vascular sounds are
midline below xiphoid process and side to side.
Aorta sounds are below
Xiphoid process
Vascular sounds are located
-iliac
-renal
-femoral artery
-aorta
To auscultation vascular sounds, what side of the sethoscope do you use ?
Bell
What are Friction rubs?
Organs rubbing on peritoneum
Grating and coarse like sounds are
Friction rubs
Pulsation and blowing sounds
Bruit
hum (soft) and low pitch
Venous
arterial occlusion
Bruit
portal tension
Venous
To detect friction rubs proceed through each quadrant and listen over the
Liver and spleen
Normal bowel sounds
- Irregular
- hight pitch
- gurgling
Frequent sounds pt who haven't ate
Borborygmi
Loud and increase pitch and rushing
Hyperactive bowel
Gastrointestinal and diarrhea
Hyperactive bowel
Slow sluggish sounds
Hypoactive
Hypoactive bowel can indicate
- End stage of obstructions
- abdominal surgery ( common)
Absent bowel sounds can indicate
paralytic ileus
Auscultation for bowel sounds in which side of the stethoscope?
Diaphragm
How long do you auscultate bowel sounds ?
At least 60 sec.
Borborygmi is a normal finding true or false ?
True this occurs due to patient not eating for a couple of hours
Muscle tightness or guarding indicates
Abdominal pain
Involuntary of abdominal muscles associated with peritonitis
Guarding
Masses, tumors or obstruction can be palpated true or false ?
True
Women uterus is palpable true or false ?
True
Mass LLQ
Stool on colon
Bimanual technique is used for
Obese pt
Pancreas is non palpable or palpable
Non Palpable
Palpate for rebound tenderness pt shouldnt feel
sharp / pain
Palpating for rebound tenderness and pt feels sharp pain it's indication of
Blumberg sign
sharp pain as the compressed area returns to a non compressed state and requires immediate attention?
Blumbergs sign
pain in RLQ upon palpation of the LLQ
Rousings sign
Peritoneal irritation in the appendicitis is referred to ________?
Rousings sign
What's test is used for suspected appendicitis?
Psoas sign
Pain in the peritoneal inflammation or appendicitis
Psoas sign
what test can detect pain in cholecystitis ?
Murphy sign
Located in the epigastrium and around the umbilicus
Venous
Locations in the
- midline of xiphoid (AORTA)
- l/r coastal boarded at midclavicular line (RENAL)
- l/r abdomen at midclavicular btw umbilicus and anterior iliac spine (COMMON ILLIAC)
Systolic bruit
Vaguely palpable sensation in the epigastric region may be
Pancreatic in origin
Abdominal distention is due to ?
- Obesity
- gaseous distention
- abnormal tumor
- ascites
Percussion - Normal tympanic sounds
Obesity
Percussion- tympanic over a large area
Gaseous distention
Percussion- dull
palpation- firm
Abnormal tumor
Dullness in the lower abdomen
Ascites
Increase production of gas in the intestine due to food
Gaseous distention
Gaseous distention is caused by ?
- Paralytic ileus
- intestinal obstruction
Abdominal distention
Abnormal tumor
Abnormal tumor is caused by ?
- Ovarian
- uterine tumors
Accumulation of fluid, protuberance like bulging flasks caused by?
Ascites
Ascites is caused by?
- Cirrhosis
- chf
- nephrosis
- peritonitis
- neoplastic disease
RLQ
Appendicitis
RUQ
Cholecystitis
LLQ
Diverticulitis
IBS also known as SPASTIC COLON can be located in which quadrant?
LLQ
Don't palpate in suspected Appendicitis, dissecting abdominal, aortic aneurysm, polycystic kidney and transplanted organs T/F?
True
ALL 4 QUADRANTS ARE AUSCULTATED FOR A TOTAL OF 5
MINUTES BEFORE
DOCUMENTING __________ ?
ABSENT BOWEL
SOUNDS
Pain that may radiate to the right.
shoulder or subscapular
region ?
Pain from gallbladder disease
Pain that may radiate to the back?
Pain from pancreatitis
Common complaints of weight loss,
dysphagia,
and pain on swallowing
ETOH abuse, smoking
and poor oral
hygiene are
predisposing factors.
Common in Male
Cancer of the Esophagus
Weight loss, nausea,
vomiting, abdominal pain,
abdominal distention and
bleeding are
common complaints
Cancers of the GI Tract
Predisposing factors include poor dietary
habits
and chronic constipation
Change in bowel
habits or patterns is
characteristic with any location
In many cases, intestinal obstruction occurs
Colorectal Cancer
Occurs at the umbilicus
- Abdominal rectus
muscle separates or
weakens, allowing
abdominal
structures,
usually intestines, to
push through and
come
closer to the skin
- More common in
children
Umbilical Hernia
also known as incisional
hernia because occurs at
the site of an
incision
- An incision weakens the
muscle and the abdominal
structures move closer to
the skin
- Causes
include obesity,
repeated
surgeries,
infection during post-op
period, impaired wound
healing
& poor nutrition
Ventral (Incisional) Hernia
Weakening in the
diaphragm that
allows a
portion of
the stomach & the
esophagus to
move
into the thoracic
cavity
Hiatal Hernia
ingests food or water that is contaminated with
the
feces of an infected person.
Hep A
The disease is
closely associated with unsafe water,
inadequate
sanitation and poor personal hygiene.
Hep A
The virus is transmitted through contact with the
blood
or other body fluids of an
infected person
LIFE THREATENING
Hepatitis B
it can cause
chronic infection and puts
people at high risk of
death from cirrhosis and liver cancer.
Hepatitis B
bloodborne virus and the most common modes
of
infection are through unsafe injection
practices;
inadequate sterilization of medical equipment
in
some health-care settings; and unscreened blood
and blood products.
Hepatitis C
the virus can cause both acute
and
chronic hepatitis infection, ranging in severity
from
a mild illness lasting a few weeks to a serious,
lifelong illness.
Hepatitis C
Hep A, B, C and E are not caused by the LIVER T/F?
False, it caused by the liver
passed on through contact with
infected blood?
Hepatitis D
It only occurs in people who are
already
infected with the hepatitis B virus?
Hep D
E virus is transmitted mainly through
contaminated
drinking water.
Hep E
self-limiting infection and resolves within 4–6
weeks
Hep E
ranging in severity
from a mild illness lasting a few
weeks to a serious,
lifelong illness.
Hep C
Occasionally, a fulminant form of hepatitis
develops
(acute liver failure), which can lead to
death.
Hep E
It
is a major global health problem.
Hepatitis B
It can cause
chronic infection and puts people at high risk
of
death from cirrhosis and liver cancer.
Hepatitis B