Health Assessment

  1. How is the abdomen divided for location and charting purposes?
    Image Upload 1
  2. When would you palpate a painful abdominal area?
    At the end of the exam so as to avoid unnecessarily prolonged discomfort to your pt.
  3. What can an umbilicus tell you?
    • Can be inverted or everted.
    • Inverted=normal.
    • Everted: possible ascites, pregnancy
    • Sunken: obesety
    • bluish periumbilicus: possible abdominal bleeding.
  4. What is striae?
    Stretch marks
  5. What does visible peristalsis together with distended abdomen indicate?
    Bowel obstruction
  6. What does purple/blue striae indicate?
    Cushing's syndrome: Excess adrenocortical hormone causes skin to be fragile and easiy broken fro m normal stretching.
  7. What are the names of the four possible Abdominal contours?
    • Image Upload 2
    • 1) flat
    • 2) scaphoid
    • 3) rounded
    • 4) protuberant
  8. what is Borborymi?
    Normal "growing" stomach sounds you can hear without the aid of a ss.
  9. What is the CVA as it relates to an abdominal exam?
    • Costovertebral angle
    • the angle made between the linea alba and the rib cage. Should be ~90 deg.
  10. How do you test for CVA tenderness?
    Place hand flat on back below floating ribs where kidneys lie. Make a fist with other hand hand pound the flat hand. Should not cause pain in pt. If it does, think renal inflamation.
  11. How do you test for ascites?
    • Fluid wave
    • Image Upload 3
    • Shifting Dullness
    • Image Upload 4
  12. If palpable, how wide should the abdominal measurement of the aorta be?
  13. What could cause abdominal distention?
    • Obesity
    • air/gas
    • ascites
    • ovarian cyst
    • pregnancy
    • feces
    • tumor
Card Set
Health Assessment
Chapter 21