-
RUQ
- liver,
- gallbladder,
- part of the pancreas,
- duodenum,
- part of the transverse colon,
- and the right kidney and part of its ureter
-
RLQ
- ascending colon
- appendix
- part of the right ureter
- ovary and fallopian tube
- right spermatic cord
-
LUQ
- part of the pancreas
- spleen
- part of the transverse colon
- left lobe of the liver
- stomach
- left kidney and part of its ureter
- part of the urinary bladder
-
LLQ
- sigmoid colon
- descending colon
- ovary and fallopian tube
- part of the left ureter
- part of the urinary bladder
- and left spermatic cord
-
midline abdomen contains
- aorta
- ascending vena cava
- uterus if enlarged
- urinary bladder if distended
-
hollow viscera =
- stomach
- gallbladder
- small intestine
- colon
- bladder
-
solid viscera =
- liver
- pancreas
- spleen
- adrenal glands
- kidneys
- ovaries
- uterus
-
health history questions
- appetite
- dysphagia
- food intolerance
- abdominal pain
- nausea/vomiting
- bowel habits
- abdominal history
- medications
- nutritional assessment
-
midline abdominal regions
- epigastric
- umbilical
- hypogastric/suprapubic
-
constipation =
no elimination of stool greater than 3 days
-
dysphagia =
difficulty swallowing
-
-
hematemesis
vomiting blood
-
melana =
black tarry feces associated with upper Gi bleed
-
anorexia =
no hunger / no eating
-
questions for aging adults
- How do you obtain your groceries and prepare your meals?
- Who do you eat with24 hr recall. (different at end of month?)
- Dysphagia?
- How often do your bowels move?
- Do you take or do something to help bowels move
-
objective data for abdominal assessment
- Contour
- Symmetry
- Umbilicus
- Skin
- Pulsation or movement
- Hair distribution
- Demeanor
-
what relaxes the abdominal wall for the assessment
- Do not let legs hang over table
- put a pillow underneath the table
-
what should you do after inspecting the abdomen
auscultate
-
contour of abdomen =
- flat
- scaphoid = sinking in of abdomen
- rounded = like small baby bump or pouch
- protuberant = very rounded abdomen
-
to hear bruits use which side of stethescope
bell
-
bimanual palpation =
using two hands to palpate
-
blumberg's sign =
- rebound tenderness
- peritonitis appendicitis
-
Murphys sign
- pain arrests the patients breathing
- pt shallow breathing
-
Iliopsoas muscle test =
movement of hip casues pain in the abdomen
-
organomegaly
organ enlargement
-
hernia =
weakness of the abdominal wall
-
Diastaasis recti =
- ventral hernia
- when pt sits up you see a protuberants at midline of the abdomen
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