-
The liver is located in the ____ quadrant.
RUQ
-
The gallbladder is located in the ____ quadrant.
RUQ
-
The duodenum is located in the _____ quadrant.
RUQ
-
The head of the Pancreas is located in the ____ quadrant.
RUQ
-
The right kidney is located in the ______ quadrant
RUQ
-
The cecum is located in the ____ quadrant.
RLQ
-
The Appendix is located in the ____ quadrant.
RLQ
-
The Stomach is located in the _____ quadrant.
LUQ
-
The Spleen is located in the ____ quadrant.
LUQ
-
The Body of Pancreas is located in the ____ quadrant.
LUQ
-
The Sigmoid Colon is located in the ____ quadrant.
LLQ
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Visceral abdominal pain
- From an internal organ
- Dull, general, poorly localized pain
-
Parietal abdominal Pain
- Inflammation of overlying peritoneum
- Sharp, precisely localized pain that's aggravated by movement
-
Referred abdominal Pain
Occurs from a disorder in another site
-
Gray stools occur with _____
Hepatitis
-
Red blood in stools occurs with ____ or ____
- GI bleeding
- Localized bleeding around the anus
-
Causes of Peptic Ulcer Disease
- NSAIDs
- Alcohol
- Smoking
- Helicobacter pylori infection
-
Cullen's Sign
- Bluish periumbilical color
- Occurs with intraabdominal bleeding
-
Which conditions are associated with the presence of ascites?
- Heart failure
- Cirrhosis
- Hepatitis
- Pancreatitis
- Cancer
-
What would someone's abdomen look like with ascites?
- Single Curve
- Everted umbilicus
- Bulging flanks when supine
- Taut, glistening skin, recent weight gain, and increase in abdominal girth
-
What other condition can cause fluid wave and shifting dullness?
Large ovarian cyst
-
How can you differentiate between an ovarian cyst and ascites?
On palpation an ovarian cyst transmits aortic pulsation while ascites does not
-
When can adults develop an umbilical hernia?
- Pregnancy
- Chronic ascites
- Chronic intrathoracic pressure (ex. asthma, chronic bronchitis)
-
What things can cause someone to have hypoactive bowel sounds?
- Inflammation as seen with peritonitis
- Paralytic ileus as following abdominal surgery
- Late bowel obstruction
- Pneumonia
-
What things can cause someone to have hyperactive bowel sounds?
- Early mechanical bowel obstruction (high pitched)
- Gastroenteritis
- Brisk diarrhea
- Laxative use
- Subsiding paralytic ileus
-
What can cause a liver peritoneal friction rub?
-
What can cause a spleen peritoneal friction rub?
-
An enlarged and nontender liver occurs with what 4 things?
- Fatty infiltration
- Portal obstruction or cirrhosis
- High obstruction of inferior vena cava
- Lymphocytic leukemia
-
An enlarged and tender liver is indicative of what three things?
- Early heart failure
- Acute hepatitis
- Hepatic abscess
-
An enlarged and nodular liver is indicative of what three things?
- Late portal cirrhosis
- Metastatic cancer
- Tertiary syphilis
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