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abdominal cavity contains these organs:
stomach, spleen, liver, gall bladder, appendix
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sympotoms of peritonitis
rebound tenderness
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Organs of digestion
- esophagus
- stomach
- small intestine
- large intestine
- rectum
- liver
- gall bladder
- pancreas
- spleen
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separates esophagus from stomach at cardiac orafis. stops reflux
cardiac sphincter
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LUQ
stores food during eating, secretes digestive juices and mixes food with juices, hydrocholoric acid to break food down
stomach
-
composed of:
duodenum-1ft
jejunum-8ft
iluem-12ft
completes digestion throught the action of enzymes and bile
small intestine
-
composed of:
cecum, ascending, transverse, descending and ends at sigmoid colon
function:
absorbs H20, lubricate intestinal contents, neutralize acids
large intestines
-
veins that dilate and can be either internal or external
hemorrhoids
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RUQ
functions:
produce & secret bile
metabolism of protein, fat & CHO
glucose storage
detoxifies substances
liver
-
attached to inferior surface of liver
function:
concentrates and stores bile
needed for breakdown of fats
gives feces its brown color
gallbladder
-
choloenystitis
inflammation of the gallbladder
-
located under L lobe of liver
function:
endocrine- produce enzymes insulin, glucagon
exocrine- secretes enzymes used to breakdown
pancreas
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LUQ
functions:
stores 1-2% of erythrocytes & platelets
contains macrophages
spleen
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organs of excretion
- kidneys
- ureters
- bladder
- prostrate
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Function:
waste removal of water soluble waste
kidneys
-
connect kidneys to bladder
ureters
-
-
-
function:
produce a secretion to help facilitate sperm in passages from testes
prostate
-
inflammation of the prostate
prostititis
-
dysuria
urinary difficulty
-
whisy sound of arteries and veins of the abdomen
bruie
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indicates liver disease
yellow skin
jaundice
-
fluid in abdomen
liver or heart problem
ascites
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PQRST
- Problem
- Quality
- Radiation
- Sensitivity
- Time
-
asymmetric distention may indicate _____
hernia
-
expected sounds of the abdomen
"active" every 5 sec
-
stomach growling
borborygmi
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Arterial and Venous sounds
expected sounds
"active" no sounds heard
abnormal would be bruie
-
push into abdomen, rapidly release
testing peritoneum irratation
rebound tenderness
-
pt lies supine, place hand over lower thigh and have patient raise leg
iliopsoas m. test
-
pt supine, flex leg at hip and knee to 90 then rotate leg
obturator m. test
testing for ruptured appendix
-
after stool look for change in color
guiac test
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2 components of cardiovascular system:
-
2 loops of circulation for blood
- systemic circulation - to body
- pulmonary circulation - to lungs
-
functions of CV system
transport O2, nutrients to body tissues and cells
remove CO2 and waste from body cells
-
anterior chest that overlies the heart area
precordium
-
area under breast bone btwn lungs
mediastinum
-
protective sac with serus membrane and fluid
pericardium
-
outer layer, covers heart surface
epicardium
-
middle m. layer of the heart
myocardium
-
inner layer of heart, covers chambers and valves
-
know
arteries->arterioles->capillaries->exchange->venules->veins
-
heart at rest
ventricles are relaxed and recieving blood
diastole
-
heart is working
ventricles contract and sweeze blood out to pulmonary artery and aorta
systole
-
leak in the ventricles
murmurs
-
"pacemaker" 60-100 bpm
SA node
-
-
go to the bathroom after laying down
nocturia
-
faint, light headed
syncope
-
pulse amplitude
0-4 scale
-
allens test
test for collateral circulation of the hand
-
dorsiflex pt foot to assess the calf pain response for possible thrombophlebitis
homans test
-
pitting edema
0-4 scale
- 0- no pitting
- 1- rapid responce
- 2- 10-15 seconds
- 3- 1-2 minutes
- 4- 2-5 minutes
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assesses for venous competence
pt is supine, elevate leg above heart until veins are empty, then lower leg quickly
Trendelenburg's test
-
swelling of one leg
Deep vein thrombosis
-
pt at 30 degrees
elevate and tilt chin opposite direction
assess for visible pulsations of jugular veins
Jugular venous distension
-
1st heart sound
closure of mitral & tricuspid valves
S1
-
2nd heart sound
closure of aortic and pulmonic valves
S2
-
ventricular gallop sound
S3
-
-
Ausculotory of heart sounds
Aoritic area
s2>s1
-
Ausculotory of heart sounds
pulmonic area
s2>s1
-
Ausculotory of heart sounds
erb's point
s2=s1
-
Ausculotory of heart sounds
Tricuspid area
s1>s2
-
Ausculotory of heart sounds
Mitral area
s1>s1
-
when s3 and s4 run together during systole
summation gallop
-
turb. flow in blood vessels
bruie
-
turb. flow throughout valve
swish
-
cardiac output changes with aging
decreases 30-40%
-
provides RBC production and mineral storage
function of musculoskeletal
-
# of bones in the body
206
-
non moveable joint
synarthrotic
-
semi moveable joint
amphiarthrotic
-
freely moveable joint
diarthrotic
-
Joints!
flexion/extension (knee, finger)
hinge
-
Joints!
movement of one bone articulating with ring/ notch of another bone (head of radius w/ radial arch of ulna)
pivot
-
-
Joints!
condyle of bone fits w/ elliptical shape of ther bone ( radius w/ wrist bones)
condyloid
-
Joints!
movement along axis/flat (vertebrae)
gliding
-
sac lined w/ synovial fluid membrane
bursae
-
foot raised high and strikes the ground suddenly w/ entire sole
cerebellar disorders, alcohol
ataxic
-
paralysis of one side of body
upper motor nueron disorder as in stroke
hemiplegic
-
legs cross at the thights or knees with each step, occurs in upper motor neuron disorders as in stroke
scissors
-
-
muscle strength scale
0-5 scale
- 0- no contraction
- 1- slight contraction
- 2- full ROM without gravity
- 3- full ROM with gravity only
- 4- full ROM with gravity and slight resistance
- 5- full ROM with full resistance
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3 movements of the temporomandibular jt
hinge, protraction/retraction, side to side
-
expected neck movements
flexion
extension
hyperextention
lateral bending
rotation
- flexion- 45 deg forward
- extension- 55 deg straight
- hyperextention- back
- lateral bending- 40 deg
- rotation- 70 deg
-
spine
33 bones
- cervical- 7
- thoracic- 12
- lumbar- 5
- sacral- 5
- coccygeal- 3
-
spine is off alighnment side to side
lateral curvature
scoliosis
-
curvature of upper back, often normal in older pt's
kyphosis
-
inward curvature of spine, protruding belly
lordosis
-
elbow movements
flexion
extension
supination
pronation
- flexion-160
- extention-180
- supination-90
- pronation-90
-
wrist tests
hands palmer flexed with dorsal sides together for 1 min
phalens test
-
wrist tests
purcussion on wrist
tinels
-
swelling in the knee
patellar ballottement
-
hard time absorbing
krones disease
-
infection of bladder
cystisis
-
bacterial infection of kidney
pyelonephritis
-
biologically active form of vit D
calcitrol
-
cardiac output
stroke volume x heart rate
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