Term
| what is the 3rd leading cause of death? |
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Definition
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Term
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Definition
| liver, gallbladder, duodenum, head of pancreas, right kidney and adrenal gland, hepatic flexure of colon, and part of ascending and transverse colon |
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Term
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Definition
| cecum, appendix, right ovary and tube, right ureter, and right spermatic cord |
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Term
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Definition
| stomach, spleen, left lobe of liver, body of pancreas, left kidney and adrenal gland, splenic flexure of colon, and part of transverse and descending colon |
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Term
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Definition
| part of descending colon, sigmoid colon, left ovary and tube, left ureter, and left spermatic cord |
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Term
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Definition
epigastric, umbilical and hypogastric (suprapubic) areas-area between costal margins
aorta, umbilicus, uterus (if enlarged), and bladder (if distended) |
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Term
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Definition
| superficial reflex-jump when you are ticklish |
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Term
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Definition
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Term
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Definition
inspection
auscultation
percussion (gives outline of organs)
palpation |
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Term
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Definition
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Term
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Definition
Weakened area of abdominal muscles and intestines protrude from those (midline and umbilicus is most common sites)
-If it can’t be retracted manually-it would be a surgical emergency |
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Term
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Definition
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Term
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Definition
-aorta—approx. 5-6 in. above umbilicus on MSL
-renal arteries—approx. 3-4 in. above umbilicus on MCL
-iliac arteries—approx. 2-4 in. below umbilicus on MCL
-femoral arteries—halfway between ant. superior iliac spine & symphysis pubis (about 5-6 in. below umbilicus on MCL) |
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Term
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Definition
Normal (5-20)
Hypoactive (<5)
-After surgery
Hyperactive (>20)
-GI disturbance (nausea and vomiting or stomach growling) |
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Term
| if you can't hear bowel sounds at first what do you do? |
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Definition
| listen for 5 minutes at RLQ at ileocecal valve or 1 minute in each quadrant and epigastric |
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Term
friction rubs
(in liver and spleen) |
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Definition
Liver-lower right rib cage
-Abscess or tumor RMCL
Spleen-lower left rib cage LAAL
-Abscess, infection or tumor |
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Term
| what is the normal percussion sound for the abdomen? |
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Definition
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Term
| when do you use blunt percussion? |
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Definition
| when percussing the liver and kidneys |
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Term
| normal span for the liver |
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Definition
RMCL: 6-12 cm
RSB & MSL: 4-8 cm |
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Term
percussing the stomach
what sound?
where at? |
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Definition
most tympanic-gastric air bubbles
LUQ; 6th to 7th ICS lateral to LMCL |
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Term
| any dullness on deep inspiration over the spleen suggests |
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Definition
| beginning of splenic enlargement |
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Term
| tenderness over CVA suggests |
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Definition
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Term
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Definition
-ulnar edge of pt. hand midline
-strike rt. Flank & hold lt. flank
-fluid wave passes through and you feel tap of fluid under lt. hand |
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Term
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Definition
-supine-percuss rt. Side from tympany to dullness
-turn pt. to right-percuss again from tympany to dullness-dull area will be higher then when pt. supine |
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Term
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Definition
| put fingers around the bottom of the rib cage |
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Term
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Definition
3 times normal size to be palpable
enlarged spleen can rupture easily |
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Term
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Definition
horizontal group-below inguinal ligament
vertical group-close to upper portion of great saphenous vein |
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Term
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Definition
Stroke each quadrant from side toward umbilicus
Nl.=muscle contraction & umbilicus moves toward the stroke |
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Term
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Definition
protuberant abd.
Umbilical cord falls off 10-14 days
Hernias
-Umbilical
-Diastasis recti
Occasional peristalsis visible
Pyloric stenosis: marked peristalsis & projectile vomiting (narrow)
No vascular sounds
Liver edge at RCM or 1-2 cm below |
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Term
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Definition
Protuberant abd. until age 4
Liver edge palpable 1-2 cm below RCM
Spleen palpable |
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Term
| aging adult considerations |
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Definition
Increased sub-q fat
Thinner abd. wall
Organs easier to palpate |
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