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Chapter 21
Abdomen
89
Health Care
Undergraduate 2
05/15/2012

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Cards

Term
aneurysm
Definition
defect or sac due to dilation of the artery wall due to athersclerosis trauma or congenitcal defect
Term
Anorexia
Definition
loss of appetite for food
Term
Ascites
Definition
abnormal accumulation of serous fluid within the peritoneal cavity that is associated with congestive heart failure, cirrhosis, cancer, or portal hypertension
Term
Borborygmi
Definition

loud gurgling bowel sounds signaling increased motility or hyperperistalsis which occurs with early bowel obstruction, gastroenteritis, diarrhea

 

Term
Bruit
Definition
blowing swooshing sound hear through a stehoscope when an artery is partially occluded
Term

cecum

 

Definition
first or proximal part of the large intestine
Term
cholecystitis
Definition
inflammation of the gallbladder
Term
costal margin
Definition
lower border of the ribmargin formed by the medial edges of the 8th, 9th, and 10th ribs
Term
costovertebral angle (CVA)
Definition
angle formed by the 12th rib and the vertebral column on the posterior thoraz, overlying the kidney
Term
Diastasis recti
Definition
midline longitudinal ridge in the abdomen, its the separation of the abdominal rectus muscles
Term
dysphagia
Definition
difficulty swallowing
Term
epigastrium
Definition
name of the abdominal region between the costal margins
Term
hepatomegaly
Definition
abnormal enlargement of the liver
Term
Hernia
Definition
abnormal protusion of bowel through weakening in abdomen musculature
Term
Inguinal ligament
Definition
ligament extending from pubic bone to anterior superior iliac spine forming the lower border of the abdomen
Term
Linea alba
Definition
midline tendinous seam joining the abdominal muscles
Term
Paralytic ileus
Definition

complete absence of peristaltic movement that may follow abdominal surgery or complete bowel obstruction

 

Term
Peritoneal friction rub
Definition

rough grating sound heard through stehtoscope over the site of the peritoneal inflammation

 

Term
peritonitis
Definition
inflammation of the peritoneum
Term
pyloric stenosis
Definition
congenital narrowing of phyloric sphincter that forms outflow obstruction of the stomach
Term
Pyrosis
Definition
heartburn; burning sensation in upper abdomen due to reflux of gastric acid
Term
Rectus abdominis muscles
Definition
midline abdominal muscles extending from rib cage to pubic bone
Term
scaphoid
Definition
abnormally sunken abdominal wall as with malnutrition or underweight
Term
splenomagly
Definition

abnormal enlargement of the spleen

 

Term
striae
Definition
(linea albicantes) silvery white or pink scar tissue formed by stretching of abnorminaol skin seen in pregnancy or obesity
Term
suprapubic
Definition
name of the abdominal region just superior to pubic bone
Term
Tympany
Definition
high pitched, muscial, drumlike percussion note when percussing over the stomach and intestine
Term
umbilicus
Definition
depression on the abdomen marking site of entry of umbilical cord
Term
viscera
Definition
internal organs
Term
solid viscera
Definition
maintains characteristic shape such as the liver, pancreas, spleen, afrenalglands, kidneys, ovaries, and uterus
Term
hollow viscera
Definition
stomach, gladdbladder, small intestine, colon, and bladder
Term
                                                                                                                                                                                                                                                                                Children                                      
Definition
umbilical cord shows prominently in the newborn (2 arteries and 2 vein). liver takes up more space in the abdomen at birth than later in life and urinary bladder is located higher in the abdomen than the adult. abdominal wall is less muscular so organs are easier to palpate
Term
pregnant woman
Definition
nausea and vomiting are early isgn of pregnancy between 1st and 2nd missed periods (unknown cause, may be due to hormonal changes),  Pyrosis (heartburn), constipation because od decreased motility which can lead to hemmorhoids,  the uterus enlarges so intestines move upward and posteriorly, bowel sounds are dimished and appendix doesn't change location, striae in abdomen
Term
aging adult
Definition

during and after middle age fat accumulates in the suprapubic area in females as a result of decreased estrogen levels, fat tissue is redistributed away from face and extremtities but to the abdomen and hips, this doesn't affect function unless theres disease

The esopageal empting is delayed, gastric acid is decreasing, liver size decreases although it functions normally, frequent constipation

 

Term

spleen

 

Definition
never ever palpate this organ because it can rupture!
Term
dysphagia
Definition
occurs with disorders of the throat or esophagus
Term
eructation
Definition
belching
Term
visceral pain
Definition
abdominal pain from internal organ (dull, general, poorly localized)
Term

parietal pain

 

Definition
abdomincal pain from peritonitis that is sharp, localized, and aggravated by movement
Term
referred pain
Definition
disorder in another site
Term
duocenal ulcers
Definition
these ulcers occurs 2 to 3 hours after a meal and is relived by more food
Term
gastric ulcers
Definition
chronic pain on an empty stomach
Term
HEMATEMSIS
Definition
occurs with stomach or duodenal ulcers and esophageal varices
Term
black stools
Definition
can be dark due to blood from gi bleeding (tarry) or non tarry from iron mediations
Term
gray stools
Definition
hepatitis
Term
peptic ulcer disease
Definition
this can be caused by NSAIDS, alcohol, smoking, and H.pylori infection
Term

2 years

 

Definition
toddlers should recognize edible foods by
Term
parental anxiety
Definition
ireegular eating is due to _but as long as they showing normal growth and deelopment and nutritious foods are offered only, they should be fine
Term
4000cal/day
Definition
boys need  and more if excercising
Term
20%
Definition
girls need ___fewer calories
Term
amenorrhea
Definition
this is common with anorexia nervosa
Term
week long diary
Definition
this is better than the 25 hour intake because of insufficency
Term
arms over their head
Definition
when having the person supine discourage them from placingtheir______________because it tenses the abdominal musculature
Term
cullen sign
Definition
bluish periumbilical color (rare) with intra-abdominal bleeding
Term
glistening and taut
Definition
with ascites the skin is
Term
cutaneous angiomas
Definition
occurs with portal hypertension or liver disease
Term
malnutrition
Definition
 veins are more visible with
Term
intestinal obstruction
Definition
marked visible peristalsis with a distended abdomen
Term
hypertension, aortic insufficiency, thyrotoxicosis
Definition
marked pulsation of aorta occurs with widened pulse pressure from
Term
peristalsis giving a false interpretation of bowel sounds
Definition
we do percussion and palpation after auscultation because it can increase
Term
bowel sounds
Definition

they are high pitched, gurgling, cascaing sounds, irregular

 

Term
hypoactive or absent sounds
Definition
these follow abdominal surgery or with peritonitis
Term
celiac artery
Definition

some people younger than 40 may have a normal bruit originating from the

 

Term
dull because pf fluid, adipose tissue, or mass
Definition

distended bladder

 

Term
gaseous distention
Definition
hyperresonance is present with
Term
6-12 cm
Definition
normal liver span in the adult is -----10.5 cm in male and 7 cm in females
Term
5th intercostal space (lung disease)
Definition
should hear dull sounds above
Term
positive spleen percussion sign
Definition
when there is change in percussion from tympany to dull sounds with full inspiration which indicated splenomegaly
Term
sharp pain
Definition
this pain occcurs with inflammation of the kidney or paranephric area
Term
Fluid wave
Definition
this checks for gaseous distention or ascites and its when the ulnar edge of a person's hand on patient's abdomen in the midline and nurses lleft hand on their right flank while right hand gives a firm strike on ledt flank and a tap on the left hand.
Term
shifting dullness
Definition

testing for ascites or gaseous distention percussin down thte side of abdomen and its dull

 

Term
ultrasound
Definition
fluid wave and shifting dullness are not completely reliable but __________is the definite tool!
Term
voluntary guarding
Definition
occurs when person is cold, tense or ticklish which is bilateral so relaxation technique eliminates this
Term
involuntary guarding
Definition
rigidity, unilateral, and becomes painfulk when person increases intra abd. pressure by attempting to sit up
Term
normal
Definition
mild tender is_______when palpating sigmoid colon
Term

left kidney

 

Definition
this kidney is 1 cm than the other one and is usually not palpable
Term
aorta
Definition
this is normal 2.5 to 4 cm in the adult and pulsates in an anterior direction. If widened theres an aneurysm which pushed the examiners two fingners apart
Term
Blumberg sign (rebound tenderness)--->peritoneal inflammation that accompanies appendicitis
Definition

assess with this when person reports of abd. pain  or when you elicit tenderness during palpation. always choose the site away from paianful area and hold your hand 90 degrees to the abdomen and push slowly and deeply then lift quickly

 

Term
computed tomography CT scanning
Definition
if pers on with suspected appendicitis refer to
Term
murphys sign (inspiratory arrest)
Definition
hold fingers under the liver border adn ask then to take a deep breath and when it is positive then it's cholecystitis
Term
iliopsoas muscle test
Definition
Term
umbilical hernia
Definition
soft, skin covered mass, which is the protrusion of the omentum or intestine through a weakness or imcomplete closure in umbilical ring. common in premature infants and most resolve in a year AVOID AFFIXING A BELT OR COIN may cause DERMATITIS
Term
epigastric hernia
Definition
small fatty nodule in epigastrium in midline, through linea alba and usually can feel rather than see, only palabale when standing
Term
incisional hernia
Definition
bulge near old operative scar that may not show when person is supine when when they are standing up, sitting up (increase intraabdominal pressure)
Term
hypoactive bowel sounds
Definition
dimished or absent sounds that signal decreases motility from inflammation (peritonitis), paralytic ileus from abdominal surgery or from late bowel obstruction. Occurs also with pneumonia
Term
Hyperactive bowel sounds
Definition
loud gurgly sounds borborygmi which signal increased motility which occurs early bowel obstruction, gastroentertitis, brisk diarrhea, laxative use, subsiding paralytic ileus
Term
succussion splash
Definition
very loud splash auscultated over the upper abdomen when the infant is rocked side to side which indicated increased air and fluid in stomach with pyloric obstruction or large hiatus hernia
Term
E nlarged kidney
Definition
 englarges with hydronephrosis, cyst, or neoplasm
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