Shared Flashcard Set

Details

health Assessment
abdomen
28
Nursing
Undergraduate 2
11/14/2009

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Cards

Term
epigastric space
Definition
between costal margins (on stomach)
Term
RUQ
Definition
liver, gallbladder, right kidney
Term
LUQ
Definition
spleen, part of stomach, left kidney
Term
RLQ
Definition
cecum, appendix
Term
What are the most common symptoms for seeking medical attention?
Definition
abdominal pain, bowel habits, N/V
Term
colon cancer risk factors
Definition
over age 50, family history, high fat diet, overweight, cigarette smoking, increased alcohol consumption, inflammatory bowel disease for 10+ years
Term
abdomen exam order
Definition
inspection, auscultation, percussion, palpation
Term
"findings"
Definition
fat, fluid, feces, flatus, full bladder, fibroid (tumor in uterus), fetus, false pregnancy, fatal tumor
Term
what are striae
Definition
stretch marks; broken elastic bands due to rapid weight gain/loss
Term
scaphoid
Definition
sunken in abdomen when laying flat
Term
where do you auscultate for bruits in the aorta
Definition
approx. 5-6 inches above unbilicus on MSL
Term
where do you auscultate for bruits in the renal arteries
Definition
3-4 inches above unbilicus on MCL
Term
where do you auscultate for bruits in the iliac arteries
Definition
2-4 inches below unbilicus on MCL
Term
where do you auscultate for bruits in the femoral arteries
Definition
halfway between anterior superior iliac spine and symphysis pubis (about 5-6 inches below umbilicus on MCL)
Term
location of spleen
Definition
lower left rib cage LAAL
Term
location of liver
Definition
lower right rib cage
Term
What is the normal size of the liver RMCL, RSB and MSL
Definition
6-12 cm, 4-8 cm
Term
how do you test for liver disease
Definition
hit hand hard with fist, compare right and left lower rib cage posteriorly, tenderness suggests liver disease
Term
Where do you percuss for spleen
Definition
LMAL 9-11 ICS (should be dull
Term
what indicates spleen enlargement
Definition
percussing on 9-11 ICS LAAL results in dullness upon deep inspiration (spleen should move to accomidate lung)
Term
What indicates kidney infection
Definition
blunt percussion over CVAs (tenderness), pain, increase in urination, blood in urine
Term
What is the purpose of light palpation
Definition
overall impression of skin and musculature (3 fingers of one hand and push lightly)
Term
What is the purpose of deep palpation
Definition
note palpable organs and enlargements (both hands and push hard)
Term
What are the normal findings for the liver
Definition
firm regular ridge with smooth surface
Term
How do you palpate the right kidney
Definition
left hand supports lower rib cage, right hand below costal margins (fingertips toward umbilicus), press hands firmly together, client takes deep breath, try to palpate lower part of kidney between hands
Term
What is the widtch of the aorta
Definition
2.5 -4 cm (if wider- could be aneurysm)
Term
What are the lymphnodes of the abdomen
Definition
horizontal group (below inguinal ligament, drains lower abdomen wall, external genetalia, and gluteal area); vertical group (close to upper portion of saphenous vein, drains leg)
Term
pyloric stenosis
Definition
marked peristalsis and projective vomiting in infants (narrowed pyloric opening - food can't go from stomach to small intestine)
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