Shared Flashcard Set

Details

Pediatric Physical Examination
Abdomen
23
Nursing
Graduate
05/15/2012

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Cards

Term
Bladder exstrophy
Definition
Incomplete midline closure of the lower part of abdomen; issure includes anterior bladder wall
Term
Choledochal cyst
Definition
Congenital anomalies of bile ducts with cystic dilations of the extrahepatic biliary tree and/or intrahepatic biliary radicles
Term
Duplicated kidney
Definition
Complete or incomplete division of ureteric bud resulting in double kidney or divided kidney with 2 ureters
Term
Hirschsprungs disease
Definition
Failure of ganglion cells of mesenteric plexus to migrate to a section of the colon; involves rectum and rectosigmoid, but extent can vary and may include total colon aganglionosis
Term
Horsehoe kidney
Definition
Fusion of kidneys across midline
Term
Hydronephrosis
Definition
Abnormal enlargment of kidney caused by acute ureteral obstruction or chronic kidney disease
Term
Imperforate or ectopic anus
Definition
Anal canal ends blindly and may have an ectopic opening of fistula connecting to perineum (urthrea in males, cloaca in females)
Term
Omphalocele
Definition
Failure of intestinal loops to return to abdomen; encased in membranous sac formed by amnion
Term
Meckle's diverticulum
Definition
arises when proximal end of yolk stalk dose not fully tetach from gut at the end of the 5th week and persists as diverticula of ileum
Term
peritoneum
Definition
serous memebrane covering abdominal viscera
Term
liver
Definition
lies immediatley below the right diaphragm and is the largest and heaviest organ in the body. responsible for metabolizing carbohydrates, fats and protiens. Breaks down toxic substances and drugs, stores vitamins and iron, produces antibodies, bile, prothrombin, and fibrionogen for coagulation and excretes waste products.
Term
gallbaldder
Definition
Within the inferior surface of the liver. Excretes bile from hepatocytes through the intraheptic and extrahepatic ducts into the hepatic duct.
Term
Spleen
Definition
Below left diaphragm from posterior to anterior respectively. Concave organ made of lymphoid tissue. Filters and breask down blood cells, produces lymphocytes and monocytes. Stores blood to be released during acute blood loss.
Term
Pancreas
Definition
Nestled btw the spleen and stomach, crosses the midline over the major vessles. Responsible for production of pancreatic enzymes needed for metablism fo protiens, fats, and carbohydrates. Enzymes excreted into duodenum via pancreatic duct. Also produces insulin and glucaogon which are secreted directly into the blood stream.
Term
Adrenal glands
Definition
Pyramid shaped organ that cap's the kidney(s). Synthesize, store, and secrete epi and norepi in response to stress and produce the corticosteroids, which affect the metabolism of glucose, protiens, fats, sodium, and potassium.
Term
Scaphoid abdomen
Definition
Indicator of malnutiriton or displaced abdominal organs ie) diaphragmatic hernia or intestinal atresia in a newborn
Term
Normal bowel sounds
Definition
Heard every 10-20 seconds
Term
Hypoactive/absent bowel sounds
Definition
paralytic ileus
Term
Umbilical cords
Definition

Detach by 10th day of life

Can take up to 3 weeks to slough

Seperation longer than 3 weeks r/t neutorphil chemotactic defects and overwhelming bacterial infection

Term
omphalomesenteric duct remnant
Definition
stool coming from umbilicus. Immedite peds surgery referral
Term
diastasis recuts
Definition
wide bulging superior to umbilicus. common in children in whom the rectus abdominis muscles do nto meet midline
Term
umbilical hernia or linea alba
Definition

Prtrusion can be easily reduced by applying light pressure

palpate fascia below umbilics with fingertips to determine size

If opening larger than with of 2 fingers or child older than 3 years, may need surgery

Most spontaneously close before 3-4 years

Term
pyloric stenosis
Definition

An infant btw the ages of 3-8 weeks with projectice, nonbilious vomiting.

Exam infant while abdomen is relaxed and palpate in the upper abdomen, slightly right of the midline for a firm, olve shaped mass.

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