Anatomy/Physiology
Health History
Assessment
Assessment 2
Health History 2
100
What are the two types of abdominal lining?
Parietal peritoneum
visceral peritoneum
100
What are some heath history topics/question we should ask our clients?
Bowel and bladder habits may be a sensitive topic
abdominal and pelvic pain
medical and surgical history
psychosocial history
medications
100
What is the correct order of assessment for the abdomen?
Inspect Auscultate Percuss Palpate
100
What are the different Bowel sounds
Borborygmus- loud gurgling sounds made by the movement of gas in intestines
Hyperactive- loud high pitched sounds
hypoactive- slow decreased sounds
Absent- no sounds
100
What is projectile vomiting?
vomiting with out nausea that is caused by central stimulation of the medulla
200
What are the two types of viscera?
Solid Viscera
Hollow Viscera
200
What kind of health history questions would we have about appetite?
Changes in appetite
factors affecting appetite
ability to eat
food intolerances
cultural considerations
anorexia
200
What are the four quadrents of the abdomen?
RUQ
RLQ
LUQ
LLQ
200
How many bowel sounds should be heard in each quadrent?
5-34
200
Projectile vomiting is a sign of what?
Head trauma
brain pathology
300
What are solid viscera/hollow viscera organs?
Adrenal gland, kidneys, liver, pancreas, spleen, ovaries
Gall bladder, intestines, bladder, uterus
300
What is dysphagia?
Difficulty swallowing
300
How do we inspect the abdomen?
two positions- at side and standing at clients feet
Contour size and symmetry
size and position of the umbilicus
condition of the skin: color, lesions, veins, hernias, hair disruptions
movements, pulsations, and peristalsis
300
What part of the stethescope should we use to listen for vascular sounds and where?
the bell. aorta, renal artery, iliac artery, femoral artery
300
Individuals with prolonged vomiting may what?
Become dehydrated
400
What organs are in the upper quadrants of the abdomen?
Duodenum of small intestine
Gallbladder
Liver
Head of pancreas
Right kidney
Right adrenal gland
Hepatic flexure of colon
Part of ascending and transverse colon
Left lobe of liver
Stomach
Spleen
Body of pancreas
Left kidney
Left adrenal
Splenic flexure of the colon
Part of the transverse and descending colon
400
A patient presents with nausea and vomiting. What are some health history conciderations?
Color, when did it start, pattern
400
Where do we always start auscultation and palpation?
in RLQ unless there is pain
400
When palpating the abdomen what is the difference between light and deep palpation?
light- 1/2 inch deep
deep1.5-2 inches
400
What are signs of dehydration?
Decrease skin turgor
Decrease urine output
Dark concentrated urine
Dry mouth or mucous membranes
Dry eyes
Fatique
Weakness
Headache
Constipation
Thirst
500
What organs are in the lower quadrents?
Cecum
Appendix
Part of ascending colon
Right ovary and tube
Right ureter
Right spermatic cord
Part of descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord
500
What is hematemesis?
Vomiting of blood
500
What does each of this term mean when inspecting the abdomen?
Scaphoid
Distended
protuberant
flat
Share screen
500
What are these different abnormalities of the abdomen?
Increased peristaltic waves
pulsations
ascites
Diastasis recti
Hernia
Cullens sign
Increased peristaltic waves (ripple-like movement) are seen with intestinal obstruction.
Pulsations are increased with the presence of aortic aneurysm.
Abdominal distention is caused by fluid, fat, feces, flatulence, fibroids, or a fetus.
Ascites is an abnormal accumulation of fluid in the peritoneal cavity.
Diastasis recti is a bulging area in the abdomen occurring with the separation of the two halves of the rectus abdominis muscles in the midline at the linea alba (Fig. 14-12).
Increased peristaltic waves (ripple-like movement) are seen with intestinal obstruction.
Pulsations are increased with the presence of aortic aneurysm.
Abdominal distention is caused by fluid, fat, feces, flatulence, fibroids, or a fetus.
Ascites is an abnormal accumulation of fluid in the peritoneal cavity.
Diastasis recti is a bulging area in the abdomen occurring with the separation of the two halves of the rectus abdominis muscles in the midline at the linea alba (Fig. 14-12).
500
What is another name for heartburn/indigestion?
pyrosis