Abdomen

Anatomy

100

the three major organs in the RUQ

liver, pancreas (for the most part), gall bladder

200

main area of concern when infected in the RLQ

appendix

300

Rovsing's sign presents as pain in the RLQ when this quadrant is palpated

LLQ

400

Name two RLQ muscles to evaluate when assessing for appendicitis

IP or obdurator

500

A body system to rule out first when a patient presents with epigastric pain

cardiac/MI, especially in females.

Assessment

100

The location of McBurney's point

2/3 of the way from the umbilicus to the R superior iliac crest

200

The order of abd assessment

inspect, auscultation, percuss, palpate light then deep

300

The assessment to differentiate abd distension from fluid

fluid wave test

400

This is the blood vessel to monitor when assessing for fluid overload with the hepatojugular reflex

external jugular vein. Any one will have distension of that vein when supine. But upon raising the HOB to 45 degrees, the distension should disappear. 

500

Part of the stethoscope used to auscultate for bruits

bell

Normals

100

The reasons to palpate the abd

masses, tenderness

200

Normal sound when percussing the abd

tympany. The abnormal findings, similar to the lungs, are dullness (fluid, an organ or a mass), or hyperresonance (gas)

300

Four types of potential abd (mostly normal) contours

flat, scaphoid, rounded, protuberant

400

assessment finding for normal liver when palpating 

smooth border

500

palpation finding for a normal spleen

non palpable

Abnormals

100

Appendicitis causes this to happen to bowel sounds

hypoactive or absent

200

Subjective and Objective: pt presents with severe abd pain 2-4 hours after eating with (+) Murphy's sign

cholecystitis

300

Avoid palpating this prominent abd pulsation

abdominal aortic aneurysm

400

Three abnormal assessment findings associated with hepatic failure

jaundice, caput medusa, ascites

500

Patients often describe the pain associated with this emergent condition as "ripping" or "tearing"

AAA dissection

Lifespan

100

Post op geriatric patients are at increased risk of this obstruction

ileus

200

Geriatric patients are at increased risk of drug side effects as a result of the reduced capacity of this organ

liver. smaller liver, less metabolism, higher risk of accumulation of drugs at toxic doses

300

Two GI findings common in pregnancy resulting from increased blood volume/cutaneous flow

gingival hyperplasia/bleeding, hemorrhoids

400

Emergent finding in peds presenting with sudden onset fussiness, poor feeding, and currant jelly stool

intussusception

500

Assessment reveals projectile vomiting and watery or absent stool in this peds condition often presenting in the first few weeks post partum

pyloric stenosis