GI Assessment
Order of abdominal assessment
Tenderness over the Costorvertebral Angle
What is pyelonephritis, kidney inflammation, or kidney stones?
Moving an extremity away from the midline of the body
What is abduction?
Lateral curvature of the thoracic and lumbar of the spine
What is scoliosis?
The screening tool to use for patients related to alcohol intake
What is the CAGE (Cut down, annoyed, guilty, eye-opener) screening tool?
What is the length of time to listen for bowel sounds?
During the inspection of the abdomen, there is a bulging area noted at the umbilicus.
What is a hernia?
Autoimmune response, chronic pain, and stiffness in the morning and at rest, redness involves both joints
What is Rheumatoid Arthritis (RA)
muscle strength grading scale
0-no contraction
1-slight contraction
2-Full ROM with gravity elimination (passive motion)
3-Full ROM with gravity
4-Full ROM against gravity, some resistance
5-Full ROM against gravity, full resistance
Moderate pitch in all lung fields
What is Bronchovesicular?
Define hematemesis and note what conditions.
Occurs with stomach ulcers, duodenal ulcers, or enlarged veins in the esophagus (esophageal varies)
RUQ pain radiates to the right shoulder, around the right flank to back, nausea/vomiting, and worsens after eating fatty foods
What is Cholecystitis?
Progressive deterioration, non-inflammatory, pain at the end of the day, joint swelling may only be one joint involved.
Osteoarthritis (OA)
1. Attaches muscle to bone
2. Attaches bone to bone
2. What are ligaments?
Claudication
What is pain with activity?
The abdomen is distended, skin glistens, and very taunt
What is ascites?
Pain in the RLQ, rebound tenderness, nausea/vomiting, fever, positive iliopsoas test (psoas test)
What is Appendicitis?
Weakness to the affected upper extremity, difficulty to raise arm over the head, pain at night
What is a rotator cuff injury?
Articulation of two or more bones that form a functional unit
What is a joint?
closure of the AV valves, loudest at the apex, beginning of the systole, first heart sound
What is S1?
A child that has projectile vomiting. What may be the cause?
What is pyloric stenosis? (Thickening or swelling of the pylorus)
Define Abdominal Borborymi
What are Hyperactive Bowel Sounds or low, high-pitched, rushing, tinkling, growling sounds?
Uric acid level is elevated, painful and swollen joint, warmth, low-grade fever, more common in men
What is gout?
Bone mineral decreases, increasing the risk for fractures, which is more common in women during the aging process.
The recommended screening.
What is osteoporosis?
What is the DEXA scan (Dual Energy X-ray Absorptiometry)
True or False: Lymph nodes are not palpable at any age.
False, lymph nodes are palpable in children until after puberty.