Assessment
What are key assessments of the abdomen?
Bowel sounds, distention, palpation to assess for tenderness, softness and any palpable lumps.
What is a hallmark sign of pyloric stenosis?
Projectile vomiting
A patient with portal hypertension you will see fluid build up on the abdomen, known as:
What assessment is done on neonates to assess GI function?
Abdominal Girth.
A patient has recently started having black stools, while doing his vital signs you get the following, BP 146/92, HR 132, Temp 36.8, RR 18, O2 sat 96%. Which is vital sign is of concern for GI bleeding?
Tachycardia.
Patients who are deficient in vitamin B may experience this symptom:
Bone Pain
Your patient was complaining of RLQ pain and it has now disappeared, what could have happened?
Rupture appendix.
Hirschsprung disease often presents with constipation, abdominal distention and this?
Your patient has had recent surgery and is taking oxycodone every 6 hours, what orders would you expect to prevent constipation?
Stool softeners, high fiber diet, early ambulation.
What are signs and symptoms of hepatic encephalopathy?
Loss of inhibition, irritability, lethargy, forgetfullness, changes in sleep patterns and behavior.
Cholecystitis runs in your patient's family, what risk factors would you advise the can increase that risk further?
You are assessing a 1 month old patient for their well child check and you ask about feeding. The parent states "they had been feeding really well but now they spit up and it's almost the whole bottle and it hits the wall across the room." What would you expect the MD to work this baby up for?
Pyloric Stenosis
Notify the MD.
True/False: Patients with ulcerative colitis will have blood stools?
True
Your patient ate a salad 12 hours ago and is now experiencing cramping, nausea, vomiting and diarrhea. What interventions would you advise the patient to do at home?
ORS or Pedialyte, start a BRAT diet when vomiting subsides and seek treatment if not urination within 8 hours.
Pediatric patients who are admitted for failure to thrive will have all causes evaluated including.
Child abuse.
While assessing your patient they tell you that every time they eat ice cream or drink milk they have abdominal pain and diarrhea? What would you educate the patient on?
Lactose intolerance.
What is the hallmark sign for appendicitis?
RLQ pain
True.
A blue hue to the abdomen as a neonate is a hallmark sign of this.