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55 Cards in this Set

  • Front
  • Back
a newborn's liver is located
above the symphysys pubis
because the abdominal muscles are weak of an infant, the abdomen usually protrudes
protrudes
bowel sounds are _____ in pregnant client
diminished
During pregnancy, the appendix, in the pregnant wm is displaced
upward and laterally to the right
visceral pain
results from distention of the intestines or strecthing of solid organs. often discribed as burning, cramping, difuse, and poorly localized.
results from distention of the intestines or strecthing of solid organs. often discribed as burning, cramping, difuse, and poorly localized.
visceral pain
parietal pain
results from inflammation of the parietal perioneum, pain usually described as severe, localized and aggravated by movement
results from inflammation of the parietal perioneum, pain usually described as severe, localized and aggravated by movement
parietal pain
referred pain
felt at site away from site of origin. impulsed from internal organs and structures that share nerve pathways inside the cns explain nature.
felt at site away from site of origin. impulsed from internal organs and structures that share nerve pathways inside the cns explain nature.
referred pain
order or symptom assessment
RTQSP
black tarry stool indicates
upper gi bleed
red bloody stool indicates
lower gi bleeding
clay colored stool indicates
increased bile in obstructive jaudice
indigestion is also called
dyspepsia or pyrosis
four quadrant method
one line at midline and other horizontal at unblicas
9 regions of abdomen
1st 2 lines vertical at right and left mc line to midle of inguinal ligaments

2nd 2 lines horizontal beginning at lower edge of costal margin and at the anterosuperior iliac spine of the iliac bones
before doing abdominal exam have pt 1st
empty bladder
sequence for physical assessment
inspection, auscultation, percussion, palpation. need to auscultation b4 percussion, palpation b/c may increas bowel sounds
how do you accentuate a hernia
lift head while lying in supine postion
in normal adult contour of stomach should be either _____,_____, or _____ not _____
flat, round, or scaphoid, not protuberant
use diaprham to listen to _____
bowel sounds
when listening to bowel sounds there will be _____to_____clicks per minute, or bs occur every _____to_____ minutes on average adult.
when listening to bowel sounds there will be 5 to 30 clicks per minute, or bs occur every 5 to 15 minutes on average adult.
if bowel sounds are hypoactive liksten over
the ileocecal valve, to the right of umblicus
listen for vascular sounds with _____ of sthethescope
bell
_____ is the most common finding and indicates presence of gas
tymphany
place stethescope over RUQ above the liver, and with one finger of hand lightly scratch abdomen starting in RLQ and move upward toward liver. when scracthing sound in stethescope becomes magnified you reached liver border
scratch test
liver span test
pg 499
normal liver span at mc line is _____to_____cm
6 to 12
normal liver span at midsternal line is _____to_____cm
4 to 8 cm
if you hear _____ when percussing spleen, splenomegaly is unlikely
tymphany
with splenomegaly tymphany turns into _____ on inspriation
dullness
_____or _____ percussion can be used to access kidney for tenderness
fist or blunt
do not palpate abdomen is pt
has had orgam transplant or suspected of wilm's tumor
bladder usually not palpable unless_____. if palpable should feel like _____, _____ mass
distended with urine. if palpable should feel like smooth, round mass
ascites
accumlation of fluid in perionteal cavity and usually detectable when 500 ml of fluid has accumulated
three ways to test for ascites
shifting dullness, fluid wave, and puddle sign
when doing shifting dullness test if client has ascites
you will hear dullness laterally and tymphany near the umbilical area
fluid wave
pg 509
puddle sign
pg 509
upper abdominal reflexes assess if _____ thru _____ and are obtained by using _____ or _____
upper abdominal reflexes assess if T8 thru T10 and are obtained by using end of reflex hammer or tongue blade and storking up and toward umbilicus
lower abdominal reflexes assess if _____ thru _____ and are obtained by _____
lower abdominal reflexes assess if T10 thru T12 and are obtained by Stroking downward and toward umbilicus
normal response for abdimal reflexes is
movement of umbilicus toward stimulation
kehr's sign
referred pain or hyperesthesia to left shoulder pg 509
ballance's sign
presnet when dullness is percussed IN THE LUQ. indicates periotoneal irritation or injury to the spleen
murphy's sign
used to detect inflammed gallbladder pg 509-511
abdominal reflexes may be diminished in
obese clients or those who may be pregnant
abdominal reflexes may be absent in
eldery
where is mcburney's point
1/3 of the distance from anterior iliac crest to the umbilicus
obturator muscle test
helps diagnose ruptured appendix or pelvic abscess. pain should not occur in hypogastric region
rovsing's sign
assess peritoneal inflammation cause by appendicitis. place hand in LLQ and press deeply for 5 seconds. pain should not occur
cutaneous hypersensitivity
grasp fold of skin or touch abdominal suface with saftety pin to access for pain. do entire ab suface and pain shouldnt occur
iliopsaoas muclse test
pg 512
rebound test
pg 513
name tests that access for appendictis [6]
mcburney's sign, 0bduartor muscle test, rosing's sign, cutaneuos hypersensitvity, ilipsoas muscle test, rebound tenderness