Health Assessment Ii

Front 1

Solid Viscera

Back 1

internal organs of the abdomen, that maintain a characteristic shape

kidneys, ovaries

Front 2

Hollow Viscera

Back 2

internal organs of the abdomen that can change shape based on contents - typically not palpable

stomach, intestines

Front 3

Abdominal Muscles

Back 3

Rectus abdominus, linea alba, umbilicus

Front 4

Peritoneal Cavity

Back 4

Includes visceral and parietal cavities

The potential space between parietal peritoneum and visceral peritoneum. Two membranes that separate the organs in the abdominal cavity from the abdominal wall.

Front 5

Visceral Cavity

Back 5

A portion of the serous membrane covers the surface of the lung and dips into the fissures between its lobes

Front 6

Parietal Cavity

Back 6

is attached to the abdominal wall and the pelvic walls

Front 7

Abdominal Aorta

Back 7

is an arbitrary anatomic entity. The aorta is one continuous conduit that arises out of the left ventricle of the heart to carry blood to the body.

Front 8

Renal Arteries

Back 8

either of two branches of the abdominal aorta of which each supplies one of the kidneys, arises immediately below the origin of the corresponding superior mesenteric artery, divides into four or five branches which enter the hilum of the kidney, and gives off smaller branches

Front 9

Common Iliac Arteries

Back 9

AKA external iliac artery

the outer branch of an iliac artery that becomes the femoral artery aka hypogastric artery, internal iliac artery. the inner branch of an iliac artery that conducts blood to the gluteal region.

Front 10

Femoral Arteries

Back 10

is a large artery in the thigh and the main arterial supply to the lower limb. It enters the thigh from behind the Inguinal ligament as the common femoral artery, a continuation of the external iliac artery.

Front 11

4 basic divisions of the abdomen

Back 11

RUQ, RLQ, LUQ, & LLQ

Front 12

9 divisions of the abdomen

Back 12

Right/Left Hypochondriac region, Epigastric region, Left/Right lumbar region, umbilical region, Left/Right inguinal region, and hypogastric region

Front 13

Subjective Data

Back 13

appetite/weight change, dysphagia, abdominal pain, nausea/vomiting, indigestion, bowel habits, meds, nutrition, social history, stress, family history

Front 14

Lifespan Considerations for Infants/Children - abdomen

Back 14

feeding and eating habits, GI function and nervous system maturation - related to toilet training

Front 15

Lifespan Considerations for Pregnant Female - abdomen

Back 15

Nausea, constipation, heartburn (pyrosis), Linea Nigra

Front 16

Lifespan Considerations for the Older Adult - abdomen

Back 16

muscle tone, constipation, decreased peristaltic activity

Front 17

Steps of abdominal assessment

Back 17

Inspection, Auscultating, Percussion, Palpation

Front 18

Inspection of the Abdomen

Back 18

contour, umbilicus, skin color, lesions, scars, markings, symmetry, bulges, masses, pulsation

Front 19

Auscultation of the Abdomen

Back 19

bowel sounds, vascular sounds (bruit), friction rub

Front 20

Percussion of the Abdomen

Back 20

tympany is predominant tone, dull over solid organ, mass & fluid Ascites assessment. Percuss over the liver borders and spleen

Front 21

Palpation of the Abdomen

Back 21

Light & deep palpation: muscle wall, tenderness & masses, rebound tenderness, direct & referred, Blumberg & Rovsing, Psoas Sign, Murphy's Sign, Assess for guarding

Front 22

Blumberg Sign

Back 22

Rebound tenderness positive sign

Front 23

Rovsing Sign

Back 23

With patient lying down, press firmly & evenly on the LLQ; pain to the RLQ during left sided pressure (as done) indicates positive result of Rovsing's sign

Front 24

Psoas Sign

Back 24

With patient lying down, place hand on right knee & have patient raise the same knee against force; and this flexion contracts the psoas muscle

Front 25

McBurney's Point

Back 25

Lies 2 inches from anterior superior point of ileum along a line drawn to the umbilicus & Localized tenderness at/around area is indicative of appendicitis.

Front 26

Murphy's Sign

Back 26

Assesses possible cholecystitis.
With patient lying down, place fingers of right or left thumb under right coastal margin of patient & ask to take a deep breath - Increased tenderness with a sudden stop during inspiration suggests positive Murphy's sign.

Front 27

Rectus Diastasis

Back 27

When the abdominal muscles separate into left and right halfs

Front 28

Cullen's Sign

Back 28

superficial edema and bruising around the fatty tissue of the umbilicus

Front 29

Borborygmi

Back 29

a rumbling or gurgling noise made by the movement of fluid and gas in the intestines

Front 30

Paralytic Ileus

Back 30

pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. Bacteria or viruses that cause intestinal infections (gastroenteritis)

Front 31

Melena

Back 31

dark sticky feces containing partly digested blood

Front 32

Peptic Ulcer

Back 32

a lesion in the lining (mucosa) of the digestive tract, typically in the stomach or duodenum, caused by the digestive action of pepsin and stomach acid

Front 33

Urinary Structure

Back 33

Kidneys, ureters, bladder, urethra, renal vasculature

Front 34

life span considerations for infants/children - urinary

Back 34

nocturnal enuresis, hydration

Front 35

life span considerations for pregnant female - urinary

Back 35

frequency and unable to completely empty the bladder.

Front 36

life span considerations for the older adult - urinary

Back 36

glomerular degeneration and loss of filtration, voiding difficulty and pattern changes

Front 37

assessment for urinary

Back 37

inspection, auscultation, palpation, percussion

Front 38

Inspection for Urinary

Back 38

skin color, skin hydration, abdominal symmetry, costovertebral angle (CVA), flanks, bladder distention

Front 39

Auscultation for Urinary

Back 39

Right and left renal artery for vascular sounds

Front 40

Palpation for Urinary

Back 40

Costovertebral angle, bladder (when distended)

Front 41

Percussion for Urinary

Back 41

Costovertebral angle, bladder

Front 42

Objective data - Urinary

Back 42

color, clarity, amount

Front 43

types of urinary incontinence

Back 43

stress, urge, reflex, functional, total

Front 44

Stress Incontinence

Back 44

a condition (found chiefly in women) in which there is involuntary emission of urine when pressure within the abdomen increases suddenly, as in coughing or jumping

Front 45

Urge Incontinence

Back 45

You have an urgent desire to pass urine and sometimes urine leaks before you have time to get to the toilet. It is usually due to an overactive bladder. Treatment with bladder retraining often cures the problem.

Front 46

Reflex Incontinence

Back 46

A variation on urge incontinence in which you feel no need to urinate but urine is lost when your bladder begins to contract uncontrollably

Front 47

Functional Incontinence

Back 47

when a person does not recognise the need to go to the toilet or does not recognise where the toilet is. This results in not getting to the toilet in time or passing urine in inappropriate places.

Front 48

Total Incontinence

Back 48

the continuous total loss of urinary control. The patient is continually wet