Health Assessment Mod 8

Front 2

what are the 7 topographical landmarks of the abdomen?

Back 2

RUQ,LUQ,RLQ,LLQ, Epigastric, periumbilical, suprapubic or hypogastric

Front 3

What are normal bowl sounds

Back 3

clicks and gurgles, irregualr, every 5-35 seconds

Front 4

increased bowl sounds

Back 4

hyperactive, borborygmi

Front 5

Decreased bowl sounds

Back 5

hypoactive

Front 6

Organs in the RUQ

Back 6

Liver, gallbladder, duodenum, head of pancreas, right kidney and adrenal, hepatic flexure of colon, part of ascending and transverse colon

Front 7

Organs in the RLQ

Back 7

Cecum, appendix, right ovary and tube, right ureter, right speramtic cord

Front 8

Organs in the LUQ

Back 8

Stomach, spleen, left lobe of liver, body of pancreas, left kidney and adrenal, splenic flexure of colon, part of transverse and descending colon.

Front 9

Organs in the LLQ

Back 9

Part of descending colon, sigmoid colon, left ovary and tube, left ureter, left spermatic cord

Front 10

Normal abdomen contour

Back 10

flat or rounded

Front 11

Abnormal abdomen contour

Back 11

scaphoid,protuberant

Front 12

dysuria

Back 12

painful, burning urination, often caused by a bacterial infection, inflammation, or obstruction of the urinary tract. Laboratory examination of the urine may reveal the presence of blood, bacteria, or white blood cells this is a symptom of cystitis, urethritis, prostatitis, urinary tract tumors, and some gynecologic disorders and of the use of certain medications, such as opiates

Front 13

Nausea and vomiting, or “morning sickness

Back 13

is an early sign of pregnancy for most pregnant women, starting between the first and second missed periods. Is the nausea and vomiting associated with colicky pain, diarrhea, fever, chills? Nausea is a gastrointestinal side effect; Sign of Cholecystitis, Pancreatitis, Appendicitis, Gastroenteritis

Front 14

Abdominal pain

Back 14

may be visceral from an internal organ (dull, general, poorly localized), parietal from inflammation of overlying peritoneum (sharp, precisely localized, aggravated by movement), or referred from a disorder in another site. Aggravating factors, Alleviating factors.

Front 15

Pain from Hollow viscera

Back 15

often referred to as a "colic", common, characteristics- crampy/paroxsymal, often poorly localized, related to peristalsis, person often writhes in pain

Front 16

Pain from Peritoneal irritation

Back 16

more damaging, associated with peritonitis from any cause, characteristics- steady/constant, often well localized, not related to peristalsis, person lies still with knees up

Front 17

referred pain

Back 17

pain which manifests at a site distant from the actual pathology

Front 18

charcteristics of constipation (objective and subjective)

Back 18

Abdominal pain; abdominal tenderness with palpable muscle resistance; abdominal tenderness without palpable muscle resistance; anorexia; atypical presentations in older adults (e.g., change in mental status, urinary incontinence, unexplained falls, elevated body temperature); borborygmi; bright red blood with stool; change in bowel pattern; decreased frequency; decreased volume of stool; distended abdomen; feeling of rectal fullness; feeling of rectal pressure; generalized fatigue; hard; formed stool; headache; hyperactive bowel sounds; hypoactive bowel sounds; increased abdominal pressure; indigestion; nausea; oozing liquid stool; palpable abdominal mass; palpable rectal mass; presence of soft; paste-like stool in rectum; percussed abdominal dullness; pain with defecation; severe flatus; straining with defecation; unable to pass stool; vomiting

Front 19

Risk factors for constipaiton

Back 19

Risk factors- Habitual denial/ignoring urge to defecate; recent environmental changes; inadequate toileting (e.g., timeliness, positioning for defecation, privacy); irregular defecation habits; insufficient physical activity; abdominal muscle weakness

Front 20

What quadrant is the liver in?

Back 20

right upper quadrant

Front 21

What quadrant is the spleen in?

Back 21

Left upper quadrant

Front 22

What quadratn is the stomach in?

Back 22

Left upper quadrant

Front 23

What quadrant is the appendix in?

Back 23

Right lower quadrant

Front 24

tenderness

Back 24

discomfort caused or increased by their examination (a sign)

Front 25

Pain

Back 25

somthing the perosn tells you about as part of the history (symptom)

Front 26

pulsations in epigastric area are common in _____

Back 26

infants

Front 27

Venus Hum

Back 27

abnormal finding heard in the pericumbilical region. Originates from inferior vena cava. Medium pitch, continuous sound, pressure from bell may obliterate it. May have a palpable thrill. Occurs with portal hypertension and cirrhotic liver

Front 28

CVAT

Back 28

Indrect fist percussion is used to make uvrations on the kidney, however no pain is suppose to be felt. Sharp pain occurs with inflamation of kidney or panaephric

Front 29

Masses

Back 29

can mean, air or gas, pregnancy, feces, tumors, ovarian cysts, or ascites

Front 30

Rebound tenderness

Back 30

Pain on release of pressure conffirms this, which is a reliable sign of peritoneal inflammation, which accompanies appendicitis

Front 31

Tympany

Back 31

normally present over most of the abdomen in the supine position (due to intestinal gas)

Front 32

Unusual dullness

Back 32

may be a clue to an underlying abdominal mass, for example an enlarged liver or impacted stool.

Front 33

The most sensitive indicator of tenderness is the persons _____

Back 33

facial expression

Front 34

Difference between tenderness and pain?

Back 34

Pain-symptom tenderness- sign

Front 35

A well defined, pulsatile mass, greater than 3 cm across, suggests ____.

Back 35

aortic aneurysm

Front 36

Rebound tenderness is a test for _____

Back 36

peritoneal irritation

Front 37

in infants the abdomen is_____and ______in young children

Back 37

roudned and protrudes

Front 38

Fluid accumulation in the abdomen is______

Back 38

ascites

Front 39

2nd step in abdominal assessment is_____

Back 39

auscultation

Front 40

Listen for ______over the arteies

Back 40

bruit

Front 41

Tenderness over the kidnys is ____

Back 41

CVAT

Front 42

a concave abdomen

Back 42

scaphoid

Front 43

pain with urination is

Back 43

dysuria

Front 44

Heart burn is____

Back 44

pyrosis

Front 45

A rigid contraction of the abdominal wall muscles usually occurring as an involluntary reaction to pain ofa visceral disease is _____

Back 45

guarding