Nursing abdominal assessment.
Pica
Pyrosis
Anorexia
Ascites
Pica
Hematemesis
Hepatomegaly
Pyrosis
Before inspection
After inspection
After palpation
Before palpation
After percussion
Infrequent
Borborygmi
Occur follwing bowel surgery
Occur with peritonitis
Less than 5 sounds in 5 minutes
Greater than 30 sounds per minute
Borborygmi
Gastroenteritis
Hunger
Occur 5-30 times per minute
Measuring tape at client's umbilicus
Measuring tape at client's anterior iliac spine
Measurement taken at different spots depending on the time of day
Rough guess or estimation
Murphy's Sign
McMurray's Sign
Ascite's Sign
Blumberg's Sign
Murphy's Test
Iliopsoas test
McMurray's Test
Obturator Test
Parietal
Visceral
Intestinal
Peritoneal
Appendix
Cecum
Left lobe of liver
Part of descending colon
50%
25%
70%
96%
Viscera
Hollow Viscera
Solid Viscera
Small intestine
Relaxing of the esophageal reflux
Gallstones
Decrease in gastointestinal motility
Appendix displaced up and right
Down and left
Up and right
Up and posterior
Down and anterior
Gallstones
Esophageal emptying delayed
Constipation
Decreased liver size
Vomiting
Ascites
Belching
Vomiting
Melena
Form of hepatitis
Proper, quiet, recall, sleep, time
Pain, quiet, region, section, time
Pain, quality, region, severity, treatment
Point, quality, relocation, section, treatment
Biliary Colic
Appendicitis
Colon
Liver
Ascites
Diastasis Recti
Umbilical hernia
Cullen's Sign
Palpation, Percusion, Inspection, Auscultation
Inspection, Auscultation, Palpation, Percussion
Inspection, Percussion, Palpation, Auscultation
Inspection, Palpation, Percussion, Auscultation
Internal bleeding
Diaphoresis
Severe malnutrition
Pregnant
Bend knee's
Patient directed to use short, quick breaths
Loud voice
Emotive imagery
Use the bell of the stethescope
Use the diaphragm of the stethescope
Auscultate for whooshing sounds
Palpate afterwards
Percuss in midaxillary line
Female liver size is larger than males
Landmarks
Males average liver span is 10.5cm
Liver edge
Spleen
Left kidney lower pole
Right kidney lower pole
Pulsatile aorta
Normal in adults
A sign of peritoneum inflammation
Normal in children over 7 years old
Sign of deep vein thrombosis
Late portal cirrhosis
Hepatic abcess
Coronary heart failure
Metastic cancer
Tertiary syphilis
Obstruction
Hepatic Abcess
Early heart failure
Acute hepatitis
Metastic cancer
Peritoneal irritation, general tympany, peristaltic waves
Fluid waves and abominal contour
Venous pattern, peristaltic waves, abdominal contour
Umbilical eversion and Murphy's sign
Sigmoid colon, spleen or rectum
Appendix or ileocecal valve
Liver or stomach
Liver, pancreas or ascending colon
Normal, an expected finding during splenic percussion
Indicative of splenic enlargement
Expected between the 8th and 12th ribs
Expected after a large meal
Liver edge
Spleen
Kidneys
Sigmoid colon
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