abdomen and gi system Flashcards
(25 cards)
describe the abdominal wall muscles
3 layers that give abdomen support
peritoneum
2 layers that line the abdomen
what does McBurney’s point shows
signs of appendicitis
what are the abdominal quadrants
start at RLQ
RUQ
LUQ
LLQ
describe the changes in the older adult
adipose tissue increases
decrease appetite
sensitivity to pain decreases
referred pain
felt in one part caused by pain in another
psos sign
laying on side and pull one leg back; pain on right hip
obturator sign
laying supine, knee to chest
robsing sign
palpate LLQ and feel pain in RLQ
how do you prepare the client
empty bladder
stand on right side
if pain assess, last
describe general inspection
skin color
striae
contour (scaphoid// caved in)
describe vascularity
not normal, veins popping out
describe abnormal distention
fluid
flatus
feces
fetus
fat
fibroids
describe umbilicus
midline
odor
soft
round
no discharge
hernia
soft, something protruding
diastasis recti (opening of abdomen)
expected auscultation
start in RLQ and move clockwise, 5 minutes
should hear gurgling and high pitched
hyperactive
a lot going on, a lot of sounds
hypoactive
faint sounds
absent
no sounds
when do you use the bell
to listen over aorta, renal iliac
when do you not percuss or palpate
do not percuss or palpate if aortic aneurism
aorta inflates with blood and bust
expected for palpation
no tenderness
muscle relax
deep (look for masses)
aorta (left of midline)
expected for percussion
fluid detection
normal: tympany
rebound technique
- blumberg sign and appendicitis
press and when you let go it hurts
describe the health history
chronic disease?
last bm? medication? pain meds slow down gut
family history
