Abdominal Assesment

Question 1

Accessory organs that aid digestion

Answer 1

liver, gallbladder, pancreas

Question 2

Additional organs

Answer 2

spleen, urinary tract, reproductive, vascular

Question 3

Peritoneum—

Answer 3

serous membrane to cover organs; prevents organs from sticking to the skin; synovial fluid in space

Question 4

every system found in abdominial except

Answer 4

respiratory

Question 5

parietal /viserial- covers

Answer 5

parietal covers cavity/ visceral covers organs

Question 6

3 types of cells in the stomach

Answer 6

parietal, mucus and chief cells

Question 7

parietal cells

Answer 7

secrete acid that helps digestion

Question 8

mucus cells

Answer 8

line the stomach so acid in the stomach doesn’t erode the stomach wall

Question 9

chief cells

Answer 9

source of enzyme to convert to pepsin

Question 10

liver

Answer 10

metabolizing preteins, responsible for synthesizing vitamin k, produces clotting factors

Question 11

stomach

Answer 11

acid turns food into churn

Question 12

small intestine

Answer 12

small digestion

Question 13

appendix

Answer 13

no function, problem bacteria grows in it

Question 14

pancreas

Answer 14

regulates blood sugar

Question 15

spleen

Answer 15

stores red blood cells

Question 16

anatomical mapping

Answer 16

four quadrant method, nine regions of the abdomen

Question 17

clay colored stool means

Answer 17

jaundice from gallbladder or liver

Question 18

abdominal pain could mean

Answer 18

severe distress

Question 19

pt w/ celiac disease are on

Answer 19

a gluten free diet

Question 20

visceral pain

Answer 20

detention of intestine, or stretching of organ (local)

Question 21

paritial pain

Answer 21

inflammation of parietal periteumen; severe, localized, aggravated by movement

Question 22

acute abdominal pain

Answer 22

attain acute vitals, focused and quickly, like an emergency

Question 23

RLQ

Answer 23

appendix

Question 24

RUQ

Answer 24

gallbladder

Question 25

LUQ

Answer 25

pancreatitis

Question 26

LLQ

Answer 26

diverticulitits, ulcerative colitis

Question 27

pain

Answer 27

burning, knifelike, cramping, aching, radiation

Question 28

nausea

Answer 28

pregnancy, infection, diet

Question 29

where pain is at can help figure out

Answer 29

which organ it is in

Question 30

indigestion

Answer 30

(dyspepsia) Ulcer, Acute MI, GERD

Question 31

vomiting

Answer 31

Coffee ground (old blood); Bright red (fresh bleed); Greenish-yellow bile like (normal); Food particles; Force (projectile vomiting)

Question 32

vomiting conditions

Answer 32

food poison, pregnancy, bleeding, appendix

Question 33

problem with C. Diff

Answer 33

antibiotics kill off all normal flora and end up with c diff suprainfections

Question 34

vomiting bright red

Answer 34

(fresh blood); increase pressure with cirrhosis; increase pressure in veins - rupture and can cause bright red blood in vomit emergency situation

Question 35

diarrhea

Answer 35

Onset—sudden, explosive, gradual; Characteristics—watery, fatty, undigested food; note often, and worry about dehydration; don't want to stop it until it can be tested

Question 36

bright red diarrhea

Answer 36

lower GI bleed

Question 37

Black, tarry diarrhea

Answer 37

upper GI bleed

Question 38

clay colored diarrhea

Answer 38

bile obstruction

Question 39

constipation

Answer 39

Diet- high fatty preventing adequate water; Fluid/fiber; Activity - system slows down when not moving

Question 40

dysuria

Answer 40

(painful urination) Pain/burning; Stream - in male pt with prostate problems; Color (blood, pus/cloudy, dark yellow/orange)

Question 41

worry about constipation w/in

Answer 41

48 hours of eating; worry about in hospital because all symptoms begin to slow down

Question 42

blood in urine

Answer 42

kidney stone

Question 43

obstruction

Answer 43

worried about with surgical and immobile patients

Question 44

proximal obstruction

Answer 44

Acute onset- small intestine/ higher obstruction, can't by pass; Marked vomiting; Distention usually minimal

Question 45

distal obstruction

Answer 45

Onset gradual; Less marked vomiting; Marked distention

Question 46

obstruction in surgical patients

Answer 46

paralytic illeus/ puresdo obstruction; immobile and receiving pain meds; bowel sounds become absent so patient becomes NPO; loss of parastylosis (immobility and pain meds)