Abdominal Assessment Flashcards

(56 cards)

1
Q

What organs are located in the right upper quadrant?

A

Liver, gallbladder, duodenum, pancreas (head), R kidney (upper pole), right adrenal gland, hepatic of colon, ascending colon (part), transverse colon (part), stomach (pylorus)

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2
Q

What organs are located on the left upper quadrant?

A

Spleen, Stomach, liver (left lobe), pancreas (body), left adrenal gland, left kidney (upper pole), splenic flexure of colon, transverse colon (part), descending colon (part)

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3
Q

What is located in the right lower quadrant?

A

right kidney (lower pole), cecum, appendix, ascending colon (part), right ovary, right fallopian tube, right ureter, right spermatic cord

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4
Q

What is located on the lower left quadrant?

A

left kidney (lower pole), descending colon (part), sigmoid colon, left ovary, left fallopian tube, uterus if enlarged, left ureter, left spermatic cord

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5
Q

When does pain occur with GERD?

A

30-60 minutes after eating

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6
Q

what is projectile vomiting associated with?

A

head injury, cranial lesion, or pyloric obstructions

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7
Q

what can create blockage that cause vomiting, an eagerness to eat again, and weight loss?

A

pyloric stenosis

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8
Q

Location and description of pain for appendicitis

A

periumbilical or epigastric pain. starts colicky, then localizes to RLQ

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9
Q

Location and description of pain for cholecystitis

A

Severe epigastric pain that is referred to the shoulder

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10
Q

Location and description of pain for intestinal obstruction

A

severe, abrupt, spaskm-like pain that reffered to umbilicus and epigastrium. described as “gripping”

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11
Q

Location and description of pain for abdominal aneurysm

A

steady, throbbing, midline pain over aneurysm that may radiate to back or flank. “tearing.”

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12
Q

Location and description of pain for pancreatitis

A

acute, excruciating pain, LUQ, umbilical or epigastric pain referred to the flank and left shoulder. pain may cause fainting.

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13
Q

Location and description of pain for perforated gastric or duodenal ulcer

A

abrupt, RLQ pain may referred to the shoulder. “burning”

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14
Q

Location and description of pain for ruptured abdominal organ

A

pain is felt “all over the abdomen” with no localization

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15
Q

Location and description of pain for biliary stones

A

intense pain in the RUQ. “cramping”

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16
Q

What can cause pain and then vomiting?

A

acute appendicitis

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17
Q

what can cause greenish-yellow vomitus fluid?

A

biliary conditions

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18
Q

what can cause fecal-smelling vomitus fluid?

A

intestinal obstruction

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19
Q

what causes vomiting by eating fatty foods?

A

gallbladder disease

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20
Q

what medications can cause gastric irritation

A

digitalis, aspirin, nsaid, antihypertensives, antibiotics

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21
Q

what can esophageal resection be associated with?

A

fat malabsorption, abnormal swallowing, and obstruction

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22
Q

what id small bowel resection associated with?

A

steatorrhea, fat malabsorption, anemia, short bowel syndrome

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23
Q

what genetic disorder can be associated with gastrointestinal symptoms?

A

cystic fibrosis

24
Q

what can cause abdominal pain and weight loss or gain?

A

ulcerative colitis, gallbladder cancer, pancreatic cancer

25
what can cause abdominal pain and exercise intolerance/fatigue?
liver carcinoma
26
what can cause abdominal pain with skin disorders
hepatitis, cirrhosis, liver carcinoma, gallbladder cancer, pancreatic cancer.
27
What is the order of assessment?
Inspect, auscultate, palpate, percuss
28
What does percuss identify?
size and density of organs. location of air, fluid, and masses.
29
what does acid breath indicate?
peptic ulcers
30
what does sickly sweet odor indicate?
hepatic failure
31
what does odor of decay indicate?
esophageal diverticulum
32
what does odor of rotten eggs and garlic indicate?
cirrhosis with portal shunting
33
What is cullen sign?
periumbilical ecchymosis = acute necrotizing pancreatitis
34
What is Grey Turner's Sign?
Flank ecchymosis = intra-abdominal or retroperitoneal hemorrhage or injury to pancreatitis
35
what sound do you hear in the small intestine
high pitch and gurgling
36
what do increase bowel sounds indicate?
diarrhea or early intestinal obstruction
37
what do absent or decreased bowel sounds indicate?
paralytic ileus, peritonitis, or acute abdomen
38
what sounds percuss over liver and spleen?
Dullness over solid organs and over fluid
39
what sound should the heard in the middle of the abdominal area?
tympanic
40
Where should you percuss tympany?
over stomach and small intestines.
41
Where should you percuss hyperresonance?
around the umbilicus
42
What does muscle rigidity suggest?
peritonitis or posterior infection of abdomen or pelvis
43
Where is rebound tenderness (McBurney's point) located?
RLQ = appendicitis
44
What does Murphy's sign indicate?
acute cholecystitis or hepatitis or hepatomegaly
45
what does spider angiomas indicate?
liver disease, malnutrition, pregnancy
46
what is cullen's sign and what does it indicate
periumbilical ecchymosis = acute necrotizing pancreatitis
47
what is grey turner's sign and what does it indicate?
flank ecchymosis = pancreatitis
48
what does hyperactive bowel sounds indicate
diarrhea
49
what does hypoactive bowel sounds indicate
peritonitis, paralytic ileus
50
high pitched tinkling bowel sounds indicate?
intestinal obstruction
51
what is the normal span of the liver?
6-12cm
52
what does fluid wave asses?
ascites
53
what is another name for rebound tenderness?
rovsing's sign = peritoneal inflammation (appendicitis)
54
What is McBurney's point?
pain in RLQ assessing appendicitis
55
What is Murphy's sign?
pressing on RUQ during inspiration. = gallbladder inflammation
56
what is obturator test
bending the leg while laying down and moving internal & external = appendicitis