abdominal assessment Flashcards
(38 cards)
dysphagia
difficulty swallowing
hematemesis
blood in vomit
anorexia
loss or lack of appetite
odynophagia
pain with swallowing
review of systems questions
last menstrual period and last bowel movement, organ specific questions
liver and gall bladder specific ROS questions
jaundice, grey or mustard colored stools, heavy alcohol intake
spleen specific ROS questions
any recent impact to abdomen
kidneys specific ROS questions
flank pain
uterus and ovaries specific ROS questions
last menstrual period, change in cycle
stomach, pancreas, and intestines specific ROS questions
GI symptoms
bowel function questions
diarrhea, constipation, character, pattern, diet, routine medications
jaundice
liver and gall bladder, color of stools and urine, sclerae assessment
hepatitis
A (fecal), B (blood/body fluids), C (blood)
objective assessment/preparation
offer privacy, bend patient’s knees, order of assessment changes, examine painful areas LAST
what should you inspect for in the abdomen?
contour, symmetry, skin characteristics, umbilicus, abnormal movements
expected findings of INSPECTION of abdomen
- flat, round, obese
- symmetrical contour
- even pigmentation, faintly visible vessels
- umbilicus midline and inverted
- faint epigastric pulsations in thin people
unexpected findings of INSPECTION of abdomen
asymmetrical contour, skin discoloration, everted umbilicus, visible movements
turner’s sign
bruising along the flank
cullen’s sign
core bruising
what to auscultate for on the abdomen
bruits and bowel sounds
frequency of bowel sounds
normoactive, hypoactive, hyperactive, absence
normoactive frequency
5-30 seconds apart
hypoactive frequency
60 seconds apart
hyperactive frequency
3 seconds apart