Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clin Med II > Abdominal Assessment > Flashcards

Abdominal Assessment Flashcards

1
Q

Chronological order of abdominal assessment

1.
2.

3.
4.
5.
6.

A

preparation and positioning

observation

auscultation

percussion

palpation

neurological testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

With preparation and positioning:

Ask patient to _______ ________ prior to assessment

Position in ______ with _____s to side

Clinician stands on patient’s _____ side and in position to observe ______ reactions

A

empty bladder

supine

UE

right

facial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Observation:
Asymmetries
- Surface contour; any _____ could be bowel ______, _____ etc.

  • ________ or ascites- possibly indicated by inverted ________
  • Umbilicus should be in _______
A

distention

obstruction

mass

swelling

umbilicus

midline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Observation:

________ i.e., jaundice with liver dysfunction, ecchymosis indicating bleeding, vein distention indicating liver or vena cava obstruction

A

discoloration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Observation:

______- i.e., scars, rashes, stretch marks

A

markings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Observation:

Pulsatile mass may indicate _______ _______ ______ but not unusual on lean individuals

__________- a wavelike motion may indicate intestinal obstruction

Sudden bulging with lifting of the head or a cough could indicate a ________

A

abdominal aortic aneurysm

peristalsis

hernia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Auscultations:

Perform before ______ and ______ to avoid altering bowels

Utilize stethoscope for _____ minutes in each quadrant

A

percussion; palpation

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Auscultations:

Bowel sounds
* check each quadrant in a couple of spots

_______- high pitched clicks and gurgling every 5-10 secs.

_______- None may indicate bowel obstruction, particularly with ______
- More may indicate _________ (ex. lactose intolerance)

A

Normal

Abnormal
cramping

hyperactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Auscultations:

_______ _______- Just to left of midline and umbilicus at peri-sternal line

______ sound indicates a turbulent blood flow

A

abdominal aorta

bruit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Percussions:

Procedure
_______ and apply _____ pressure with ____-_____ hand and distal aspect of the _____ finger

Avoid ______ with any other part of the hand

Position dominant hand close to surface with _____ _______

Strike the ____-______ middle finger quickly and sharply with the _____ dominant middle finger

Strike ______

A

Hyperextend
firm
non-dominant
middle

contact

wrist extended
non-dominant
flexed

twice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Percussions:

Normal sounds
________ or ______ sounds over stomach and bowels more air-filled organs unless one is full of “substance”

Deep _____ or lasting sound over _____ and ______

_______ over more solid or full organs or even tumors (ex. liver, heart, diaphragm, or spleen)

A

Tympanic; hollow

resonance; thorax; lung

Dullness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Percussion of the stomach:

Close to lower ______ rib cage just inferior to ________

______ or ______ sound if empty, otherwise dull if _____

A

left; sternum

tympanic; hollow; full

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Mid-Clavicular percussion of the liver

Just above _______, along right ___-_____ line

Progress _________

Starts with _____ or ______ sound of bowel

Changes to ______ at liver for ____ to ______ inches

_________ of lung tissue begins superior to liver

Abnormal - larger area of ____________

A

umbilicus
mid-clavicular

superiorly

tympanic; hollow

dullness 2.5; 5

resonance

dullness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Anterior axillary line percussion of spleen

Starts at left lower _____ ______ anterior axillary line

______ or ______ sound should be produced

Move ______ toward mid-axillary line, should become _____

Dullness should be present between _____ and _____ ribs

A

rib cage

tympany or hollow

posteriorly

9th ; 11th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Anterior axillary line percussion of spleen

Abnormal:
Dullness noted more ______ and inferiorly

More dullness with ________

A

medially

inspiring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Kidney Percussion- Murphy Test

Kidney percussion in sitting or prone with ____ fist thumping on __________ flat hand over __________ angle looking for pain

A

firm

contralateral

costovertebral

17
Q

Palpations:

Start with ____, _____ pressure in a circular fashion with each quadrant

______ hand contact and possibly palpate through patient’s hand

_______ in same plane as abdomen

If no resistance or symptom provocation, apply _______ pressure

Also look for _____ and muscle ______

_________: pressure

A

firm; light

broad

forearm

deeper

masses; guarding

Normal

18
Q

Palapations:
Abnormal
If tenderness or m. guarding, it may indicated _____ or ______

Confirm for similar response with ______ or _______

Progress to rebound _______, if neccesary by applying pressure, then quickly ______

_______ or crunchiness indicates excess air

A

swelling; dysfunction

percussion; cough

tenderness

release

Crepitis

19
Q

Palpations:
Abnormal

Hernias common around _________ and _______ areas; larger with trunk _____ activity (ex. crunch, cough)

______ or _______ may also be palpated

A

umbilical; inguinal; flexor

mass; cyst

20
Q

Palpations:

________ - (stomach inflammation)- over epigastric area, just inferior to sternum

A

Gastritis

21
Q

Palpations:

_______- (intestinal inflammation)- left lower quadrant

A

Diverticulitis

22
Q

Palaptions:
________- (appendix inflammation)- right lower quadrant between ASIS and umbilicus

A

Appendicitis

23
Q

Palpations:

Hepatitis is _______ inflammation

_______ upper quadrant; ask the patient to ______ and slowly move ______ during inhalation

Inferior border is _______

A

liver

right; exhale; deeper

palpable

24
Q

Palpations:
_________ - (pancreas inflammation)- mid-clavicular line in right upper quadrant with max exhalation, press and hold deeper pressure while patient is inhaling

A

Pancreatitis

25
Q

_______ is located at the ______ lower rib cage at anterior axillary line, ask patient to exhale and slowly more deeper during inhalation under rib cage
* not _______ unless pathological

A

Spleen

Left

palpable

26
Q

Palpations:

Abdominal aortic artery

  • Position:
    Utilize two _____ fingers
  • Find pulse just to the _____ of the umbilicus or per-sternal line and assess ___ and _____ abdominal region
A

index

left

up; down

27
Q

Palpations:

Abdominal aortic artery

Assess:
Strength
0 = ______
2+ = _______
4+ = ________

_______ by slowly moving fingers apart

Normal width: ___ inch (____ cm)

Abnormal: ≥ __ cm may indicate aneurysm thern confirm with auscultation
- provoke back pain

A

absent

normal

bounding

width

1
2.54
3

28
Q

Neurological testing:

___-_____ dermatomes with light and sharp touch from _____ process to _____ ligament

A

T7-12

xiphoid

inguinal

29
Q

Neurological testing:

______ abdominal reflex for _____ lesion

  • Diagnostically stroke from umbilicus to ____ border of each quadrant
  • Umbilicus should move in direction of the _______
A

Superficial

UMN

outer

stroke

Clin Med II (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions