Flashcards in Chapter 21: Abdomen Deck (20)
What the topics brought up in the abdominal assessment for subjective data collection?
Nausea / vomiting
Black/tarry: old blood or high in GI tract
Bright red: lower tract
Past abdominal history
What is the order of the physical assessment for the abdomen?
What are the expected findings for inspection of the abdominal assessment?
Flat to rounded contour
What are the unexpected findings for inspection of the abdominal assessment?
Contour: Scaphoid, protuberant or distended
Symmetry: Herniations; Bulges; Masses
What are the expected and unexpected findings on the inspection of the umbilicus?
Midline and inverted
Periumbilical cyanosis (Cullen’s sign): intraabdominal bleeding
What are the expected and unexpected findings for the abdominal skin inspection?
Smooth and even, color, warm, dry
Redness; taut; glistening; striae prominent dilated veins
Be sure to describe scars and piercings
What are the expected and unexpected findings for pulsation or movement?
Slight aortic pulsations
Marked aortic pulsations or visible peristalsis (visible peristalsis can indicate bowel obstruction)
In what order is the bowel sounds auscultation done?
begin in RLQ and listen to all 4 quadrants
What are the expected auscultation findings?
High pitched gurgling sounds 5-30 times a minute
Active and present X 4 quadrants
What are the unexpected auscultation findings?
What is rebound tenderness?
Blumberg's sign, also referred to as rebound tenderness, is a clinical sign that is elicited during physical examination of a patient's abdomen by a doctor or other health care provider. It is indicative of peritonitis. It refers to pain upon removal of pressure rather than application of pressure to the abdomen.
What are the unexpected findings for palpation of the abdomen?
Rigidity: board like abdomen indicates peritonitis
Organomegaly – deep palpation
What is dysphagia?
Difficulty swallowing is also called dysphagia. It is usually a sign of a problem with your throat or esophagus -the muscular tube that moves food and liquids from the back of your mouth to your stomach.
What is pyrosis?
What is eructation?
What is flatus?
gas in or from the stomach or intestines, produced by swallowing air or by bacterial fermentation.
What is visceral pain?
Visceral pain is pain that results from the activation of nociceptors of the thoracic, pelvic, or abdominal viscera (organs). Visceral structures are highly sensitive to distension (stretch), ischemia and inflammation, but relatively insensitive to other stimuli that normally evoke pain such as cutting or burning.
What is parietal pain?
Parietal abdominal pain is caused by irritation of fibers that innervate the parietal peritoneum. Parietal pain, in contrast to visceral pain, can be localized to the dermatome superficial to the site of the painful stimulus.
What is hematemesis?
the vomiting of blood