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Abdomen

Health Assessment

TermDefinition
Internal Anatomy (solid viscera): liver, pancreas, spleen, adrenal glands, kidneys, ovaries and uterus.
Internal Anatomy (hollow viscera): stomach, gallbladder, small intestine, colon and bladder. spleen, liver, aorta, pancreas, kidneys.
Right Upper Quadrant (RUQ): ascending colon, duodenum, gallbladder, right kidney and adrenal, liver, head of pancreas, transverse colon, ureter (right)
Right Lower Quadrant (RLQ): appendix, ascending colon, bladder, cecum, rectum, right ovary, uterus and tube, prostate and spermatic cord, small intestine, right ureter.
Left Upper Quadrant (LUQ): descending colon, left kidney, pancreas (body and tail), spleen, stomach, transverse colon, left ureter.
Left Lower Quadrant (LLQ): bladder, descending colon, ovary, uterus, tube, prostate and spermatic cord, small intestine, sigmoid colon, left ureter.
Midline: aorta, uterus, bladder
Subjective Data - Abdomen: 1.abdominal pain 2.appetite/nutritional assessment 3.dysphagia 4.food intolerance 5.nausea/vomiting 6.bowel habits (change in bowel function 7.diarrhea/constipation 8.past abdominal history 9.medications
Subjective Data - Urinary Tract: 1.suprapubic pain 2.dysuria, urgency or frequency 3.polyuria or nocturia 4.urinary incontinence 5.hematuria 6.kidney or flank pain
Additional History for Aging Adult: see power point slide.
Additional History for Pedi: Breast or bottle feeding? Table foods. Diet/how often does child eat (24 hour recall) Constipation/wet diapers. Abdominal pain or discomfort.
Objective Data: inspection, auscultation, percussion, palpitation.
Inspection: 1.Skin (scars, striae, dilated veins, rashes and lesions) 2.Umbilicus 3.Contour (flat, round, protuberant, concave or hollow) 4.Symmetry 5.Peristalsis or pulsations 6.Hair distribution
Auscultation: Bowel sounds, note any vascular sounds (bruit and friction rubs). Assessing for hyper (viruses, gas) and hypo (constipation) bowel sounds.
Percussion: Percuss all four quadrants. Percuss borders of liver and spleen. Tympany (hyper) - gas and Dullness - fluid and feces.
Palpitation: Light palpitation in all four quadrants. Deeper palpitation in all four quadrants. Palpate liver, spleen. Assess kidneys (CVA tenderness) with patient sitting up.
Avoid disturbing the belly: inspect and auscultate before you touch the stomach.
Infant: Protuberant abdomen/superficial venous pattern. Umbilical hernia (usually disappears by 1 year. Liver fills right upper quadrant (RUQ). Spleen tip and both kidneys palpable.
Created by: mr209368