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GI Assessment
Question | Answer |
---|---|
Describe inspection of abdomen | ask when last BM was, last meal, any pain, surgeries, nausea or vomiting. look for unblemished skin, organ distension, guarding, stretchmarks, lesions, symmetry and pulses (visible on skinny not good for thicker folk). |
what is considered active bowel sounds | 5 to 20 seconds |
what is considered hyperactive bowel sounds | sounds more often than once every 5 seconds |
describe hypoactive bowel sounds | sounds less often then one in 15 seconds |
define borborgymi | loud frequent bowel sounds |
how long does it take to classify bowel sounds as absent | each one of the 4 listening points needs to have no sounds for 5 minutes each to consider bowel sounds as absent |
when are bowel sounds the loudest | 5 to 7 hours after meals |
when percussion the abdomen what is the normal sounds that should be heard | tympany; the sound made when percussion occurs in a gas filled bowel. |
what sound do abdominal masses make | dull flat sounds |
what sound do organs make | dull flat sounds |
how deep should palpation of the abdomen be | 1cm with the fingers |
what are you looking for when palpating the abdomen | any pain, rebound tenderness, distension, or masses |
describe a colonoscopy | visualization of the colon with camera, colon cleanse required before procedure, no red fluids or jell-o prior. |
describe upper GI (Barium Swallow) | barium containing substance is swallowed and travels along the upper GI tract to visualize strictures, bleeding, varices, ulcers, and gastric motility. anything that could impair digestion. patient must be NPO 6-8 hours before procedure. |
Describe Lower GI (Barium Enema) | barium containing enema when x rayed can visualize cancers, polyps, inflammatory disease, and bowel obstructions. |