Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
health assessment 3b
abdomen
| Question | Answer |
|---|---|
| obesity | I: uniformly rounded, umblicus sunken A:normal bowel sounds P:tympany, scattered dullness P:normal, hard to feel |
| air or gas | I: single round curce A: depends on cause, hyperactive w/early intestinal obstructions P:tympany over large area P:may have muscle spasm of ab wall |
| ascites | I:single curve, everted umbilicus, bulging flanks wen supine;taut glistening skin, recent weight gain A:normal bowel sound, diminisde over ascitic fluid P:tympany @ top where intest float, dull over fluid, wave + shifting dullness P: taut skin, i intra |
| ovarian cysts (large) | I: curve in lower half of ab, midline; everted umbilicus A:normal bowerl over up ab P:top dull over fluid, intest pushed super; large cyst produce wave + shift dullness P:aortic pulsation |
| pregancy | I:single curve, umbilicus protudes, breast engorged A: fetal heart tones, bowel diminished P:tympany over intest, dull over uterus P:fetal parts + movements |
| tumor | I: localized distention A:normal bowel sound P:dull over mass P: define borders, distinguis from enlarged organ or normal palpable skin structure |
| feces | I: localized distention A: normal bowel sound P: tympany, scatterd dullness over fecal mass P: plastic or ropelike mass w/feces in intest |
| Liver pain | shoulder - hepatitis may have mild to moderate, dull pain RUQ or epigastrium, |
| esophagus pain | GERD is complex symptom of inflammation, include bruning pain in midepigastrium or bhind low sternum that radiates upward, "heartburn" -occur 30-60 min after eating, aggravated by lying down or bending over |
| gallbladder pain | sudden pain in RUQ radiate to R/L scapula, which builds over time (2-4hrs) after ingestion of fatty foods, alcohol, or cafeeine -assocaited w/nausea, vomiting, + murphy, or sudden stop in inspriration w/RUQ palpate |
| pancreas pain | boring midepigastric pain radiating to bac + sometimes to L scapula or flank, sever nusea, + vomiting |
| doudenum pain | dull, aching, gnawing pain, does not radiate, mayb be relieved by food, + may awaken person in sleep |
| stomach pain | dull, aching, gnawing epigastic pain; radiates to bac or substeranl are |
| appendix pain | starts as dull, diffuse pain in periumbilical region that shifts to sever, sharp, persistent pain + tenderness localized in RLQ |
| kidney pain | sudden onset of sever, colicky flank or lower ab pain |
| small intestine pain | generalized ab pain, with nausea, diarrhea |
| colon pain | large bowel obstruction moderate, colicky pain of gradual onset in low ab, bloating -IBS has sharp or burning, cramping pain over wiede are, does not radiat, brough t on by meals, releived by bowel movement |
| umbilical hernia | soft, skin-covered mass, which is protursion of the omentum or intestine through a weakness or incomplete closure in umbilical ring |
| epigastric hernia | small, fatty nodule at epigastrium midline; can feel it, palable wen standing |
| incisional hernia | bulge nera olde operative scar show wen supine but apparent wen person increases intraab pressure by a sit up, stand |
| diastasis recti | midline longitudal ridge, seperation ab recuts muscles -ridge revealed wn intraab pressure increased by raising head while supine |
| succussion splash | very loud splach aus over U Ab wen infant is rocked side to side -indicates I air + fluid in stomach |
| hypoactive bowel sounds | diminished or absent bowel sounds signal decresase motility as result of itis -occur with pneumonia |
| hyperactive bowel sounds | loud, gurgling sounds, borborygmi, signal increased motility -ovvur with early mechanical bowel obstruction, gastroeneteritis, brisk diarrhea, lazative use |
| peritoneal fricition rub | rough, grating sound, indicates peritoneal itis; occur rarely -liver:friciton rub over LR rib cage from abscess/tumor -spleen:friciton rub over LL rib cage form abscess, infection, or tumor |
| vascular sounds | arterial-bruit: indicates turbulent blood flow, w/bell; occur with aortic aneurysm, renarl arter stenosis, partial occlussion of femoral artery -venous hum: rare, preumbilical region, from inferior vena cava, medium ptich; occur w/portal HTN + cirrhotic |
| enlarged iver | enlarged, smooth, nontender with fatty infiltration, portal obstruction or cirrhosis -feels enlarged + smooth but is tender to palpation with early HF, acute hepatitis, or hepatic abscess |
| enlarged nodular liver | enlarged + nodular occur w/late portal cirrhois, metastic cancer, tertiary syphilis |
| enlarged gallbladder | tender suggest acute felt behind liver border as smooth + firm mass like sausage -nontender feels smooth susagelike mass; occur wne filled with stones |
| enlarged spleen | retains in splenic notch on medial edge acute infection it is moderately enlarge + soft with rounded eges chronic cause:firm or hard with sharp edgges -not tender to palpation, only if peritoneum inflammed |
| enlarged kidney | enlarged w/hydronephrosis, cyst, or neoplasm; similar shape to enlarged spleen -percussion tympany bc overriding bowel |
| aortic aneurysm | below renal artery + extend in umbilivus -palable+ feel like pulsating mass in U ab; bruit, femoral pulse present but decreased |
Created by:
xnyzlatinangelx
Popular Nursing sets