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Health Assessment

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Term
Definition
Internal Anatomy (solid viscera):   liver, pancreas, spleen, adrenal glands, kidneys, ovaries and uterus.  
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Internal Anatomy (hollow viscera):   stomach, gallbladder, small intestine, colon and bladder. spleen, liver, aorta, pancreas, kidneys.  
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Right Upper Quadrant (RUQ):   ascending colon, duodenum, gallbladder, right kidney and adrenal, liver, head of pancreas, transverse colon, ureter (right)  
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Right Lower Quadrant (RLQ):   appendix, ascending colon, bladder, cecum, rectum, right ovary, uterus and tube, prostate and spermatic cord, small intestine, right ureter.  
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Left Upper Quadrant (LUQ):   descending colon, left kidney, pancreas (body and tail), spleen, stomach, transverse colon, left ureter.  
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Left Lower Quadrant (LLQ):   bladder, descending colon, ovary, uterus, tube, prostate and spermatic cord, small intestine, sigmoid colon, left ureter.  
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Midline:   aorta, uterus, bladder  
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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  
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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  
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Additional History for Aging Adult:   see power point slide.  
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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.  
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Objective Data:   inspection, auscultation, percussion, palpitation.  
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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  
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Auscultation:   Bowel sounds, note any vascular sounds (bruit and friction rubs). Assessing for hyper (viruses, gas) and hypo (constipation) bowel sounds.  
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Percussion:   Percuss all four quadrants. Percuss borders of liver and spleen. Tympany (hyper) - gas and Dullness - fluid and feces.  
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Palpitation:   Light palpitation in all four quadrants. Deeper palpitation in all four quadrants. Palpate liver, spleen. Assess kidneys (CVA tenderness) with patient sitting up.  
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Avoid disturbing the belly:   inspect and auscultate before you touch the stomach.  
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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.  
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