1 / 35

Abdominal Assessment Second Half

Abdominal Assessment Second Half. Age & Condition. Infants Children Pregnancy Older Adult. Pyloric Stenosis. Intussusception. Hirshprung. Abdominal Exam. Landmarks Four quadrants Nine abdominal areas. Inspection. General Respiratory Skin Hands Feces. Inspection. Abdomen “Fs”

paul2
Download Presentation

Abdominal Assessment Second Half

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Abdominal AssessmentSecond Half

  2. Age & Condition • Infants • Children • Pregnancy • Older Adult

  3. Pyloric Stenosis

  4. Intussusception

  5. Hirshprung

  6. Abdominal Exam • Landmarks • Four quadrants • Nine abdominal areas

  7. Inspection • General • Respiratory • Skin • Hands • Feces

  8. Inspection • Abdomen • “Fs” • Fat • Fluid • Feces • Fetus • Fibroid • Fatal Tumor • Hernias

  9. Inspection • Hernias • Superficial Veins • Symmetry • Scars

  10. Auscultation • Bowel sounds • Distention sounds • Peritoneal rubs • Bruits

  11. Bruits • A - Aorta • R - Renal • I - Iliac • F - Femoral

  12. Percussion • All quadrants • Liver • Spleen • Kidneys • Other • Ascities

  13. Percussion • Tympany • Hyperessonance • Resonance • Dullness

  14. Palpation • Away from pain • Light then deep • Size & shape • Mobility & consistency • Tension

  15. Abdominal Organs • Liver • Gallbladder • Spleen • Aorta • Abdominal reflexes

  16. Rectal Exam

  17. Special Techniques

  18. Pain • Acute • Sub acute • Location

  19. Substernal • Esophagus • Cardiac

  20. Shoulder • Diaphragm • Subphrenic abscess

  21. Epigastric • Stomach • Duodenum • Gallbladder, bile ducts • Liver • Pancreas

  22. Right Scapula • Biliary tract • Aorta • Pancreas

  23. Midback • Aorta • Pancreas

  24. Hypogastrium • Colon

  25. Sacrum • Rectum

  26. Ectopic Pregnancy

  27. Peritoneal Irritation • Abdominal rigidity • Tenderness & guarding • Absent bowel sounds • Positive obturator test • Positive iliopsoas test

  28. Peritoneal Irritation • Rebound tenderness (Blumberg sign) • Abdominal pain on walking • Positive heel jar (Markle sign) • Positive Rovsing sign (LLQ pressure/RLQ pain

  29. Tests to consider • CBC & Differential • UA • Pregnancy • Stool for WBC, culture, O & P, H & H, fat • Liver chemistries • Sedimentation Rate

  30. Tests • Sed rate • Serum Amylase & Lipase • Electrolytes • Radiology

  31. Case Examples

  32. Case #1 • Epigastric pain 2 hours after eating

  33. Case #2 • Vomiting & Diarrhea • Abdominal cramping pain

  34. Case #3 • Periumbilical pain

  35. Case #4 • Abdominal pain • Radiates to left shoulder

More Related