logging in or signing up ABDOMINAL ASSESSMENT aSGuest14140 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 3300 Category: Entertainment License: All Rights Reserved Like it (8) Dislike it (0) Added: March 04, 2009 This Presentation is Public Favorites: 6 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript ABDOMINAL ASSESSMENT : ABDOMINAL ASSESSMENT BARBARA REES, RN, DSN SUBDIVISION OF ABDOMEN : SUBDIVISION OF ABDOMEN RIGHT UPPER QUADRANT - RUQ RIGHT LOWER QUADRANT - RLQ LEFT UPPER QUADRANT - LUQ LEFT LOWER QUADRANT - LLQ ABDOMINAL QUADRANTS : ABDOMINAL QUADRANTS NINE ABDOMINAL QUADRANTS : NINE ABDOMINAL QUADRANTS RIGHT UPPER QUADRANT : RIGHT UPPER QUADRANT LIVER GALLBLADDER DUODENUM HEAD OF PANCREAS RIGHT KIDNEY AND ADRENAL HEPATIC FLEXURE OF COLON PART OF ASCENDING AND TRANSVERSE COLON LEFT UPPER QUADRANT : LEFT UPPER QUADRANT STOMACH SPLEEN LEFT LOBE OF LIVER BODY OF PANCREAS LEFT KIDNEY AND ADRENAL SPLENIC FLEXURE OF COLON PARTS OF TRANSVERSE AND DESCENDING COLON RIGHT LOWER QUADRANT : RIGHT LOWER QUADRANT CECUM APPENDIX RIGHT OVARY AND TUBE RIGHT URETER LEFT LOWER QUADRANT : LEFT LOWER QUADRANT PART OF DESCENDING COLON SIGMOID COLON LEFT OVARY AND TUBE LEFT URETER PREPARATION : PREPARATION EQUIPMENT - STETHOSCOPE, MARKING PEN, RULER PATIENT LIE ON BACK, PILLOW UNDER HEAD, KNEES SLIGHTLY FLEXED EMPTY BLADDER SHORT FINGERNAILS HISTORY QUESTIONS : HISTORY QUESTIONS PAIN IN ABDOMEN CHANGE IN APPETITE CHEWING AND SWALLOWING PROBLEMS HEARTBURN NAUSEA, VOMITING, REGURITATION RECTAL BLEEDING HISTORY QUESTIONS : HISTORY QUESTIONS ELIMINATION HEMORRHOIDS VOIDING DIFFICULTY PREVIOUS SURGERY WEIGHT GAIN OR LOSS TYPE OF DIET MEDICATIONS SEQUENCE OF ASSESSMENT : SEQUENCE OF ASSESSMENT INSPECTION AUSCULTATION PERCUSSION PALPATION INSPECTION : INSPECTION ENTIRE PATIENT SKIN a. PIGMENTATION b. LESIONS c. STRIAE d. TURGOR SUPERFICIAL VESSELS ABDOMINAL STRIAE : ABDOMINAL STRIAE INSPECTION : INSPECTION HAIR DISTRIBUTION UMBILICUS CONTOUR a. FLAT b. ROUNDED c. SCAPHOID d. PROTUBERANT (DISTENDED) PERISTALSIS ABDOMINAL CONTOURS : ABDOMINAL CONTOURS AUSCULTATION : AUSCULTATION ACTIVE BOWEL SOUNDS 5-30/MIN HYPOACTIVE 4/MIN OR LESS HYPERACTIVE 30 OR MORE /MIN BRUITS a. AORTA b. RENAL c. ILIAC FRICTION RUB AUSCULTATION FOR BRUITS : AUSCULTATION FOR BRUITS PERCUSSION : PERCUSSION TO DETERMINE THE SIZE OF SOLID ORGANS AND PRESENCE OF MASSES, FLUID AND GAS TYMPANIC SOUND PERCUSS IN ALL FOUR QUADRANTS PERCUSS FOR LIVER PERCUSS FOR SPLEEN PERCUSS BLADDER IF INDICATED PERCUSSION OF SPLEEN : PERCUSSION OF SPLEEN PERCUSSION : PERCUSSION IF DULLNESS IN FLANKS - CHECK FOR SHIFTING DULLNESS IF INDICATED CHECK FOR FLUID WAVE PALPATION : PALPATION LIGHT PALPATION TO EVALUATE GENERAL CONDITION, NATURE OF ANY DISTENTION, AND GROSS ABNORMALITIES AND PAINFULNESS DEEP PALPATION TO DETECT ANY ORGAN ENLARGEMENT, ABDOMINAL MASSES OR SWELLINGS PALPATE FOR LIVER AND SPLEEN PALPATION OF LIVER : PALPATION OF LIVER PALPATION OF SPLEEN : PALPATION OF SPLEEN REBOUND TENDERNESS : REBOUND TENDERNESS ON BACK : ON BACK CHECK FOR RENAL BRUITS COSTOVERTEBRAL ANGLE TENDERNESS PERCUSION OF KIDNEY : PERCUSION OF KIDNEY IF ABDOMINAL PAIN : IF ABDOMINAL PAIN TACHYPNEIC LEANING FORWARD MURPHY’S SIGN ROVSING’S SIGN ILIOPSOAS TEST ILIOPSOAS TEST : ILIOPSOAS TEST RULES IF IN ABDOMINAL PAIN : RULES IF IN ABDOMINAL PAIN DO NOT ADMINISTER PAIN MEDICATIONS, ANTISPASMODICS, ANTICHOLINERGICS, OR SMOOTH MUSCLE RELAXANTS BEFORE A MEDICAL EXAM B/C MASK PAIN CONTRAINDICATIONS FOR ABDOMINAL ASSESSMENT : CONTRAINDICATIONS FOR ABDOMINAL ASSESSMENT NEVER PALPATE IF SUSPECTED APPENDICITIS OR DISSECTING ABD. AORTIC ANEURSYM NEVER PALPATE WITH POLYCYSTIC KIDNEYS DO NOT PALPATE OF PERCUSS TRANSPLANTED ORGANS You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
ABDOMINAL ASSESSMENT aSGuest14140 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 3300 Category: Entertainment License: All Rights Reserved Like it (8) Dislike it (0) Added: March 04, 2009 This Presentation is Public Favorites: 6 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript ABDOMINAL ASSESSMENT : ABDOMINAL ASSESSMENT BARBARA REES, RN, DSN SUBDIVISION OF ABDOMEN : SUBDIVISION OF ABDOMEN RIGHT UPPER QUADRANT - RUQ RIGHT LOWER QUADRANT - RLQ LEFT UPPER QUADRANT - LUQ LEFT LOWER QUADRANT - LLQ ABDOMINAL QUADRANTS : ABDOMINAL QUADRANTS NINE ABDOMINAL QUADRANTS : NINE ABDOMINAL QUADRANTS RIGHT UPPER QUADRANT : RIGHT UPPER QUADRANT LIVER GALLBLADDER DUODENUM HEAD OF PANCREAS RIGHT KIDNEY AND ADRENAL HEPATIC FLEXURE OF COLON PART OF ASCENDING AND TRANSVERSE COLON LEFT UPPER QUADRANT : LEFT UPPER QUADRANT STOMACH SPLEEN LEFT LOBE OF LIVER BODY OF PANCREAS LEFT KIDNEY AND ADRENAL SPLENIC FLEXURE OF COLON PARTS OF TRANSVERSE AND DESCENDING COLON RIGHT LOWER QUADRANT : RIGHT LOWER QUADRANT CECUM APPENDIX RIGHT OVARY AND TUBE RIGHT URETER LEFT LOWER QUADRANT : LEFT LOWER QUADRANT PART OF DESCENDING COLON SIGMOID COLON LEFT OVARY AND TUBE LEFT URETER PREPARATION : PREPARATION EQUIPMENT - STETHOSCOPE, MARKING PEN, RULER PATIENT LIE ON BACK, PILLOW UNDER HEAD, KNEES SLIGHTLY FLEXED EMPTY BLADDER SHORT FINGERNAILS HISTORY QUESTIONS : HISTORY QUESTIONS PAIN IN ABDOMEN CHANGE IN APPETITE CHEWING AND SWALLOWING PROBLEMS HEARTBURN NAUSEA, VOMITING, REGURITATION RECTAL BLEEDING HISTORY QUESTIONS : HISTORY QUESTIONS ELIMINATION HEMORRHOIDS VOIDING DIFFICULTY PREVIOUS SURGERY WEIGHT GAIN OR LOSS TYPE OF DIET MEDICATIONS SEQUENCE OF ASSESSMENT : SEQUENCE OF ASSESSMENT INSPECTION AUSCULTATION PERCUSSION PALPATION INSPECTION : INSPECTION ENTIRE PATIENT SKIN a. PIGMENTATION b. LESIONS c. STRIAE d. TURGOR SUPERFICIAL VESSELS ABDOMINAL STRIAE : ABDOMINAL STRIAE INSPECTION : INSPECTION HAIR DISTRIBUTION UMBILICUS CONTOUR a. FLAT b. ROUNDED c. SCAPHOID d. PROTUBERANT (DISTENDED) PERISTALSIS ABDOMINAL CONTOURS : ABDOMINAL CONTOURS AUSCULTATION : AUSCULTATION ACTIVE BOWEL SOUNDS 5-30/MIN HYPOACTIVE 4/MIN OR LESS HYPERACTIVE 30 OR MORE /MIN BRUITS a. AORTA b. RENAL c. ILIAC FRICTION RUB AUSCULTATION FOR BRUITS : AUSCULTATION FOR BRUITS PERCUSSION : PERCUSSION TO DETERMINE THE SIZE OF SOLID ORGANS AND PRESENCE OF MASSES, FLUID AND GAS TYMPANIC SOUND PERCUSS IN ALL FOUR QUADRANTS PERCUSS FOR LIVER PERCUSS FOR SPLEEN PERCUSS BLADDER IF INDICATED PERCUSSION OF SPLEEN : PERCUSSION OF SPLEEN PERCUSSION : PERCUSSION IF DULLNESS IN FLANKS - CHECK FOR SHIFTING DULLNESS IF INDICATED CHECK FOR FLUID WAVE PALPATION : PALPATION LIGHT PALPATION TO EVALUATE GENERAL CONDITION, NATURE OF ANY DISTENTION, AND GROSS ABNORMALITIES AND PAINFULNESS DEEP PALPATION TO DETECT ANY ORGAN ENLARGEMENT, ABDOMINAL MASSES OR SWELLINGS PALPATE FOR LIVER AND SPLEEN PALPATION OF LIVER : PALPATION OF LIVER PALPATION OF SPLEEN : PALPATION OF SPLEEN REBOUND TENDERNESS : REBOUND TENDERNESS ON BACK : ON BACK CHECK FOR RENAL BRUITS COSTOVERTEBRAL ANGLE TENDERNESS PERCUSION OF KIDNEY : PERCUSION OF KIDNEY IF ABDOMINAL PAIN : IF ABDOMINAL PAIN TACHYPNEIC LEANING FORWARD MURPHY’S SIGN ROVSING’S SIGN ILIOPSOAS TEST ILIOPSOAS TEST : ILIOPSOAS TEST RULES IF IN ABDOMINAL PAIN : RULES IF IN ABDOMINAL PAIN DO NOT ADMINISTER PAIN MEDICATIONS, ANTISPASMODICS, ANTICHOLINERGICS, OR SMOOTH MUSCLE RELAXANTS BEFORE A MEDICAL EXAM B/C MASK PAIN CONTRAINDICATIONS FOR ABDOMINAL ASSESSMENT : CONTRAINDICATIONS FOR ABDOMINAL ASSESSMENT NEVER PALPATE IF SUSPECTED APPENDICITIS OR DISSECTING ABD. AORTIC ANEURSYM NEVER PALPATE WITH POLYCYSTIC KIDNEYS DO NOT PALPATE OF PERCUSS TRANSPLANTED ORGANS