ABDOMINAL ASSESSMENT

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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

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