advertisement

Abdominal Exam (1)

50 %
50 %
advertisement
Information about Abdominal Exam (1)
Entertainment

Published on March 12, 2014

Author: nimjepankaj

Source: authorstream.com

advertisement

Abdominal Exam: Winter Quarter 2010 Adapted from previous years by Amanda Kocoloski , OMS IV Abdominal Exam Agenda: Agenda History Anatomy Physical Practice cases 2 gastrointestinal complaints Work on incorporating GI into history and physical exam skills Practice documentation History: History Common Complaints: Abdominal pain Change in appetite Dysphagia/Odynophagia Difficult or painful swallowing Nausea/Vomiting Jaundice Change in bowel habits Melena/Hematochezia Dark tarry or red stools Hemorrhoids Anal pruritis 3 Anatomy : Anatomy Regions (Anatomical) Quadrants (Clinical) 4 Surface Anatomy: Surface Anatomy 5 Enhancing the Exam: Enhancing the Exam Empty bladder Patient comfort (pillows and draping) Arms at side or crossed over chest Ask the patient to point to any painful areas; examine last Warm hands and stethoscope Ticklish or nervous patients: slow movements, distraction, use their hands 6 Exam Order: Exam Order Inspection Auscultation Percussion or palpation can alter bowel sound frequency Bonus Question: What is the medical term for “stomach growling”? Borborygmus Percussion Palpation 7 Abdominal Physical Exam Inspection: Abdominal Physical Exam Inspection Contour Flat Scaphoid Distended Symmetry Movement Peristaltic Respirations Aortic pulsation Skin Scars – cicatrix Striae Discoloration Venous patterns Edema 8 Abdominal Physical Exam Auscultation: Abdominal Physical Exam Auscultation 4 quadrants 15-20 seconds Bowel sounds Frequency Pitch Vascular Sounds Renal Iliac Femoral 9 Abdominal Physical Exam Percussion: Abdominal Physical Exam Percussion Notes Elicited Tympanic Predominant due to gas in GI tract Hyperresonant Dull Organs, fluid and feces Flat Distension of abdomen Fluid vs. Air Outline Organs Liver, spleen, and gastric bubble 10 Abdominal Physical Exam Palpation: Abdominal Physical Exam Palpation Start farthest from pain and move towards it 4 abdominal quadrants Light palpation Deep palpation Peritoneal inflammation Pain with coughing, gentle palpation Involuntary rigidity Rebound tenderness 11 Abdominal Physical Exam Palpation - Left Upper Quadrant: Abdominal Physical Exam Palpation - Left Upper Quadrant Liver: left lobe Spleen Stomach Jejunum and proximal ileum Pancreas: body and tail Left kidney Left suprarenal gland Left colic ( splenic ) flexure Transverse colon: left half Descending colon: superior part 12 PowerPoint Presentation: Liver: left lobe Spleen Stomach Jejunum and proximal ileum Pancreas: body and tail Left Kidney Left Suprarenal gland Left colic ( splenic ) flexure Transverse colon: left half Descending colon: superior part 13 Abdominal Physical Exam Palpation - Left Upper Quadrant Abdominal Physical Exam Palpation - Right Upper Quadrant: Abdominal Physical Exam Palpation - Right Upper Quadrant Liver: right lobe Gallbladder Stomach: pylorus Duodenum: parts 1-3 Pancreas: head Right suprarenal gland Right kidney Right colic (hepatic) flexure Ascending colon: superior part Transverse colon: right half 14 Abdominal Physical Exam Palpation - Right Upper Quadrant: Abdominal Physical Exam Palpation - Right Upper Quadrant Liver: right lobe Gallbladder – Murphy’s sign Stomach: pylorus Duodenum: parts 1-3 Pancreas: head Right suprarenal gland Right kidney Right colic (hepatic) flexure Ascending colon: superior part Transverse colon: right half 15 Abdominal Physical Exam Palpation - Right Lower Quadrant: Abdominal Physical Exam Palpation - Right Lower Quadrant Cecum Vermiform appendix McBurney’s point Rovsing’s sign Psoas sign Obturator sign Most of ileum Ascending colon: inferior part Right ovary Right uterine tube Right spermatic cord Uterus (if enlarged) Urinary bladder (if full) 16 Abdominal Physical Exam Palpation - Right Lower Quadrant: Abdominal Physical Exam Palpation - Right Lower Quadrant Cecum Vermiform appendix McBurney’s Point Rovsing’s sign Psoas sign Obturator sign Most of ileum Ascending colon: inferior part Right ovary Right uterine tube Right spermatic cord Uterus (if enlarged) Urinary bladder (if full) 17 PowerPoint Presentation: 18 Walgreens.com Abdominal Physical Exam Palpation - Left Lower Quadrant: Abdominal Physical Exam Palpation - Left Lower Quadrant Sigmoid colon Descending colon: inferior part Left ovary Left uterine tube Left ureter : abdominal part Left spermatic cord: abdominal part Uterus (if enlarged) Urinary bladder (if full) 19 Abdominal Physical Exam Palpation - Left Lower Quadrant: Abdominal Physical Exam Palpation - Left Lower Quadrant 20 Sigmoid colon Descending colon: inferior part Left ovary Left uterine tube Left ureter : abdominal part Left spermatic cord: abdominal part Uterus (if enlarged) Urinary bladder (if full) Extras: Extras Abdominal Aorta Inguinal Lymph Nodes Costovertebral angle (CVA) tenderness 21 Abdominal Physical Exam Practice- 20 Minutes: Abdominal Physical Exam Practice- 20 Minutes Inspection Contour Skin Movement Auscultation Bowel sounds Vascular sounds Percussion Abdomen for masses or fluid Liver span Spleen Gastric bubble Palpate General palpation Liver Gallbladder Spleen R and L kidneys Abdominal aorta Inguinal lymph nodes Special: Murphy’s sign McBurney’s point Rovsing’s sign Psoas sign Obturator sign Rebound tenderness CVA tenderness 22 Practice Cases: Practice Cases 45 minutes Practice Documentation: Practice Documentation 15 minutes Questions?: Questions? Have a great winter break!

Add a comment

Comments

canada goose uk | 28/01/15
canada goose xl600r tank wars multiplayer canada goose uk http://winter.jacket-mall.co.uk/
bailey bows uggs cheap | 11/02/15
97 Save: 37% offAdd to Cart UGG®. [url=http://ernieluko.soup.io]bailey bows uggs cheap[/url]

Related presentations

Related pages

Abdominal Examination - YouTube

The Abdominal Exam Video.mov - Duration: 12:39. BilderbackHealth 283,707 views. ... Abdominal Examination - Demonstration - Duration: 4:43.
Read more

Abdominal Exam 1 at La Sierra University - StudyBlue

Study online flashcards and notes for Abdominal Exam 1 including Referred pain: supraclavicular area (Kehr's sign) : diaphragmatic; Referred pain ...
Read more

Abdominal Exam 1 - Physician Assistant Physical Assessment ...

Study online flashcards and notes for Abdominal Exam 1 including What is the
Read more

Abdominal examination - Wikipedia, the free encyclopedia

Abdominal examination This article has multiple issues. ... The abdominal exam, in medicine, is performed as part of a physical examination, ...
Read more

Abdominal Exam - YouTube

Abdominal Palpation (Diagnostic Test) 1/2 - Duration: ... Pediatric Exams: Abdominal Exam - Duration: ... +YouTube; Terms;
Read more

Abdominal Exam - Welcome to Ohio University

Abdominal Exam Winter Quarter 2010 Adapted from previous years by Amanda Kocoloski, OMS IV Liver more than 2-3 cm below costal margin may be sign of ...
Read more

Abdominal Exam - University of Kentucky

Abdominal Exam Inspection Auscultation Percussion Palpate percussion includes percussion of liver span, light and deep palpation, palpation of liver edge ...
Read more

Abdominal Exam - Welcome - Division of Medical Education ...

Abdominal Exam Charlie Goldberg, MD Professor of Medicine, UCSD SOM cggoldberg@ucsd.edu
Read more

Abdomen Examination - University of Virginia

No frame support. Please download a newer browser version which can handle frames. Abdomen Exam. Abdomen Examination. No frame support. Please download a ...
Read more