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How is the abdomen divided for location and charting purposes?
When would you palpate a painful abdominal area?
At the end of the exam so as to avoid unnecessarily prolonged discomfort to your pt.
What can an umbilicus tell you?
Can be inverted or everted.
Inverted=normal.
Everted: possible ascites, pregnancy
Sunken: obesety
bluish periumbilicus: possible abdominal bleeding.
What is striae?
Stretch marks
What does visible peristalsis together with distended abdomen indicate?
Bowel obstruction
What does purple/blue striae indicate?
Cushing's syndrome: Excess adrenocortical hormone causes skin to be fragile and easiy broken fro m normal stretching.
What are the names of the four possible Abdominal contours?
1) flat
2) scaphoid
3) rounded
4) protuberant
what is Borborymi?
Normal "growing" stomach sounds you can hear without the aid of a ss.
What is the CVA as it relates to an abdominal exam?
Costovertebral angle
the angle made between the linea alba and the rib cage. Should be ~90 deg.
How do you test for CVA tenderness?
Place hand flat on back below floating ribs where kidneys lie. Make a fist with other hand hand pound the flat hand. Should not cause pain in pt. If it does, think renal inflamation.
How do you test for ascites?
Fluid wave
Shifting Dullness
If palpable, how wide should the abdominal measurement of the aorta be?
