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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.
- Everted: possible ascites, pregnancy
- Sunken: obesety
- bluish periumbilicus: possible abdominal bleeding.
What is striae?
What does visible peristalsis together with distended abdomen indicate?
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?
What could cause abdominal distention?
- ovarian cyst
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