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What SEVEN organs make up the solid viscera of the abdonimal cavity?
liver, pancreas, spleen, adrenal glands, kidneys, ovaries, uterus
What FIVE organs make up the hollow viscera of the abdonimal cavity?
stomach, gallbaldder, small intestine, colon, bladder
How does aging alter the appearance of the abdonimal wall?
Fat accumulates in the sprapubic area as a result of decreased estrogen levels in females. Males show some fat deposits->"big belly"
When would an umbilical be described as ascites?
build-up of fluid
What are striae?
At what point can one say bowel sounds are absent?
after listening for 5 minutes
What is Borborygmi?
What sound should dominate when percussing the abdomen?
What noise will your hear when percussing the spleen?
What are we testing the cotovertebral angle?
How do we test for a fluid wave?
Put hand in the middle and tap on the other side. If ascites, fluid will shift to the other side.
How do we test for shifting dullness?
- air shifts and fluid moves down when body moves
- shifting level of dullness indicates presence of fluid
Why might organs be easier to palpate on aging adult?
abdominal wall is thinner and softer
What are FIVE things that are necessary to know about the aging adult?
- Increased Abdominal fat deposits, less muscles
- Decreased salivation, less gastric secretions
- Decreased liver size/function- may decrease
- drug metabolism which means increased drug effects
- Increased constipation- may lead to inappropriate laxative use
- Easier to palpate abdominal organs, but often decrease pain response
What is voluntary guarding?
- Occrus when person is cold, tense, or ticklish.
- Bilaterale, muscles will relax slightly during exhalation.