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dalindsay81
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What SEVEN organs make up the solid viscera of the abdonimal cavity?
liver, pancreas, spleen, adrenal glands, kidneys, ovaries, uterus
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What FIVE organs make up the hollow viscera of the abdonimal cavity?
stomach, gallbaldder, small intestine, colon, bladder
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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"
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When would an umbilical be described as ascites?
build-up of fluid
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What are striae?
stretch marks
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At what point can one say bowel sounds are absent?
after listening for 5 minutes
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What is Borborygmi?
stomach growling
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What sound should dominate when percussing the abdomen?
tympany
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What noise will your hear when percussing the spleen?
dullness
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What are we testing the cotovertebral angle?
kidneys
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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.
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How do we test for shifting dullness?
- air shifts and fluid moves down when body moves
- shifting level of dullness indicates presence of fluid
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Why might organs be easier to palpate on aging adult?
abdominal wall is thinner and softer
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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
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What is voluntary guarding?
- Occrus when person is cold, tense, or ticklish.
- Bilaterale, muscles will relax slightly during exhalation.
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