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Abdomen & Breasts
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Abdomen & Breasts

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Transcript

  • 1. Abdomen
  • 2. Structure and Function
    • Borders of Abdominal Cavity
      • Lg. Oval cavity from diaphragm to pelvis
      • Posteriorly- vertebral column & paravertebral muscles
      • Laterally & anteriorly – lower rib cage and abdominal muscles
  • 3.
    • Abdominal Muscles
      • 4 layers
        • External oblique
        • Internal oblique
        • Transverse abdominis
        • Rectus abdominus
      • Linea alba
      • Rectus abdominus
  • 4.  
  • 5.
    • Internal Anatomy
      • Viscera
      • Liver
      • Gallbladder
      • Spleen
      • Aorta
      • Pancreas
      • Kidneys
  • 6.  
  • 7.  
  • 8.
    • Abdominal wall = 4 quadrants
      • RUQ
      • LUQ
      • RLQ
      • LLQ
      • Epigastric
      • Umbilical
      • Suprapubic
  • 9.  
  • 10.  
  • 11. Subjective Data
    • Appetite
    • Dysphagia
    • Food intolerance
    • Abdominal pain
    • N&V
    • Bowel habits
    • Past abd. History
    • Medications
    • Nutritional assessment
  • 12. Objective Data
    • Order of Exam
      • Inspection
      • Auscultation
      • Percussion
      • Palpation
  • 13.  
  • 14.  
  • 15.  
  • 16.  
  • 17.  
  • 18.  
  • 19.  
  • 20.  
  • 21.  
  • 22. Spleen
  • 23. Spleen
  • 24. Rt. Kidney
  • 25. Lt. Kidney
  • 26. Refered abd. Pain
  • 27. obesity Ascites Ovarion cyst Air/ Gas
  • 28. Breasts/ Axilla
  • 29. External Anatomy
    • B/t 2 nd 6 th rib
    • Sternum to MAL
    • Tail of Spence
    • Nipple
    • Areola
    • Montgomery’s glands
  • 30. Internal Anatomy
    • Glandular tissue
      • 15- 20 lobes
      • Alveoli producing milk
      • Ducts
        • Lactiferous
        • Collecting
      • Ampullae
        • Reservoir for storing milk
  • 31. Internal Anatomy cont.
    • Cooper’s ligaments
    • Adipose tissue
    • Breast
      • 4 quadrants
      • Tail of Spence
      • Most breast tumors – upper outer quadrant
  • 32.  
  • 33.  
  • 34.  
  • 35. Lymphatics
    • Axillary nodes
    • Central axillary
    • Pectoral
    • Subscapular
    • Lateral
    • Lymph- central axillary node- up to infraclavicular and supraclavicular nodes
  • 36. Lymphatics cont.
    • Small amt. Of lymph
      • Directly to infraclavicular group
      • Or deep into chest
      • Or abdomen
      • Or directly across to the opposite breast
  • 37.  
  • 38. Subjective Data - Breast
    • Pain
    • Lumps
    • Discharge
    • Rash
    • Swelling
    • Trauma
    • History
    • Self- care behaviors
  • 39. Subjective Data- Axilla
    • Tenderness
    • Swelling
    • Lumps
    • Rash
  • 40. Objective Data
    • Examination
    • Privacy
    • Comfort
    • Anxiety
  • 41. Retraction
  • 42. Retraction
  • 43. Inspect & Palpate Axillae
  • 44. Palpate Breasts
  • 45. Wheel Pattern
  • 46. Concentric Circles
  • 47. Palpate Nipple
  • 48. Fibocystic Cancer Fibroadenoma