NurseReview.Org - Abdomen Breasts Nursing Resource

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  • Found a helpful website that I thought may help others. This website has practice exams for various nursing classes as well as videos, presentations, notes, nclex help, and many other tools that already are helping me. Hope they help :-)
    www.RNpedia.com
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NurseReview.Org - Abdomen Breasts Nursing Resource

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

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