Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

abdominal assessment

3,210 views

Published on

how to assess the abdomen of a client using the IAPP.

Published in: Technology, Health & Medicine
  • Dating direct: ♥♥♥ http://bit.ly/2F90ZZC ♥♥♥
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Dating for everyone is here: ❶❶❶ http://bit.ly/2F90ZZC ❶❶❶
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD FULL BOOKS, INTO AVAILABLE FORMAT ......................................................................................................................... ......................................................................................................................... 1.DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... 1.DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/y8nn3gmc } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Be the first to like this

abdominal assessment

  1. 1. ABDOMINAL ASSESSMENTMaria Carmela L. Domocmat, RN,MSNInstructor, Nursing Health AssessmentSchool of NursingNorthern Luzon Adventist College
  2. 2. Rectus abdominis muscle Xiphoid process Costal margin UmbilicusInguinal ligament Pubic tubercle Maria Carmela L. Domocmat, RN, MSN
  3. 3. Maria Carmela L. Domocmat, RN, MSN
  4. 4. Maria Carmela L. Domocmat, RN, MSN
  5. 5. Maria Carmela L. Domocmat, RN, MSN
  6. 6. Maria Carmela L. Domocmat, RN, MSN
  7. 7. Maria Carmela L. Domocmat, RN, MSN
  8. 8. Maria Carmela L. Domocmat, RN, MSN
  9. 9. Maria Carmela L. Domocmat, RN, MSN
  10. 10. Maria Carmela L. Domocmat, RN, MSN
  11. 11. Maria Carmela L. Domocmat, RN, MSN
  12. 12. Maria Carmela L. Domocmat, RN, MSN
  13. 13. Maria Carmela L. Domocmat, RN, MSN
  14. 14. Maria Carmela L. Domocmat, RN, MSN
  15. 15. PHYSICAL ASSESSMENT Maria Carmela L. Domocmat, RN, MSN
  16. 16. INSPECTION Maria Carmela L. Domocmat, RN, MSN
  17. 17. VeinsMaria Carmela L. Domocmat, RN, MSN
  18. 18. Caput Medusae• Dilated veins around a porto- systemic anastmosis in the umbilical veins• Dilated abdominal veins can be distinguished with Harveys test: - determines direction of flow – SVC obstruction: direction of flow above umbilicus downwards – IVC obstruction: direction of flow below umbilicus upwards – Caput medusae: direction of flow away from umbilicus Maria Carmela L. Domocmat, RN, MSN
  19. 19. Maria Carmela L. Domocmat, RN, MSN
  20. 20. Maria Carmela L. Domocmat, RN, MSN
  21. 21. Maria Carmela L. Domocmat, RN, MSN
  22. 22. Maria Carmela L. Domocmat, RN, MSN
  23. 23. Maria Carmela L. Domocmat, RN, MSN
  24. 24. Maria Carmela L. Domocmat, RN, MSN
  25. 25. Maria Carmela L. Domocmat, RN, MSN
  26. 26. Maria Carmela L. Domocmat, RN, MSN
  27. 27. Maria Carmela L. Domocmat, RN, MSN
  28. 28. Maria Carmela L. Domocmat, RN, MSN
  29. 29. Maria Carmela L. Domocmat, RN, MSN
  30. 30. Maria Carmela L. Domocmat, RN, MSN
  31. 31. Maria Carmela L. Domocmat, RN, MSN
  32. 32. Maria Carmela L. Domocmat, RN, MSN
  33. 33. Maria Carmela L. Domocmat, RN, MSN
  34. 34. Maria Carmela L. Domocmat, RN, MSN
  35. 35. Maria Carmela L. Domocmat, RN, MSN
  36. 36. Maria Carmela L. Domocmat, RN, MSN
  37. 37. Maria Carmela L. Domocmat, RN, MSN
  38. 38. Maria Carmela L. Domocmat, RN, MSN
  39. 39. Maria Carmela L. Domocmat, RN, MSN
  40. 40. Maria Carmela L. Domocmat, RN, MSN
  41. 41. Maria Carmela L. Domocmat, RN, MSN
  42. 42. Maria Carmela L. Domocmat, RN, MSN
  43. 43. Maria Carmela L. Domocmat, RN, MSN
  44. 44. Maria Carmela L. Domocmat, RN, MSN
  45. 45. Maria Carmela L. Domocmat, RN, MSN
  46. 46. Maria Carmela L. Domocmat, RN, MSN
  47. 47. Maria Carmela L. Domocmat, RN, MSN
  48. 48. Maria Carmela L. Domocmat, RN, MSN
  49. 49. Maria Carmela L. Domocmat, RN, MSN
  50. 50. Maria Carmela L. Domocmat, RN, MSN
  51. 51. Maria Carmela L. Domocmat, RN, MSN
  52. 52. Maria Carmela L. Domocmat, RN, MSN
  53. 53. Maria Carmela L. Domocmat, RN, MSN
  54. 54. Maria Carmela L. Domocmat, RN, MSN
  55. 55. Maria Carmela L. Domocmat, RN, MSN
  56. 56. Maria Carmela L. Domocmat, RN, MSN
  57. 57. Maria Carmela L. Domocmat, RN, MSN
  58. 58. Maria Carmela L. Domocmat, RN, MSN
  59. 59. Maria Carmela L. Domocmat, RN, MSN
  60. 60. Maria Carmela L. Domocmat, RN, MSN
  61. 61. Maria Carmela L. Domocmat, RN, MSN
  62. 62. Maria Carmela L. Domocmat, RN, MSN
  63. 63. Maria Carmela L. Domocmat, RN, MSN
  64. 64. Maria Carmela L. Domocmat, RN, MSN
  65. 65. Maria Carmela L. Domocmat, RN, MSN
  66. 66. Maria Carmela L. Domocmat, RN, MSN
  67. 67. Maria Carmela L. Domocmat, RN, MSN
  68. 68. Maria Carmela L. Domocmat, RN, MSN
  69. 69. Maria Carmela L. Domocmat, RN, MSN
  70. 70. Maria Carmela L. Domocmat, RN, MSN
  71. 71. Maria Carmela L. Domocmat, RN, MSN
  72. 72. Maria Carmela L. Domocmat, RN, MSN
  73. 73. Maria Carmela L. Domocmat, RN, MSN
  74. 74. Maria Carmela L. Domocmat, RN, MSN
  75. 75. Maria Carmela L. Domocmat, RN, MSN
  76. 76. Maria Carmela L. Domocmat, RN, MSN
  77. 77. SPECIAL MANEUVERS Maria Carmela L. Domocmat, RN, MSN
  78. 78. ASCITES Maria Carmela L. Domocmat, RN, MSN
  79. 79. Shifting Dullnesshttp://depts.washington.edu/physdx/liver/tech.html Maria Carmela L. Domocmat, RN, MSN
  80. 80. Maria Carmela L. Domocmat, RN, MSN
  81. 81. http://www.wrongdiagnosis.com/bookimage Maria Carmela L. Domocmat, RN, MSNs/16/5352.1.png
  82. 82. Fluid wave test Maria Carmela L. Domocmat, RN, MSN
  83. 83. APPENDICITIS Maria Carmela L. Domocmat, RN, MSN
  84. 84. McBurney’s Point (Appendicitis)• Pain in the right lower quadrant one third the distance from the anterior iliac crest to the umbilicus.• Caused by the inflamed appendix or bowel coming into contact with the peritoneum. Maria Carmela L. Domocmat, RN, MSN
  85. 85. Blumbergs sign• pain on abrupt release of steady pressure (rebound tenderness) over the site of a suspected abdominal lesion, indicative of peritonitis. Maria Carmela L. Domocmat, RN, MSN
  86. 86. Maria Carmela L. Domocmat, RN, MSN
  87. 87. Rovsing’s sign (Appendicitis) • Pain described in the right lower quadrant (RLQ) when the left lower quadrant (LLQ) is palpated.http://www.impactednurse.com/?p=1835 Maria Carmela L. Domocmat, RN, MSN
  88. 88. Psoas sign (Appendicitis)• Pain on passive extension of the right thigh. Patient lies on left side. Examiner extends patients right thigh while applying counter resistance to the right hip (asterisk). Maria Carmela L. Domocmat, RN, MSN
  89. 89. • Anatomic basis for the psoas sign: inflamed appendix is in a retroperitoneal location in contact with the psoas muscle, which is stretched by this maneuver. Maria Carmela L. Domocmat, RN, MSN
  90. 90. Psoas sign (Appendicitis)Psoas Psoasmajor minor Maria Carmela L. Domocmat, RN, MSN
  91. 91. Obturator sign• Pain on passive internal rotation of the flexed thigh.• Examiner moves lower leg laterally while applying resistance to the lateral side of the knee (asterisk) resulting in internal rotation of the femur. http://www.aafp.org/afp/991101ap/2027.html Maria Carmela L. Domocmat, RN, MSN
  92. 92. Anatomic basis for the obturator sign:• inflamed appendix in the pelvis is in contact with the obturator internus muscle, which is stretched by this maneuver. Maria Carmela L. Domocmat, RN, MSN
  93. 93. Hypersensitivity test or Pinch-an-Inch Test (Appendicitis)http://www.ispub.com/ispub/ijs/volume_12_number_2/the_pinch_an_inch_test_is_more_comfortable_than_rebound_tenderness/pinch-fig1.jpg Maria Carmela L. Domocmat, RN, MSN
  94. 94. CHOLECYSTITIS Maria Carmela L. Domocmat, RN, MSN
  95. 95. Murphy’s sign (Cholecystitis):• Pain on inspiration during gentle palpation below the right subcostal arch.• As the patient breathes in, the liver moves down exposing the gallbladder to pressure from the examiners hand.• Murpy’s sign may also be present with hepatitis. Maria Carmela L. Domocmat, RN, MSN
  96. 96. Maria Carmela L. Domocmat, RN, MSN
  97. 97. Balance’s Sign (Splenic Injury):• Dullness on percussion of the left upper quadrant of the abdomen due to collection of blood in the subcapsular or extracapsular layers of a ruptured spleen. Maria Carmela L. Domocmat, RN, MSN
  98. 98. Kehr’s Sign (Splenic injury / ruptured ectopic)• Severe left shoulder (tip) pain following injury to the spleen. May also arise following other forms of intra- abdominal bleeding such as ruptured ectopic pregnancy. The pain is due to irritation of the left diaphragm and phrenic nerve by intraperitoneal blood, or air when the patient is in the supine position. Maria Carmela L. Domocmat, RN, MSN
  99. 99. Grey-Turners Sign ( Pancreatitis)• A bluish discoloration that occurs on the lower back and abdominal flanks. May also occur following bleeding originating from the kidney or with pelvic fractures following traumatic injury. Usually occurs 6-24 hours after onset of any retroperitoneal bleeding. Maria Carmela L. Domocmat, RN, MSN
  100. 100. Cullen’s Sign ( Pancreatitis)• Is a bluish or blue-black discoloration around the umbilicus. Over time this discoloration can fade to green-brown or yellow. Often appears 1 to 2 days after the onset of symptoms of pancreatitis. Cullen’s sign may also arise in association with haemoperitoneum due to a ruptured ectopic pregnancy. Maria Carmela L. Domocmat, RN, MSN

×