Bradley University - NUR 204 - Abdomen Test

Flat and Rounded

Good Contours

Scaphoid and Protruberant

Bad Contours

Hernia

Bulging in the abdominal wall when head is raised

Umbilicus

Midline and inverted, with no sign of discoloration, inflamation or hernia

Ascites

Glistening and taut

Skin check

Surface smooth, color consistent

Striae (silvery white)

Stretch marks

Nevi

Moles

Skin turgor

Pinch and release skin - immediate return to shape shows hydration

Normal bowel sounds

High pitched, gurgling, cascading sounds

Hyperactive Bowel Sounds (increased mobility)

Loud, high pitched, rushing, tinkling sounds

Borborygmus

Growling

Hypoactive Bowel Sounds

No passage of stools of flatus

if Silent Bowel Sounds

Listen for 5 full minutes

Purcussion

Clockwise - general tympany

Costovertebral Angle

Angle between spine and 12th rib

Costovertebral Angle Tenderness

Tests for kidney inflammation or a really bad UTI

Light Palpation

4 fingers depress skin about 1 cm gently moving clockwise

Abnormal Palpation Findings

Muscle guarding, rigidity, tenderness

Rebound Tendeness

Signals appendicitis

Murphy Sign

Have pt take a deeo breath while holdng fingers under the liver border

Murphy Sign test for

Gallbladder inflammation

McBurney Point tests for

appendicitis through radiation

Ilipsoas Muscle Test

Have pt lift right leg straight up, flexing at hip, againt pushing down over thigh

Obturator Test

Lift pts right leg, flex at hip and 90 degree at knee, rotate the leg internally and externally

Diastasis recti

Seperation of abdominal rectus muscles

Ascites

Fluid sits in stomach under skin

RUQ

Liver

RUQ

Gallbladder

RLQ

Ascending colon

RLQ

Cecum

RLQ

Appendix

RLQ

Bladder

LUQ

Spleen

LUQ

Stomach

LUQ

Small Intestine

LLQ

Descending colon

LLQ

Sigmoid colon

Midline

Pubic symphysis

RUQ

Duodenum

RUQ

Head of pancreas

RUQ

Right Kidney and adrenal

RUQ

Hepatic flexure of colon

RUQ

Part of ascending and transverse colon

RLQ

Right ovary and tube

RLQ

Right ureter

RLQ

Right spermatic cord

Midline

Aorta

Midline

Uterus (if enlarged)

Midline

Bladder (if distended)

LUQ

Left lobe of liver

LUQ

Body of pancreas

LUQ

Left kidney and adrenal

LUQ

Splenic flexure of colon

LUQ

Part of transverse and descending colon

LLQ

Left ovary and tube

LLQ

Left ureter

LLQ

Left spermatic cord