things I cant remember for abdomen

examination technique order

inspect

auscultate

percussion

palpation

linea albicantes

stretch marks

pigmented nevi

moles

striae length

1-6 cm

recent striae color

pink or blue

Cushing syndrome color

purple or blue

dilated veins cause

obstruction in vena cava

liver damage (cirrhosis )

heart damage (CHF)

spider veins

petechiae cause

vascular disease

blood thinner

fat emboli

where would u see the aorta

epigastric

if the aorta is bounding in the epigastric area then it could be

abdominal aortic aneurysms

if abdominal respirations is not present it could mean

peritonitis or other ab problem

scaphoid

cave in

protuberant causes

fluid

flatulence

fat

fetus

fibroid/fatal tumor

feces

Distention

unusual stretching and enlargement of abdomen; implies disease; can be symmetrical or asymmetrical

pubic hair can be altered with

endocrine

hormonal abnormalities

chronic liver disease

which side of the stethoscope do u use for the abdomen

diaphragm

where do u begin to auscultate

RLQ at ileocecal valve area

when is it considered absent noise

no sounds in any quadrant after 5 mins

bruit cause

stenosis, partial occlusion, or aneurysm

Peritoneal Friction Rub cause

enlarged liver

spleen rubbing on organs

peritoneum

organs

abscess

tumor

Venous Humis is abnormal to hear over

liver or umbilicus

Venous Hum cause

portal hypertension

splenic artery obstruction

what side of stethoscope do u listen to a venous hum with

bell

where do u place ur right hand when palpating liver

RUQ

where do u place ur left hand when palpating liver

under right coastal margin

smooth nontender liver

fatty Infiltration, portal obstruction, cirrhosis

smooth tender liver

heart failure abscess acute hepatitis

where do you place your right hand when palpating spleen

LUQ

where do you place your left hand when palpating spleen

under left costal margin

cause of splenomegaly

mono, leukemia, lymphoma, portal htn, hiv

right kidney palpation

duck bill

left kidney palpation

left hand hooked right hand deep into abdomen

how wide is aorta pulse

2.5-4

lumbar lordosis

inward curving of lower spine

common in kids

ROME III

standardizes symptoms criteria for functional constipation <3BM/week, straining, lumpy hard stool feeling of incomplete evacuation or blockage

how many fingers for palpation

4 fingers

how deep for light palpation

1 cm

how deep for deep palpation

5-8 cm

Blumberg sign

Pressure applied to left lower quadrant produces rebound tenderness on right side (may indicate appendicitis)