Abdomen peripheral vascular system
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Abdomen & Peripheral Vascular System. Abdomen. Anatomy Diaphragm to pelvis Abdominal muscles Internal Organs Descriptive schemes Four quadrants Nine regions. History. Appetite Dysphagia Abdominal Pain Nausea/Vomiting Bowel Habits. History. Past abdominal history Medications

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Abdomen & Peripheral Vascular System

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Abdomen peripheral vascular system

Abdomen & Peripheral Vascular System


Abdomen

Abdomen

  • Anatomy

    • Diaphragm to pelvis

    • Abdominal muscles

    • Internal Organs

  • Descriptive schemes

    • Four quadrants

    • Nine regions


History

History

  • Appetite

  • Dysphagia

  • Abdominal Pain

  • Nausea/Vomiting

  • Bowel Habits


History1

History

  • Past abdominal history

  • Medications

  • Nutritional assessment

  • Personal habits

    • Exercise, Smoking, Cigarettes


Abdominal exam

Abdominal Exam

  • Inspection

  • Auscultation

    • Arteries

    • Bowel Sounds

  • Percussion

  • Palpation

    • Light: tenderness

    • Deep: masses

    • Special: organs


Physical exam

Physical Exam

  • Inspection

    • General shape

    • Scars

    • Veins

    • Hernias

  • Common findings

    • Umbilical, ventral hernia

    • Piercings

    • Striae

    • Scars


Striae

Striae


Auscultation

Auscultation


Abdomen1

Abdomen

  • Percussion

    • Liver size

    • CVA tenderness

  • Palpation

    • Light

    • Deep

    • Special

      • Liver

      • Spleen

      • Kidney


Pain tests

Pain Tests

  • Rebound Tenderness

  • Inspiratory arrest (Murphy’s sign)‏

  • Iliopsoas

  • Obturator


Rectum

Rectum

  • Inspection

    • Lesions

    • Rashes

    • Hemorrhoids

  • Palpation

    • Digital rectal exam

    • Prostate if male

    • Sweep

    • Fecal occult blood

  • No auscultation or percussion


Aging adults

Aging Adults

  • Middle age – fat distribution

  • Elderly

    • Decreased saliva

    • Esophageal emptying

    • Gastric acid decrease

    • Gallstones increase

    • Liver size and function decrease

    • Constipation


Pathological findings

Pathological Findings

  • Ascites

  • Caput medusa

  • Hepatomegaly

  • Splenomegaly

  • Ventral hernia

  • Pain

    • Iliopsoas

    • Obturator


Portal hypertension cirrhosis

Portal Hypertension (Cirrhosis)‏

  • Ascites

  • Renal Insufficiency

  • Encephalopathy

  • Esophageal varices

  • Caput Medusa

  • Hemorrhage

  • Leukopenia, thrombocytopenia, anemia

  • Testicular atrophy, gynecomastia


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