1 / 110

Health & Physical Assessment in Nursing First Edition

Health & Physical Assessment in Nursing First Edition. Donita D’Amico and Colleen Barbarito. Chapter 19 Abdomen. LEARNING OBJECTIVE ONE. LEARNING OBJECTIVE ONE. Abdomen Gastrointestinal system Structures of other body systems. LEARNING OBJECTIVE ONE. Gastrointestinal System.

hoshi
Download Presentation

Health & Physical Assessment in Nursing First Edition

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Health & Physical Assessment in NursingFirst Edition Donita D’AmicoandColleen Barbarito Chapter 19 Abdomen

  2. LEARNING OBJECTIVE ONE

  3. LEARNING OBJECTIVE ONE • Abdomen • Gastrointestinal system • Structures of other body systems

  4. LEARNING OBJECTIVE ONE • Gastrointestinal System

  5. Figure 19.1 Organs of the alimentary canal and related accessory organs.

  6. LEARNING OBJECTIVE ONE • Gastrointestinal System • Alimentary canal • Mouth • Pharynx • Esophagus • Stomach • Small and large intestines • Rectum • Anus

  7. LEARNING OBJECTIVE ONE • Gastrointestinal System • Accessory organs • Teeth • Salivary glands • Liver • Gallbladder • Pancreas

  8. LEARNING OBJECTIVE ONE • Related Structures • Peritoneum • Abdominal wall muscles

  9. Figure 19.2 Muscles of the abdominal wall.

  10. LEARNING OBJECTIVE ONE • Related Structures • Aorta

  11. Figure 19.3 Abdominal vasculature and deep structures.

  12. LEARNING OBJECTIVE ONE • Related Structures • Kidneys • Ureters • Bladder • Spleen • Reproductive organs

  13. LEARNING OBJECTIVE TWO

  14. LEARNING OBJECTIVE TWO • Abdomen • Largest cavity of the body • Contains structures from the digestive system and other body systems

  15. LEARNING OBJECTIVE TWO • Abdomen - Inferior to the Diaphragm and Superior to the Pelvic Floor

  16. LEARNING OBJECTIVE TWO • Abdominal Landmarks • Xiphoid process • Umbilicus • Costal margin • Iliac crests • Pubic bone

  17. LEARNING OBJECTIVE TWO • Mapping - Dividing the Abdomen into Four Quadrants and Nine Regions

  18. LEARNING OBJECTIVE TWO • Four Quadrants

  19. Figure 19.4 Mapping of the abdomen into four quadrants.

  20. LEARNING OBJECTIVE TWO • Four Quadrants • Midsternal line from the xiphoid process through the umbilicus to the pubic bone • Horizontal line perpendicular to the first line, through the umbilicus • Two perpendicular lines form four equal quadrants of the abdomen

  21. LEARNING OBJECTIVE TWO • Four Quadrants • Quadrants named • Right upper quadrant (RUQ) • Right lower quadrant (RLQ) • Left upper quadrant (LUQ) • Left lower quadrant (LLQ)

  22. LEARNING OBJECTIVE TWO • Four - Quadrant Method • Gallbladder • Kidneys • Costovertebral angle • Liver • Spleen • Midline structures • Abdominal aorta • Urinary bladder • Uterus

  23. LEARNING OBJECTIVE TWO • Nine Regions

  24. Figure 19.5 Mapping of the abdomen into nine regions.

  25. Figure 19.6 Upper torso: Organs of the four abdominal quadrants. Lower torso: Organs of the nine abdominal regions.

  26. LEARNING OBJECTIVE TWO • Nine Regions • Extend the right and left midclavicular lines to the groin • Horizontal line across the lowest edge of the costal margin • Horizontal line at the level of the iliac crests • Abdomen divided into nine regions

  27. LEARNING OBJECTIVE TWO • Nine Regions • Names of the regions • Right hypochondriac • Epigastric • Left hypochondriac • Right lumbar • Umbilical • Left lumbar • Right inguinal • Hypogastric or pubic • Left inguinal

  28. LEARNING OBJECTIVE THREE

  29. LEARNING OBJECTIVE THREE • Focused Interview • General questions

  30. LEARNING OBJECTIVE THREE • Specific Questions • Illness or infection • Symptoms • Pain • Behaviors • Infants and children • Pregnant female • Older adult • Environment

  31. LEARNING OBJECTIVE FOUR

  32. LEARNING OBJECTIVE FOUR • Equipment • Examination gown and drape • Examination gloves • Examination light • Stethoscope • Skin marker • Metric ruler • Tissues • Tape measure

  33. LEARNING OBJECTIVE FOUR • Other Considerations • Age • Gender • Language • Culture

  34. LEARNING OBJECTIVE FIVE

  35. LEARNING OBJECTIVE FIVE • Abnormal Abdominal Findings • Abnormal sounds

  36. Table 19.1 Abnormal Abdominal Sounds

  37. LEARNING OBJECTIVE FIVE • Abnormal Abdominal Findings • Pain

  38. Table 19.2 Pain in Common Abdominal Disorders

  39. Figure 19.25Referred cutaneous pain areas. A. Anterior. B. Posterior. A

  40. Figure 19.25 (continued)Referred cutaneous pain areas. A. Anterior. B. Posterior. B

  41. LEARNING OBJECTIVE FIVE • Abnormal Abdominal Findings • Distention • Hernias

  42. LEARNING OBJECTIVE FIVE • Abnormal Abdominal Sounds • Hypo- and hyperactive bowel sounds • Vascular sounds of bruits and venous hums • Friction rubs

  43. LEARNING OBJECTIVE FIVE • Abdominal Pain • Direct • Referred

  44. LEARNING OBJECTIVE FIVE • Abdominal Distention • Obesity

  45. Figure 19.26Obesity.

  46. LEARNING OBJECTIVE FIVE • Abdominal Distention • Gas

  47. Figure 19.27Distended abdomen.

  48. LEARNING OBJECTIVE FIVE • Abdominal Distention • Tumor

  49. Figure 19.28Abdominal tumor.

  50. LEARNING OBJECTIVE FIVE • Abdominal Distention • Ascites

More Related