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Abdomen & Peripheral Vascular System

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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  1. Abdomen & Peripheral Vascular System

  2. Abdomen • Anatomy • Diaphragm to pelvis • Abdominal muscles • Internal Organs • Descriptive schemes • Four quadrants • Nine regions

  3. History • Appetite • Dysphagia • Abdominal Pain • Nausea/Vomiting • Bowel Habits

  4. History • Past abdominal history • Medications • Nutritional assessment • Personal habits • Exercise, Smoking, Cigarettes

  5. Abdominal Exam • Inspection • Auscultation • Arteries • Bowel Sounds • Percussion • Palpation • Light: tenderness • Deep: masses • Special: organs

  6. Physical Exam • Inspection • General shape • Scars • Veins • Hernias • Common findings • Umbilical, ventral hernia • Piercings • Striae • Scars

  7. Striae

  8. Auscultation

  9. Abdomen • Percussion • Liver size • CVA tenderness • Palpation • Light • Deep • Special • Liver • Spleen • Kidney

  10. Pain Tests • Rebound Tenderness • Inspiratory arrest (Murphy’s sign)‏ • Iliopsoas • Obturator

  11. Rectum • Inspection • Lesions • Rashes • Hemorrhoids • Palpation • Digital rectal exam • Prostate if male • Sweep • Fecal occult blood • No auscultation or percussion

  12. Aging Adults • Middle age – fat distribution • Elderly • Decreased saliva • Esophageal emptying • Gastric acid decrease • Gallstones increase • Liver size and function decrease • Constipation

  13. Pathological Findings • Ascites • Caput medusa • Hepatomegaly • Splenomegaly • Ventral hernia • Pain • Iliopsoas • Obturator

  14. Portal Hypertension (Cirrhosis)‏ • Ascites • Renal Insufficiency • Encephalopathy • Esophageal varices • Caput Medusa • Hemorrhage • Leukopenia, thrombocytopenia, anemia • Testicular atrophy, gynecomastia

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