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Abdominal Assessment Techniques Guide

The document provides a comprehensive overview of abdominal assessment, including causes and types of diarrhea, constipation, dysphagia, and hematochezia. It details the assessment techniques for the gastrointestinal system, including inspection, auscultation, percussion, and palpation, along with special tests for various conditions. Abnormal findings and their implications are also outlined, emphasizing the importance of thorough examination and patient care.

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Jasmin Mateo
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0% found this document useful (0 votes)
4 views13 pages

Abdominal Assessment Techniques Guide

The document provides a comprehensive overview of abdominal assessment, including causes and types of diarrhea, constipation, dysphagia, and hematochezia. It details the assessment techniques for the gastrointestinal system, including inspection, auscultation, percussion, and palpation, along with special tests for various conditions. Abnormal findings and their implications are also outlined, emphasizing the importance of thorough examination and patient care.

Uploaded by

Jasmin Mateo
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

🩺 Comprehensive Abdominal Assessment

Notes

5. Diarrhea

 may result from ingestion of contaminated food or water.

 acute infection, stress, fecal impaction, and certain drugs are possible causes.

 chronic infection, obstructive or inflammatory bowel disease, malabsorption syndromes, endocrine


disorders, or GI surgery also may be involved.

2 Types of Diarrhea:
 acute → stress

 chronic → obstruction or inflammatory bowel disease

Periodic diarrhea
 only occurs when you eat sour, spicy foods, and excessive intake of foods rich in fiber
 Excessive intake of coffee

 Sounds if you have diarrhea→ hyperactive bowel sounds

o cramping pain

o abdominal tenderness

o anorexia – eating disorder (kaya pumapayat)

Special Points During Diarrhea


 In children, commonly results from infection
 In elderly patients, consider ischemia before Crohn’s Disease (large intestines as main problem)

Constipation
 caused by immobility, sedentary lifestyle, habitual laxative use, medications, or IBS

 complete intestinal obstruction signaled by absence of flatus, stool, or bowel sounds

Hematochezia
 may result from coagulation disorder, toxic exposure, or diagnostic test, may precipitate

Special Points Hematochezia:


 less common in children, but may result from intussusception or Meckel’s diverticulum

 rule out colon cancer in elderly patients

Dysphagia – difficulty of swallowing


 caused by obstruction, achalasia of the lower esophagogastric junction, stroke, or Parkinson’s
disease; may lead to aspiration and pneumonia

 Magfoforce ang epiglottis na mag open kaya nagkakaroon ng aspiration (?)

6. Achalasia

 Lower esophageal sphincter fails to relax properly

ASSESSING THE GI SYSTEM


 Involves examination of mouth, abdomen, and rectum

 Involves inspection, auscultation, percussion, palpation

Assessing the Oral Cavity


Mouth and Jaw:

 asymmetry and swelling, note bite

Lips, teeth, gums, and oral mucosa:

 note bleeding, ulcerations; carious, loose, missing, or broken teeth; and color changes

Tongue:

 coating, swelling, white or reddened areas, nodules, and ulcerations; note unusual breath odors

Pharynx

 uvular deviation

Tonsils

 lesions, plaques, and exudate

NOTE:
1. Ask the patient to empty his bladder.

2. Drape the genitalia and the breast of a female patient.

3. Place a small pillow under the patient’s head to help relax the abdominal muscles.

4. Ask the patient to keep his arms at his sides.


5. Keep the room warm. Chilling can cause abdominal muscles to become tense.

6. Warm your hands and the stethoscope.

7. Approach the patient slowly and calmly and avoid quick, unexpected movements.

8. Speak softly and encourage the patient to perform breathing exercises or use imagery during
uncomfortable procedures. Distract the patient with conversation or questions.

9. Ask the patient to point to any areas of pain.

10. Assess painful areas last to help prevent the patient from becoming tense.
11. Watch the patient’s face for signs of pain such as grimacing

INSPECTION
Region: 9 regions

Right Hypochondriac Region


 Liver
 Gallbladder
 Right kidney

Epigastric Region
 Stomach
 Liver
 Pancreas
 Right kidney
 Left kidney

Left Hypochondriac Region


 Stomach
 Liver
 Left kidney
 Spleen

Right Lumbar Region


 Liver (tip)
 Small intestines
 Ascending colon
 Right kidney

Umbilical Region
 Stomach
 Pancreas
 Small intestines
 Transverse colon

Left Lumbar Region


 Small intestines
 Descending colon
 Left kidney

Right Iliac Region


 Small intestines
 Appendix
 Cecum and ascending colon

Hypochondriac Region
 Small intestines
 Sigmoid colon
 Bladder

Left Iliac Region


 Small intestines
 Descending colon
 Sigmoid colon

4 QUADRANTS
 Right upper quadrant:

o Right lobe of liver

o Gall bladder

o Pylorus

o Duodenum

o Head of the pancreas

o Hepatic flexure of the colon

o Portions of the ascending and transverse colon

ABDOMINAL FINDINGS: ABDOMINAL AREA


 Swelling abdomen (bladder distention or hernia)

 Protruding abdomen (obesity, pregnancy, ascites, abdominal distention, gas, tumor, or colon filled
with feces)
 Protruding umbilicus (pregnancy, ascites, or an underlying mass)

 Striae (pregnancy, excessive weight gain, or ascites)

 Redness (inflammation); bruising on flank or Turner’s sign (retroperitoneal hemorrhage)


 Dilated, tortuous, visible veins (inferior vena cava obstruction) - may be a manifestation of
progressing liver disease
 Cutaneous angiomas (liver disease)
 Visible rippling waves (bowel obstruction)
 Marked pulsations (hypertension, aortic insufficiency, and aortic aneurysm)

Hernia

 Muscles na naglolose kaya may lumalabas na organs like intestines which is nagproprotude -finifill
yung mga bakaneng space kaya nagkakaroon ng umbilical hernia

Ascites

 Fluid accumulation in your stomach

Abdominal Hemorrhage

 Pumutok yung abdominal aorta

Cullen’s sign

 Bluish discoloration of the umbilicus region due to abdominal hemorrhage

Turner’s sign

 Bruising in your flank or pantal pantal na kulay red

Striae

 Stretchmarks

Pulsating aorta

 Makikita sa epigastric region

🔊 AUSCULTATION
 Performed in a clockwise fashion in each quadrant
 Reveals character and quality of bowel sounds
 Uncovers absent bowel signs
 Detects bruits, venous hums, and friction rubs over renal, iliac, and femoral arteries
Bowel sounds are normally high-pitched, gurgling noises

Normal pulsations na maririnig in a minute: 5-30 pulsations

Bowel Sounds
 Borborygmus – stomach gurgling; normal

 Types of sounds: normal, hyper, hypo

ABNORMAL FINDINGS

1. Hyperactive

 Loud, high-pitched, frequent, tinkling

 Indicates increased motility (e.g. diarrhea, early obstruction, laxative use)

2. Hypoactive

 Infrequent

 Associated with ileus, bowel obstruction, peritonitis

 Absent – critical, suggests cessation of peristalsis

Abnormal Findings
1. Hyperactive bowel sounds

→ Diarrhea, early obstruction, laxatives

2. Hypoactive bowel sounds

→ Ileus, obstruction, peritonitis


3. Friction rubs – over liver & spleen

4. Abdominal bruits – whining/whooshing (suggests aortic aneurysm)

Vascular Sounds (Use the Bell of the Stethoscope)


Assess over:

 Aorta

 Right and Left Renal Arteries

 Right and Left Iliac Arteries

 Right and Left Femoral Arteries

Interpretation of Abnormal Sounds


1. Abnormal bowel sounds

o Causes: diarrhea, laxative use, early obstruction, paralytic ileus,peritonitis, intestinal fluid, or
intestinal obstruction

2. Systolic bruits

o Causes: partial arterial obstruction or turbulent blood flow, renal artery stenosis,
hepatomegaly, or arterial insufficiency in the legs

3. Venous hum

o Increased collateral circulation between portal and system venous system, such as with
cirrhosis

4. Friction rub

o Suggests inflammation of peritoneal surface of an organ (e.g. liver or spleen)


🥁 PERCUSSION

Types
 Direct – tapping directly on the skin

 Indirect – striking a finger placed on the body surface

Purpose
 Detect size, location, and density of abdominal organs

 Identify presence of air, fluid, or masses

 Follows clockwise direction over all quadrants

Abdominal Percussion Pattern


 Use systematic approach

 Move clockwise from quadrant to quadrant

Contraindications to Percussion
 Appendicitis

 Abdominal Aortic Aneurysm

 Acute Pyelonephritis

 Large abdominal tumors

 Children with suspected Wilms’ Tumor in children (kidney tumor)

 Pending peritoneal surgery


 Transplants
Percussion Notes (Sounds)

Percussion Note Description Examples

Flat Soft, high-pitched, very short Thigh

Dull Muffled, medium-pitched Liver, spleen, rectum, uterus, fluid

Resonant Loud, low-pitched lung, air-filled areas

Hyperresonant Louder, lower-pitched Unhealthy lung

Tympany Loud, high-pitched, musical Stomach or gastric air bubble

Liver Span by Percussion


 Normal: 5–7 cm (vertical span)

 Abnormal: ↑ may suggest hepatomegaly, ↓ may suggest liver atrophy

🧍‍♂️LIVER & SPLEEN ASSESSMENT

Liver Percussion
 Purpose: Estimate liver size

 Start at right midclavicular line

1. Percuss downward from lung resonance → mark dullness

2. Percuss upward from below umbilicus → mark dullness

 Normal span: 6.5–12 cm (2½ to 4¾ inches)

Abnormal Liver Findings


 Hepatomegaly – enlarged liver (hepatitis, tumors, CHF)

 Obscured liver borders – gas, tumors, infection, fluid in lungs

Spleen Percussion
 Located in left upper quadrant

 Normally not percussible due to overlying bowel gas

 Produces dullness if enlarged

Abnormal Spleen Findings


 Splenomegaly – enlargement due to:

o Mononucleosis

o Trauma

o Sickle cell anemia

o Cancer

Palpation Overview
 Light Palpation – checks for:

o Tenderness

o Masses

o Rigidity

 Deep Palpation – detects:


o Deeper masses

o Enlarged organs

o Areas of pain/tenderness

🤲 PALPATION TECHNIQUES & SPECIAL TESTS

Palpation Technique
 Use fingers of one hand with gentle or bating movements

 Start with light then proceed to deep palpation

⚠️

Palpation Contraindications
 Do not palpate rigid abdomen – may signal peritoneal inflammation → risk of rupture

 Do not palpate pulsating midline mass – indicates aortic aneurysm

Liver Palpation
 Patient: Supine

 Examiner: Stand at right side

 Place left hand under patient’s back (approximate location of liver)

 Place right hand below rib cage, press gently upward while patient inhales

 Liver edge should be smooth, non-tender


Spleen Palpation
 Not palpable unless enlarged

🧪 SPECIAL ABDOMINAL TESTS

Test Purpose

Blumberg’s Sign Rebound tenderness – peritonitis or appendicitis

Murphy’s Sign Pain on inspiration with RUQ palpation – cholecystitis (gallbladder)

Iliopsoas Muscle Test Pain with leg raise – appendicitis

Psoas Sign Pain with right thigh extension – appendicitis

Obturator Sign Pain with internal rotation of flexed right thigh – appendicitis

Rovsing’s Sign RLQ pain on palpation of LLQ – appendicitis

Ballottement Detects floating mass in ascites – retroperitoneal tumor or enlarged kidney

Ascites Test Fluid in peritoneal cavity due to liver disease, HF, pancreatitis, or cancer

Other Notes
 Pulsation in epigastric area → may suggest pyloric stenosis

 Ileocecal valve area – commonly heard bowel sounds

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