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Abdominal Assessment Overview

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0% found this document useful (0 votes)
14 views69 pages

Abdominal Assessment Overview

Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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Chapter 23

Assessing Abdomen
Abdomen

 Bordered superiorly by the costal margins


 Bordered inferiorly by the symphysis pubis and
inguinal canals
 Bordered laterally by the flanks
 Divided into quadrants and regions
 Abdominal wall muscles
 Internal anatomy

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Abdominal Quadrants #1

 Quadrants:
o Right upper quadrant (RUQ)
o Right lower quadrant (RLQ)
o Left lower quadrant (LLQ)
o Left upper quadrant (LUQ)
 Two imaginary lines:
o Vertical/midline
o Horizontal/lateral

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Abdominal Quadrants #2

 RUQ
o Ascending colon and transverse colon
o Duodenum
o Gallbladder
o Hepatic flexure of colon
o Liver
o Pancreatic head
o Pylorus
o Right adrenal gland
o Right kidney and right ureter

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Abdominal Quadrants #3

 RLQ
o Appendix
o Ascending colon
o Cecum
o Right kidney
o Right ovary and tube
o Right ureter
o Right spermatic cord

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Abdominal Quadrants #4

 LUQ
o Left adrenal gland
o Left kidney
o Left ureter
o Pancreas
o Spleen
o Stomach
o Transverse descending colon

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Abdominal Quadrants #5

 LLQ
o Left kidney
o Left ovary and tube
o Left ureter
o Left spermatic cord
o Descending and sigmoid colon
 Midline
o Bladder
o Uterus
o Prostate gland

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Abdominal Regions

 Epigastric
 Umbilical
 Hypogastric
 Right and left hypochondriac
 Right and left lumbar
 Right and left iliac (inguinal)

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Abdominal Wall Muscles #1

 Three layers from back, around flanks, to front:


o External abdominal oblique
o Internal abdominal oblique
o Transverse abdominis
 Additional muscles: rectus abdominis
 Additional structures: linea alba
 Protect internal organs; allow normal compression of
internal organs during functional activities

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Abdominal Wall Muscles #2

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Internal Anatomy #1

 Abdominal viscera

Reprinted with permission from Hinkle, J., & Cheever, K. [2018]. Brunner & Suddarth’s textbook of medical-surgical
nursing [14th ed.]. Wolters Kluwer Health.

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Internal Anatomy #2

 Peritoneum
o Serous membrane that lines the abdominal
cavity (parietal peritoneum)
o Protective covering for most internal organs
(visceral peritoneum)
 Different body systems:
o Gastrointestinal
o Reproductive (female)
o Lymphatic
o Urinary

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Internal Anatomy #3
 Solid viscera: liver,
pancreas, spleen,
adrenal glands,
kidneys, ovaries,
uterus
 Hollow viscera:
stomach, gallbladder,
small intestine, colon,
bladder
 Palpation of abdominal
viscera depends on
location, structural
consistency, size

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Internal Anatomy #4

 Viscera normally not


palpable:
o Pancreas, spleen,
stomach, gallbladder,
small intestine
 Vascular structures:
o Abdominal aorta; right
and left iliac arteries

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Biologic (Genetic) and Cultural Behavior
Variations #1

 In the United States, non-Hispanic Black, Hispanic,


Asian/Pacific Islander have 40% to 50% higher risk for
gastric cancer than Whites.
 Cardia cancer rates 35% to 47% lower for Blacks,
Hispanics, Asian or Pacific Islanders, American Indian or
Alaska Natives; conversely, noncardia incidence rate
ratios were 1.7- to 3.9-fold higher for Blacks, Hispanics,
Asian or Pacific Islanders, and American Indian or Alaska
Natives.
 Stomach cancer has association with Helicobacter pylori;
highest rates in Asia, Latin America, and Caribbean;
lowest rates in North America and Africa; countries with
highest incidence: Korea, Mongolia, Japan.

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Biologic (Genetic) and Cultural Behavior
Variations #2

 Esophageal adenocarcinoma risen rapidly in general


U.S. population; Asian Americans have low rates.
 Esophageal squamous cell carcinoma rates in U.S.
general population has fallen; but extremely high for
Asians and Asian Americans.
 Gallbladder disease and gallbladder cancer vary by
ethic group; Native Americans and Mexican
Americans have high rates.

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Biologic (Genetic) and Cultural Behavior
Variations #3

 Gallbladder disease included more women than


men; order of cases by ethnic group: Latinos,
Japanese Americans, Whites, African Americans,
Native Hawaiians.
 Keloids: excess scar tissue, resulting from trauma or
surgery, more common in African Americans and
Asians.

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Older Adult Considerations #1

 Sensitivity to pain may diminish with aging, assess


carefully for acute abdominal conditions.
 May experience decline in appetite from various
factors such as altered metabolism, decreased taste
sensation, decreased mobility, and depression; risk
for nutritional imbalance
 At risk for potential complications with diarrhea
(fluid volume deficit, dehydration, electrolyte and
acid–base imbalances) because of higher fat-to-lean
muscle ratio
 Prone to UTIs because activity of protective bacteria
in urinary tract declines with age

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Older Adult Considerations #2

 Dilated superficial capillaries without a pattern may


be seen; more visible in sunlight.
 The USPSTF recommends one-time screening for
abdominal aortic aneurysm for men between 65 and
75 years who have smoked; selectively for men 65
to 75 years who have never smoked; not
recommended for women.
 If older than age 50 or has hypertension, assess
width of aorta.

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Question #1

Is the following question true or false?

The abdominal wall allows normal compression during


functional activities such as childbirth.

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Answer to Question #1

True

The abdominal wall allows normal compression during


functional activities such as childbirth.

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Collecting Subjective Data: The Nursing
Health History #1

 History of present health concern


o Abdominal pain
 COLDSPA; character (dull, aching; burning,
gnawing; pressure; colicky; sharp, knifelike;
variable)
o Indigestion
o Nausea and vomiting
o Appetite
o Bowel elimination

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Collecting Subjective Data: The Nursing
Health History #2

 Abdominal pain

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Collecting Subjective Data: The Nursing
Health History #3

 Personal health history


 Family history
 Lifestyle and health practices

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General Routine Screening

 Observe the coloration, vascularization, scars,


rashes, and lesions of skin.
 Observe umbilicus.
 Observe abdominal contour and symmetry.
 Observe for aortic pulsations and peristaltic waves.
 Auscultate bowel sounds.
 Percuss tones over four quadrants of abdomen.
 Lightly palpate four quadrants of abdomen.

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Focused Specialty Assessment #1

 Auscultate for vascular sounds.


 Percuss size of liver.
 Percuss size of spleen.
 Perform blunt percussion of liver and kidneys.
 Deeply palpate four abdominal quadrants for organs
and masses.
 Palpate aorta, liver, spleen, kidneys, urinary
bladder, or for shifting or dullness.
 Perform fluid wave test.

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Focused Specialty Assessment #2

 Assess for rebound tenderness.


 Test for referred rebound tenderness.
 Assess for psoas sign.
 Assess for obturator sign.
 Perform hypersensitivity test.
 Test for cholecystitis.

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Collecting Objective Data: Physical
Examination #1

 Sequence for assessment differs from typical order


o Inspection, auscultation, percussion, palpation
 Approach client from right side
 Use tangential lighting
 Explain every aspect to help client to relax and
avoid tensing abdominal muscles
 Properly drape clients to protect privacy
 Addressing ticklish client
 Warm hands

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Collecting Objective Data: Physical
Examination #2

 Preparing the client


o Ask to empty bladder before starting.
o Remove clothes, put on gown.
o Help client into supine position with arms across
chest or at side, with flat pillow under head for
comfort, and slightly flex legs.
o Properly drape client.
o Instruct on proper breathing to relax muscles.
o Ask about painful areas and assess last.

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Collecting Objective Data: Physical
Examination #3

 Equipment
o Small pillow or rolled blanket
o Centimeter ruler
o Stethoscope
o Marking pen
o Gown and drapes

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Collecting Objective Data: Physical
Examination #4

 Physical assessment
o Perform in correct order: inspection,
auscultation, percussion, palpation
o Common abnormal findings:
 Abdominal edema
 Abdominal masses
 Unusual pulsations
 Pain

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Collecting Objective Data: Physical
Examination #5
 Inspection
o Coloration of skin
o Vascularity of abdominal skin
o Note any striae
o Inspect for scars
o Assess for lesions and rashes
o Inspect umbilicus; location, contour
o Abdominal contour (see Assessment Guide 23-2,
Measuring Abdominal Girth)
o Assess symmetry

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Collecting Objective Data: Physical
Examination #6

 Inspection—(cont.)
o Abdominal movement when chest breathes
o Aortic pulsations
o Peristaltic waves
 Auscultation
o Bowel sounds
o Vascular sounds
o Venous hums
o Friction rub over liver and spleen

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Collecting Objective Data: Physical
Examination #7

 Percussion
o Tone
o Span and height of liver
o Spleen
o Blunt percussion on liver and kidneys

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Collecting Objective Data: Physical
Examination #8

 Palpation
o Light palpation.
o Deeply palpate all quadrants.
o Palpate for masses.
o Palpate umbilicus and surrounding area for
swelling, bulges, or masses.
o Palpate aorta.
o Palpate liver, spleen, kidneys, and urinary
bladder.

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Collecting Objective Data: Physical
Examination #9

 Test for ascites


o Test for shifting dullness.
o Perform fluid wave test.

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Collecting Objective Data: Physical
Examination #10

 Tests for appendicitis/peritoneal irritation


o Assess for rebound tenderness.
o Test for referred rebound tenderness.

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Collecting Objective Data: Physical
Examination #11

 Tests for appendicitis/peritoneal irritation—


(cont.)
o Assess for psoas sign.

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Collecting Objective Data: Physical
Examination #12

 Tests for appendicitis/peritoneal irritation—


(cont.)
o Assess for obturator sign.
o Perform hypersensitivity test.

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Collecting Objective Data: Physical
Examination #13

 Test for cholecystitis


o Assess RUQ pain or tenderness.

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Collecting Objective Data: Physical
Examination #14

 Abdominal signs
o Psoas sign: pain in RLQ when leg hyperextended
o Obturator sign: pain in RLQ when hip and knee
flexed and leg rotated internally and externally
o Murphy sign: pain when pressure applied under
liver border of right costal margin and client
inhales deeply
o Rovsing sign: pain in RLQ during pressure in LLQ
o Blumberg sign: pain or tenderness when tests for
rebound tenderness by palpating deeply at 90
degrees into abdomen between umbilicus and
anterior iliac crest
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Validating and Documenting Findings

 Validate assessment data collected.


 Necessary to verify data are reliable and accurate.
 Document assessment data following health care
facility or agency policy:
o COLDSPA
o SBAR

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Analyzing Data to Make Clinical
Judgments

 Selected client concerns


o Opportunity to improve client health
o Risk for client concerns
o Actual client concerns
 Selected collaborative problems
o RC: Risk for Complications
 Medical problems

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Question #2

Is the following statement true or false?

The correct order for conducting the physical


assessment techniques is inspection, percussion,
auscultation, and palpation.

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Answer to Question #2

False

The correct order to perform the basic assessment


techniques when examining the abdomen is
inspection, auscultation, percussion, and palpation.

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Peptic Ulcer Disease #1

 An open sore that forms in the lining of the


esophagus, stomach, or small intestine
 Can be quite painful and bleed
 Wide variety of symptoms, from none until
advanced to pain, burning sensation, worse with
empty stomach, chest pain, fatigue, weight loss,
black or tarry stools, vomiting
 Screening: no recommendations currently

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Peptic Ulcer Disease #2

 Risk assessment
o Controllable factors:
 Taking NSAIDs, especially if also taking
steroids, anticoagulants, low-dose aspirin,
SSRIs, alendronate, risedronate
 Smoking or chewing tobacco
 Having untreated stress
 Eating spicy foods
 Drinking alcohol

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Peptic Ulcer Disease #3

 Risk assessment—(cont.)
o Noncontrollable factors:
 Presence of H. pylori in GI tract
 Hypersecretory condition
 Personal or family history, possible genetic link
 Radiation treatments
 Zollinger–Ellison syndrome (rare tumor in
pancreas)

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Peptic Ulcer Disease #4

 Client education
o Wash hands frequently.
o Eat foods cooked completely.
o Use all recommended cautions when taking pain
relievers.
o Avoid excessive alcohol intake.
o Avoid or stop smoking and chewing tobacco.
o If medications order, follow directions carefully
and report any continuing symptoms, symptoms
that worsen, or more serious symptoms occur.

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Gastroesophageal Reflux Disease #1

 Stomach or gastric acids flow back into esophagus;


over time, causes irritation and can erode tissue,
leading to scarring and narrowing of esophagus,
Barrett esophagus or cancer
 Symptoms: hoarseness, laryngitis, chronic dry
cough, asthma or worsening of asthma symptoms,
feeling as if lump in throat, sudden increase in
saliva, halitosis, earaches, and/or chest pain or
discomfort
 Screening: none recommended

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Gastroesophageal Reflux Disease #2

 Risk factors
o Obesity
o Hiatal hernia
o Pregnancy
o Smoking
o Dry mouth
o Asthma
o Diabetes
o Delayed stomach emptying

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Gastroesophageal Reflux Disease #3

 Risk factors—(cont.)
o Eating large meals or late at night
o Connective tissue disorders such as scleroderma
o Alcohol consumption
o Dairy, spicy, and fried foods
o Some medications: aspirin, pain medications,
sedatives, antidepressants, medications for
asthma, hypertension, or allergies

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Gastroesophageal Reflux Disease #4

 Client education
o Avoid alcohol and tobacco intake.
o Assess foods that cause distress and avoid.
o Avoid foods that cause you to swallow air.
o Eat 5 to 6 small meals a day.
o Eat slowly and chew food well.
o Do not lie down after eating for at least 2 hours.
o Avoid late evening snacks.
o Avoid bending or stooping after eating.

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Gastroesophageal Reflux Disease #5

 Client education—(cont.)
o Avoid lifting heavy objects.
o Avoid wearing tight clothes around waist, abdomen,
or stomach.
o Lose weight if overweight.
o Raise head of bed 6 to 8 in.
o Try sleeping on left side.
o Take medications exactly as prescribed.
o Tell health care provider you have GERD.
o Keep relaxed atmosphere when eating.

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Gastroesophageal Reflux Disease #6

 Client education—(cont.)
o Foods to avoid
 Very hot or very cold; fatty or fried foods;
peppermint or spearmint, including flavoring;
coffee, tea, soft drinks containing caffeine;
spicy, highly seasoned foods; tomato-based
dishes; citrus fruits and juices; chocolate and
sweets if they cause symptoms

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Abdominal Distention #1
 Pregnancy (normal
finding) Fat

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Abdominal Distention #2
Fibroids and other
 Feces masses

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Abdominal Distention #3

 Flatus Ascitic fluid

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Abdominal Bulges #1
 Umbilical hernia Epigastric hernia

Reprinted with permission from Hawn, M. (2015).


Image provided by Stedman’s. Operative techniques in foregut surgery (Fig. 38-3).
Wolters Kluwer.

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Abdominal Bulges #2

 Diastasis recti Incisional hernia

Reprinted with permission from Corman, M., Nicholls, R. J., Fazio, V. W., & Bergamaschi, R. (2013). Corman’s colon and
rectal surgery (6th ed., Fig. 19-61). Wolters Kluwer.

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Enlarged Abdominal Organs and Other
Abnormalities #1

 Enlarged liver Enlarged nodular liver

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Enlarged Abdominal Organs and Other
Abnormalities #2
 Liver higher than
normal Liver lower than normal

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Enlarged Abdominal Organs and Other
Abnormalities #3

 Enlarged spleen Aortic aneurysm

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Enlarged Abdominal Organs and Other
Abnormalities #4

 Enlarged kidney Enlarged gallbladder

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Enlarged Abdominal Organs and Other
Abnormalities #5

Palpating distended
 Keloid bladder

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Enlarged Abdominal Organs and Other
Abnormalities #6

 Scaphoid abdominal Distended/protuberant


contour abdominal contour
(may be abnormal) (usually abnormal)

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Enlarged Abdominal Organs and Other
Abnormalities #7

 Ascites: percussing for level of dullness with


client supine and lying on side

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Question #3

Which test should a nurse perform on a client with


ascites?

A. Fluid wave test


B. Murphy sign
C. Psoas sign
D. Obturator sign

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Answer to Question #3

A. Fluid wave test

The nurse should perform the fluid wave test on a


client with ascites. Murphy sign is used to test for
cholecystitis, and the psoas sign and obturator signs
are performed to test for appendicitis.

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