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Exam (elaborations)

Alverno College N524 Exam 2 with accurate detailed solutions

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Alverno College N524 Exam 2 with accurate detailed solutions

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Alverno College N524 Exam 2 with accurate detailed solutions
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what is happening if you can palpate spleen? - ✔✔infection
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quadrants of abdomen - ✔✔RUQ, LUQ, RLQ, LLQ
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what is melena - ✔✔black, tarry stools
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what is the physical exam order for abdomen? - ✔✔inspection
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auscultation

percussion (only done by advanced health care provider)
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palpation



what should you ask patient to do before abdomen exam? - ✔✔urinate
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internal anatomy of abdomen - ✔✔
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what quadrant do you start abdomen auscultation in? - ✔✔RLQ
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hyperperistalsis - ✔✔A bowel sound characterized by increased activity within the bowel;
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also called borborygmi.
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what location do you begin abdomen auscultation? - ✔✔iliosacral valve
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when do you listen to the abdomen for 5 minutes? - ✔✔when sound is absent to confirm
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, 2


how do we palpate the abdomen - ✔✔- light: 1-2 cm
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- deep: 5-8 cm (may b bimanual)
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Involuntary rigidity - ✔✔protective mechanism that signal inflammation of peritoneum (pain
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on sit up)
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Inspiratory Arrest (Murphy Sign) - ✔✔Pain as a result of holding fingers under the liver
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border and pt taking a deep breath.
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Pain = inflammation of gallbladder
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hernia - ✔✔Protrusion of an organ through the wall of the cavity that normally contains it
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potential sites of hernias for males - ✔✔inguinal and femoral canal
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dysuria - ✔✔painful urination
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urinary incontinence - ✔✔inability to control urination
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neurogenic bladder - ✔✔impairment of bladder control due to brain or nerve conduction
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normal urinary output for adult - ✔✔800-2000 ml/day
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Erythema - ✔✔redness of the skin || || || || ||




Ecchymosis - ✔✔bruising (collection of blood in subcutaneous tissue)
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