MARYVILLE NURS 612 EXAM 3 HIGH-YIELD
SYSTEMS ASSESSMENT, DIFFERENTIAL
DIAGNOSIS, AND CLINICAL DECISION-
MAKING SUMMARY 2026
◉ Pyloric stenosis.
Answer: hypertrophy of the circular muscle of the pylorus leads to
obstruction of the pyloric sphincter
◉ Pylorus.
Answer: distal section of the stomach
◉ Reflux.
Answer: backflow caused by relaxation or incompetence of lower
esophagus
◉ Renal abscess.
Answer: localized infection within the medulla or cortex of the
kidney
◉ Renal calculi.
,Answer: stones formed in the pelvis of the kidney from a
physiochemical process associated with obstruction and infections
in the urinary tract
◉ Resonance.
Answer: sound obtained on percussing a part that can vibrate freely
◉ Tympany.
Answer: low-pitched, resonant, drumlike note obtained by
percussing the surface of a large, air-containing space
◉ Volvulus.
Answer: twisting of the intestine resulting in an obstruction
◉ Right upper quadrant.
Answer: Issues with liver, gall bladder, tip of right kidney, diaphragm
◉ Epigastric region.
Answer: Stomach and pancreas
◉ Left upper quadrant.
Answer: Spleen, pancreas, tip of left kidney
, ◉ Umbilical region.
Answer: Uterus, bowel, aorta
◉ Right lower quadrant.
Answer: Appendix, right ovary, bowel
◉ Suprapubic region.
Answer: Bladder, uterus
◉ Left lower quadrant.
Answer: Left ovary, bowel
◉ Abdominal bruits.
Answer: Swishing sound over aortic, renal, iliac, or femoral arteries.
Could be narrowing or aneurysm
◉ Abdominal rushes.
Answer: High pitched sounds. Coincides with cramping, could be
obstruction.
◉ Borborygmi.
SYSTEMS ASSESSMENT, DIFFERENTIAL
DIAGNOSIS, AND CLINICAL DECISION-
MAKING SUMMARY 2026
◉ Pyloric stenosis.
Answer: hypertrophy of the circular muscle of the pylorus leads to
obstruction of the pyloric sphincter
◉ Pylorus.
Answer: distal section of the stomach
◉ Reflux.
Answer: backflow caused by relaxation or incompetence of lower
esophagus
◉ Renal abscess.
Answer: localized infection within the medulla or cortex of the
kidney
◉ Renal calculi.
,Answer: stones formed in the pelvis of the kidney from a
physiochemical process associated with obstruction and infections
in the urinary tract
◉ Resonance.
Answer: sound obtained on percussing a part that can vibrate freely
◉ Tympany.
Answer: low-pitched, resonant, drumlike note obtained by
percussing the surface of a large, air-containing space
◉ Volvulus.
Answer: twisting of the intestine resulting in an obstruction
◉ Right upper quadrant.
Answer: Issues with liver, gall bladder, tip of right kidney, diaphragm
◉ Epigastric region.
Answer: Stomach and pancreas
◉ Left upper quadrant.
Answer: Spleen, pancreas, tip of left kidney
, ◉ Umbilical region.
Answer: Uterus, bowel, aorta
◉ Right lower quadrant.
Answer: Appendix, right ovary, bowel
◉ Suprapubic region.
Answer: Bladder, uterus
◉ Left lower quadrant.
Answer: Left ovary, bowel
◉ Abdominal bruits.
Answer: Swishing sound over aortic, renal, iliac, or femoral arteries.
Could be narrowing or aneurysm
◉ Abdominal rushes.
Answer: High pitched sounds. Coincides with cramping, could be
obstruction.
◉ Borborygmi.