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NSG 6020 - Week 5 Abdomen Study Guide. Questions and Answers.

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NSG 6020 - Week 5 Abdomen Study Guide. Questions and Answers. Four quadrants of the abdomen: right upper, right lower, left upper, and left lower quadrants Location dividing the abdomen into 4 sections: Umbilicus The lower margin of the liver can be palpated at the right costal margin. The Lower edge of the liver and the Right kidney are usually palpable. What quadrant is the spleen palpable in? Left upper quadrant The Abdominal aorta often has visible pulsations and is usually palpable in the upper abdomen. You can often feel the firm, narrow, tubular sigmoid colon in what quadrant? Left Lower quadrant Appendix & bowel loops of RLQ are normally not palpable in healthy adults Bladder distention may be palpable above the symphysis pubis. Upper gastrointestinal symptoms may include abdominal pain, heartburn, nausea and vomiting, difficulty or pain with swallowing, vomiting of stomach contents or blood, loss of appetite, and jaundice. Three broad categories of pain: visceral, parietal, and referred. Visceral pain occurs when hollow abdominal organs such as the intestine or biliary tree contract unusually forcefully or are distended or stretched. Visceral pain in the right upper quadrant may result from liver distention. Visceral pain quality varies in quality and may be gnawing, burning, cramping, or aching. When it becomes severe, it may be associated with sweating, pallor, nausea, vomiting, and restlessness. Pain from pleurisy or inferior wall myocardial infarction may be referred to epigastric area. Pain of duodenal or pancreatic origin may be referred to the back. Pain from the biliary tree may refer to right shoulder or the right posterior chest. Characteristic of pain: Timing ~chronic ~intermittent ~continuous Doubling over with cramping colicky pain indicates: Renal Stone Epigastric pain occurs with Gastritis & GERD. Right upper quadrant and upper abdominal pain are common in Cholecystitis


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