Update 2024/2025
solid viscera - ✔️✔️those that maintain a characteristic shape (liver, pancreas, spleen,
adrenal glands, kidneys, ovaries, and uterus)
hollow viscera - ✔️✔️Shape depends on contents - stomach, gallbladder, small intestine,
colon, and bladder
right upper quadrant - ✔️✔️liver
gallblader
duodenum
head of pancreas
right kidney and adrenal
hepatic flexure of colon
part of ascending and transverse colon
right lower quadrant - ✔️✔️cecum
appendix
right ovary and tub
right ureter
right spermatic cord
left upper quadrant - ✔️✔️left lobe of liver
spleen
left kidney and adrenal
stomach
part of transverse and descending colon
body pancreas
splenic flexure of colon
, left lower quadrant - ✔️✔️Part of descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord
pyrosis - ✔️✔️heartburn
scaphoid - ✔️✔️abnormally sunken abdominal wall, as with malnutrition or underweight
protuberant - ✔️✔️bulging
scratch test liver - ✔️✔️to find liver border
start RLQ and scratch up
gross liver size
splenic dullness - ✔️✔️1. percuss the lowest costal interspace in the left anterior axillary
line. This area is normally tympanic
2. ask pt to take deep breath and percuss area again. Dullness in this area is sign of splenic
enlargement
fluid wave - ✔️✔️A sign of free fluid in the abdominal cavity; tapping on one side of the
abdomen transmits a wave that is felt on the opposite side
shifting dullness - ✔️✔️a sign of free peritoneal fluid wherein the dullness of percussion
shifts, generally from one side to the other, as the patient is turned from side to side.
ascites - ✔️✔️- inspection: single curved. Enverted umbilicus. Bulging flanks when supine.
Taut, glistening skin due to recent weight gain, increase in abdominal girth.