WITH COMPLETE SOLUTIONS GRADED
A+
QUESTIONS AND ANSWERS
What is in the RUQ? ANSWER -liver
gallbladder***
pylorus
Duodenum
Hepatic colon flexure
Pancreas head
What is in RLQ? ANSWER -Cecum
Appendix ***
Ascending colon
Right ovary
What is in LUQ? ANSWER -Spleen
Splenic flexure of colon
Stomach
Body/tail of pancreas
transverse colon
,What is in LLQ? ANSWER -Sigmoid colon**
Descending colon
Left ovary
What is in the suprapubic area? ANSWER -bladder
uterus
Areas of the abdomen ANSWER -along with 4 quadrants
What should you make sure of before examining abdomen? ANSWER --Patient has
emptied bladder
-Pt is supine
-Arms are at side or folded across chest
-Ask pt to show u any painful areas
-Start on their right side
Where to drape a gown before abdominal exam? ANSWER -at level of pubic
symphysis, then raise gown to below nipple line just above xiphoid process
General steps for abdominal exam ANSWER -Inspection
Auscultation
Percussion/Palpation
, What do you use a bell to hear? ANSWER -Low frequencies/pitch
-S3,S4
-Mitral stenosis murmur
-Bruits
What do you use a diaphragm to hear? ANSWER -High frequencies/pitch
-S1,S2
-Aortic,mitral regurgitation murmur
-Bowel sounds
What are normal bowel sounds? How frequently? ANSWER -Clicks and gurgles
5-34/min
What is borborygmi? ANSWER -stomach growling
What can increased bowel sounds indicate? ANSWER -Diarrhea
Early intestinal obstruction
What can high pitched tinkling indicate? ANSWER -intestinal obstruction
What can decreased or absent bowel sounds indicate? ANSWER -ileus