21 N326 Abdomen

21 N326 Abdomen - L.MeneghiniRNMSNCEN characteristicshape Liver,Pancreas,Adrenals,Kidneys,Spleen Ovaries Spleennormallynotpa

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L. Meneghini RN MSN CEN
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All the internal organs are called the  Viscera Solid Viscera  are those that maintain a  characteristic shape Liver Pancreas Adrenal’s Kidneys Spleen,  Ovaries Liver and Kidneys may be palpable Ovaries palpable during bimanual pelvic exam Spleen normally not palpable
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For convenience the abdomen is divided into 4  quadrants Rt. Upper Quadrant Lt. Upper Quadrant Rt. Lower Quadrant Lt. Lower Quadrant
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RUQ : Liver, Gall Bladder, Rt. Kidney, Duodenum  et al LUQ : Stomach, Spleen, Lt Kidney, Lt Liver Lobe  et al RLL : Cecum, Appendix, Rt. Ovary  LLQ : Descending Colon, Lt Ovary, Sigmoid Colon Midline:  aorta, uterus (if enlarged), bladder (if  enlarged)
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Developmental Considerations : Infants and Children : Umbilicus is prominent with  less muscle and easier to palpate organs The  urinary bladder  is higher The  Liver  takes up proportionately more space at  birth than later in life
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Pregnancy : Morning Sickness=50-70% Acid indigestion Longer gastric motility Constipation Larger uterus causes diminished bowel sounds
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The Aged: Less muscle formation Fat deposit or “spare tire” Gastric emptying is  delayed Gastric Acid secretion  decreases More GB stones (10%-20% higher risk) Liver size decreases Constipation
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Appetite: Changes, loss of, weight changes  Dysphagia:  What is it? When does it occur ? Food Intolerance: What happens, Antacids? Eg. Lactose 
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This note was uploaded on 05/31/2011 for the course NUR 326 taught by Professor Meneghini during the Fall '10 term at St. Xavier.

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21 N326 Abdomen - L.MeneghiniRNMSNCEN characteristicshape Liver,Pancreas,Adrenals,Kidneys,Spleen Ovaries Spleennormallynotpa

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