Bates Abdominal Exam Slides

Bates Abdominal Exam Slides - Chapter 11 The Abdomen from...

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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 11   The Abdomen from Bates, edited by Melanie Hagen  MD
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Anatomy of the Abdomen Anatomy and Physiology of the Abdominal Wall and Pelvis
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Anatomy of the Abdomen (cont.) Dividing the Abdomen into Four Quadrants Dividing the Abdomen into Nine Sections
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Anatomy of the Abdomen (cont.) Abdominal Cavity
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins History Taking of Problems of the Abdomen: GI  Tract How is the patient’s appetite? Any symptoms of the following? Heartburn: a burning sensation in the epigastric  area radiating into the throat; often associated  with regurgitation Excessive gas or flatus; needing to belch or pass gas by  the rectum; patients often state they feel bloated Abdominal fullness or early satiety Anorexia: lack of an appetite
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins History Taking of Problems of the Abdomen: GI  Tract (cont.) Regurgitation: the reflux of food and stomach acid back into  the mouth; brine-like taste Vomiting; retching (spasmodic movement of the chest and  diaphragm like vomiting, but no stomach contents are  passed) Ask about the amount of vomit Ask about the type of vomit: food, green- or yellow- colored bile, mucus, blood, coffee ground emesis (often  old blood)  o Blood or coffee ground emesis is known as  hematemesis
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins History Taking of Problems of the Abdomen: GI  Tract (cont.) Qualify the patient’s pain Visceral pain:  when hollow organs (stomach, colon) forcefully contract  or become distended. Solid organs (liver, spleen) can also generate  this type of pain when they swell against their capsules. Visceral pain is  usually gnawing, cramping, or aching and is often difficult to localize  (hepatitis) Parietal pain:  when there is inflammation from the hollow or solid  organs that affect the parietal peritoneum. Parietal pain is more severe  and is usually easily localized (appendicitis) Referred pain:  originates at different sites but shares innervation from  the same spinal level (gallbladder pain in the shoulder)
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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Pain in Abdominal Areas Types of Visceral Pain
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Pain location in cholecystits and pancreatitis
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This note was uploaded on 07/01/2011 for the course BMS 6015 taught by Professor Staff during the Fall '10 term at University of Florida.

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Bates Abdominal Exam Slides - Chapter 11 The Abdomen from...

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