DIAG 2725 Abdomen - ABDOMEN Patient is to be exposed from...

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ABDOMEN Patient is to be exposed from xiphoid to pubis with patient supine and bladder empty. Arms are at the side.
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Inspection 1. Color 2. Masses 3. Vascular 4. Contour 5. Other
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Auscultation Done before palpation Place diaphragm of stethoscope in the 4 quadrants and hold it in place with very light pressure . Bowel Sounds (Diaphragm) Major Arteries or Bruits (Bell) Aorta, Renals , Common illiacs Friction Rubs (Diaphragm) Inflammation of peritoneal surface of an organ
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Percussion 1. Scan All 4 Quadrants: First percuss all quadrants or regions of the abdomen for a sense of overall tympany and dullness. Tympany is the predominate sound due to air pressure in the stomach and intestines. Dullness is heard over the organs and solid masses.
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2. Check for the distended urinary bladder: Percuss from ASIS to ASIS.
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3. Check for Liver Size: To determine the upper border of the liver, begin percussion on the right midclavicular 2end or 3rd interspace Continue downward until the percussion tone changes to one of dullness, The upper border usually begins at the 5th to 7th intercostal space. Percuss upward along the midclavicular line to determine the lower border of the liver.
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The area of liver dullness is usually heard at the costal margin or slightly below it. A lower liver border that is more than 2 to 3 cm (3/4 to 1 in.) below the costal margin may indicate organ enlargement or downward displacement of the diaphragm .
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Check for Dullness of Spleen The spleen is percussed just posterior to the midaxillary line on the left side. A small area of splenic dullness may be heard from the 6th to 10th ICS.
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5. Check Tympany of Stomach Percuss down the midclavicular line on the left side at the costal margin . This is the predominate sound due to of air in stomach.
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Light Palpation: No more than 1cm depth. Skin should feel smooth with consistent
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This note was uploaded on 11/22/2011 for the course DIAG 2725 taught by Professor Williamkessel during the Winter '11 term at Life Chiropractic College West.

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DIAG 2725 Abdomen - ABDOMEN Patient is to be exposed from...

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