Exam presentation decrease in lean body mass decrease

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Exam Presentation Decrease in Lean Body Mass Decrease in height Decrease in Bone density (osteopenia common) Kyphosis & increase in AP diameter Flexion at knees and hips Limbs appear long in proportion to trunk ROM diminishes Decrease in strength Neurological Age Changes Exam Presentation Brain atrophy Benign forgetfulness Decrease catechol synthesis Stiffer gait & slowed motor response Decrease dopaminergic synthesis Body sway Decrease in righting reflex Decrease of vibratory & position sense Decrease in stage 4 sleep Early awakening, insomnia Impaired thermoregulation Lower resting temperature Benign essential tremor Diminished reflexes Week 7 - Gastrointestinal Objectives : 1 . Distinguish normal from abnormal findings in examination of the abdomen . 2 . Recognize common complaints and differential diagnoses related to examination of the abdomen and gastrointestinal system . 3 . Demonstrate key techniques used in the examination of the abdomen . 4 . Demonstrate concise and professional documentation of examination on the abdomen and gastrointestinal system .
Bates Videos Common or concerning symptoms- gastrointestinal disorders : · Indigestion · Nausea, vomiting, hematemesis · Abdominal pain · Dysphagia and odynophagia · Change in bowel function · Constipation or diarrhea · Jaundice Common or concerning symptoms- urinary and renal disorders · Suprapubic pain · Dysuria, urgency or frequency · Hesitancy, decreased stream in males · Polyuria or nocturia · Urinary incontinence · Hematuria · Kidney or flank pain · Ureteral colic Anatomy of Abdomen
RUQ right lobe of liver; gallbladder; right kidney; portion of stomach, small & large intestine LUQ Left lobe of liver; stomach, pancreas, left kidney, spleen; portions of the large intestine RLQ cecum, vermiform, appendix and portions of small intestine, reproductive organs (right ovary in female and right spermatic cord in males) and right ureter LLQ most of small intestine, and portions of large
intestine, left ureter, and reproductive organs (left ovary in female and left spermatic cord in male ( Approach to Assessment : Inspect, Auscultate, Percuss, Palpate . Highlights of Abdominal Exam (Dr. Wright s Lecture & Dr. Venzke ’s ( 1 (. Always ask a nutrition history a. Dietary intake is very important part of the history with certain complaints b. At least ask patient to describe their diet and give you a 24-hour recall c. Follow up with specific questions about the diet i. What kind of bread do you eat ? ii. How many times a day do you have fruits and vegetables ? d. Diet and health are closely related . 2 (. Always rule out cardiac etiology and surgical referral a. Surgical Referral: rapid onset of symptoms, severe pain, altered vital signs (fever, tachycardia), dehydration, pallor, sweating Alarm Symptoms : Fever Protracted vomiting Syncope Evidence of GI bleeding A bdomen 1 . Inspection: observe general appearance of pt—lying quietly? Writhing with discomfort? Gripping one side ?

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