NUR1 239 Lecture Notes - Lecture 3: Abdominal Distension, Abdominal Wall, Spasm
10 Jun 2016
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Document Summary
Palpation: normal; may be hard to feel trough thick abdominal wall. Auscultation: depends on the cause of gas; decreased with ileus, hyperactive with early intestinal obstruction. Palpation: may have muscle spasm of abdominal wall. Inspection: single curve; everted umbilicus; bulging flanks in supine position; glistering skin; recent weight gain; increase in abdominal girth. Auscultation: normal bowel sound over intestines; diminished over ascitic fluid. Percussion: tympany at the top where intestines float; dull over fluid; produced fluid waves and shifting dullness. Palpation: limited by taunt skin and increased intra-abdominal pressure. Inspection: curve in lower half of the abdomen, midline; everted umbilicus. Percussion: top dull over fluid; intestines pushed superiorly; large cyst produces fluid wave and shifting dullness. Percussion: tympany over intestines; dull over enlarging uterus. Percussion: tympany predominates; scattered dullness over fecal mass. Palpation: plastic-like or ropelike mass with feces in intestines. Percussion: dull over the mass reaches up to skin surface.
