NSG 2113 Lecture Notes - Lecture 4: Abdomen, Palpation, Kidney Stone Disease

• School: University of Ottawa
• Department: Nursing
• Course: NSG 2113
• Professor: Norma Freeman

Document Summary

We always inspect first, then you percuss, percuss, palpate last. Is there a sound before you start compressing and moving. Nausea, emesis (throwing up), hematemesis (blood in throw up) Dd(cid:454): do(cid:374)"t ha(cid:448)e to k(cid:374)o(cid:449) this or go through. Just (cid:373)ea(cid:374)s that a(cid:271)do(cid:373) pai(cid:374) (cid:272)a(cid:374) (cid:271)e a(cid:374)(cid:455)thi(cid:374)g (heart atta(cid:272)k, vascular issues, endocrine, resp, msk, neuro) abdominal pain is worst/most complicated presenting pain ever in women of child bearing age. Do not expect pain to localize to organs. Inspect: look at the contour of abdo: could be flat, scaphoid, rounded, protuberant. As you inspect look for softness of muscular (rigidity) rigid abdo is a sign of peritonitis, flexed to keep e(cid:448)er(cid:455)thi(cid:374)g fro(cid:373) (cid:373)o(cid:448)i(cid:374)g. look for pulsatio(cid:374). O(cid:373)e ti(cid:373)es (cid:449)ithi(cid:374) epigastri(cid:272), (cid:455)ou"ll see pulsatio(cid:374)=(cid:374)or(cid:373)al in skinny ppl, children. 5 to 40 different bowel sounds per minute. Listen for bruits, do not palpate or percuss: listen for some kind of turbulence. Be certain of bowel sounds in 4 quadrants.