NUR 306 Lecture Notes - Lecture 6: Peristalsis, Renal Artery, Aortic Aneurysm
Document Summary
Peritoneum- thin, double layer of serous membrane in the abdominal cavity. Change in appetite, difficulty swallowing, food intolerance, nausea and vomiting, bowel movements, medications, bloated, dysphagia, weight loss. Hollow abdominal organs contract, stretch or become distended. Inspection: size, shape, symmetry, condition of skin, color, lesions, veins, hair distribution, hernias. Causes: fat, fluid, feces, flatus, fetus, fibroid, full bladder, false pregnancy, fatal tumor. Diastasis recti: prominent midline bulge, when patients raises head. Striae: stretch marks, come with pregnancy or obesity, steroid use. Uncommon signs of pancreatitis: cullen"s sign, hemoperitoneum, grey turner sign. Bowel sounds, vascular sound(bruits, friction rubs, venous hum) High pitched, tinkling are a sign of early intestinal obstruction. Venous hum: turbulent blood flow in the jugular venous system (over liver) Aortic bruits: heard in epigastrium (could mean aneurysm) Dullness: fluid, organs, adipose tissue, distended bladder. Liver span : 4-8 midsternal line, 6-12 midclavicular line. Spleen (dull) 9th through 11th ics, anterior axillary line (traube space)
