Hesi Case Study Essay
The Abdomen
1. Ascites is defined as an abnormal accumulation of serous fluid within the peritoneal cavity.
2. Pyloric stenosis is a congenital narrowing of the pyloric sphincter.
3. Moles on the abdomen are common.
4. The organ in the right upper quadrant of the abdomen is the liver.
5 The four layers of large, flat abdominal muscles form the ventral abdominal wall.
6. Pyrosis is a burning sensation in the upper abdomen.
7. The abdomen normally moves with breathing until the age of __7__ years.
8. Older adults have decreased salivation leading to dry mouth. Correct
9. The symptoms occurring with lactose intolerance include bloating and flatulence.
10. Methods to enhance abdominal wall relaxation during examination include positioning the patient with the knees bent.
Review questions:
1. The sequence of techniques used during an examination of the …show more content…
Often with cirrhosis the liver is smaller, but the edge is firmer than normal, and the edge is easily palpable.
•Enlarged gallbladder: enlarged, tendr gallbladder suggests acute cholecystitis. The area is painful to fist percussion, and inspiratory arrest (Murphy sig) is present. An enlarged tender gallbladder feels like a sausage and occurs when it is filled with stones.
•Enlarged spleen: Spleen enlarges down to the midline, or when extreme down to the medial edge. When splenomegaly occurs with acute infections (mono) it is moderately enlarged and soft with rounded edges. When the result is of chronic cause, the enlargement is firm or hard with sharp edges.
•Enlarged kidney: Enlarged with hydronephrosis, cyst or neoplasm
•Aortic aneurysm: >95% are located below the renal arteries and extend to the umbilicus. A focal bulging >5cm is palpable in 80% of cases. You will hear a bruit. Femoral pulses are present but decreased.
1. Select the sequence of techniques used during an examination of the
1. Ascites is defined as an abnormal accumulation of serous fluid within the peritoneal cavity.
2. Pyloric stenosis is a congenital narrowing of the pyloric sphincter.
3. Moles on the abdomen are common.
4. The organ in the right upper quadrant of the abdomen is the liver.
5 The four layers of large, flat abdominal muscles form the ventral abdominal wall.
6. Pyrosis is a burning sensation in the upper abdomen.
7. The abdomen normally moves with breathing until the age of __7__ years.
8. Older adults have decreased salivation leading to dry mouth. Correct
9. The symptoms occurring with lactose intolerance include bloating and flatulence.
10. Methods to enhance abdominal wall relaxation during examination include positioning the patient with the knees bent.
Review questions:
1. The sequence of techniques used during an examination of the …show more content…
Often with cirrhosis the liver is smaller, but the edge is firmer than normal, and the edge is easily palpable.
•Enlarged gallbladder: enlarged, tendr gallbladder suggests acute cholecystitis. The area is painful to fist percussion, and inspiratory arrest (Murphy sig) is present. An enlarged tender gallbladder feels like a sausage and occurs when it is filled with stones.
•Enlarged spleen: Spleen enlarges down to the midline, or when extreme down to the medial edge. When splenomegaly occurs with acute infections (mono) it is moderately enlarged and soft with rounded edges. When the result is of chronic cause, the enlargement is firm or hard with sharp edges.
•Enlarged kidney: Enlarged with hydronephrosis, cyst or neoplasm
•Aortic aneurysm: >95% are located below the renal arteries and extend to the umbilicus. A focal bulging >5cm is palpable in 80% of cases. You will hear a bruit. Femoral pulses are present but decreased.
1. Select the sequence of techniques used during an examination of the