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Class notes NRSG1304
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Quick guide for Health assessment for the abdomen
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Abdominal, Anus, Rectum, and Genitalia AssessmentAbdominal Assessment p. 570 Figure 22-6
- The abdomen is divided into four quadrant and the exam of the abdomen is performed in
the following order.
- Right Lower Quadrant (RLQ)
- Cecum
- Kidneys
- Small Intestine
- Colon
- Appendix
- Right ovary and fallopian tube
- Right ureter
- Right spermatic cord
- Midline:
o Aorta
o Uterus (if enlarged)
o Bladder (if distended)
- Right Upper Quadrant (RUQ)
- Liver
- Gall bladder
- Duodenum
- Head of pancreas
- Right kidney and adrenal gland
- Hepatic flexure of colon
- Parts of ascending and transverse colon
- Left Upper Quadrant (LUQ)
- Stomach
, - Spleen
- Left lobe of liver
- Body of pancreas
- Left kidney and adrenal gland
- Splenic flexure of colon
- Parts of transverse and descending colon
- Left Lower Quadrant (LLQ)
- Part of descending colon
- Sigmoid colon
- Left ovary and fallopian tube
- Left ureter
- Left spermatic cord
- Solid Viscera
- Organs that maintain their shape consistently
- Liver
- Largest internal organ
- Largest gland in the human body
- Enlarged Liver
o Palpable more than 1-2 cms below the right costal margin.
- Function:
o Detoxification
o Protein synthesis
o Production of chemicals necessary for digestion
- Spleen
- Part of the immune system
- Attacking foreign antibodies and diseases
- Filters old and dying red blood cells
- Holds reserve of blood
- Recycles iron
- Pancreas
- Produces hormones:
o Insulin
o Glucagon
o Somatostatin
o Pancreatic polypeptide
o Secretes pancreatic juice containing digestive enzymes that
assist with breakdown and absorption of nutrient in SI
- Kidneys
- Essential part of the urinary system
- Enlarged kidney
o Palpable on the LUQ quadrant
- Sifting out waste and extra water in the blood as urine
- Urine flows through the ureter and empties into the urinary
bladder.
- Hollow Viscera
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