How to do a physical assessment on the abdomen? And why? - correct answer -inspection
auscultation
percussion
palpation
- so that we DO NOT allow for hyperactive bowel sounds before auscultating
What are the sensitive areas of the hand? - correct answer -• The finger pads are used for discrimination
of underlying structures and functions such as pulses, superficial lymph nodes, or crepitus.
• Vibrations (vibrations) are best perceived by the examiner when using the base of the fingers
(metacarpophalangeal joints).
• The ulnar surface of the hand, including the finger, is most sensitive to vibrations such as fremitus.
• The palmar aspect of the fingers is used to determine position, consistency, texture, size of structures,
pain, and tenderness.
• The dorsal surface of the fingers is most sensitive to temperature.
• The dominant hand is always more sensitive than the non-dominant hand.
, What is light palpation used for? - correct answer -Light palpation is used with the pads of the fingers to
help assess the skin surface, pulses, textures, tenderness (1cm)
What is deep palpation? - correct answer -Used to palpate abdomen and internal organs
(2-4cm)
What is contraindicated for deep palpation? - correct answer -Dissecting aneurysms, peritonitis, ectopic
pregnancy
What is percussion? - correct answer -tapping the person's skin with short, sharp strokes to assess
underlying structures
What is direct percussion? - correct answer -Technique of tapping the body with the fingertips of the
dominant hand.
What is direct percussion used to assess for? - correct answer -Adult sinuses
What is blunt percussion? - correct answer -Non dominant hand is flat and dominant hand hits over non
dominant with a fist
What is blunt percussion used for? - correct answer -Assess for pain and tenderness in gallbladder, liver,
and kidneys
What is indirect percussion? - correct answer -It's the technique most commonly used (sounds are
clearer & more easily interpreted). A hammer or tapping finger is used
What is a tympany sound? - correct answer -loud, high pitched
Where would you hear a tympanic sound? - correct answer -stomach or intestines
What is a resonance sound? - correct answer -loud, low pitched, hollow
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