Front | Back |
Valuable junctions of abdomen
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Ileocecal valve, where large intestine bends (flexures) appendix
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McBurney's point
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1/3 up from anterior superior iliac crest toward umbilicus--press to check for appendicitis
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Rectus diastasis
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Abdominal muscles split apart
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GI changes with aging
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Dentition, slowing GI function, change in muscle mass/fat distribution, liver gest smaller, constipation, no appetite
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GI family history
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Colorectal/GI cancer, surgery, alcohoilsm, aortic aneurysm, irritable bowel syndrome (IBS), Crohns disease, ulcerative colitis, diabetes, obesity, renal calculi (cholecystitis)
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Crohns disease
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Inflammatory bowel disease affecting ileium and colon that results in thickening of bowel and narrowing of intestinal lumen, problems w/ Vit absorption, increased risk for colon cancer and arthritis
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Ulcerative colitis
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Inflammation of mucosa of rectum and sigmoid colon that causes cramping, diarrhea, rectal bleeding, increased risk for colon cancer and bowel perforation
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GI focused ROS
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Appetite/weight changes, indigestion, N/V, dysphagia vs odynophagia, bowel habits, abdominal pain/distention/bloating, bruising/itching/jaundice
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Urinary symptoms
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Dysuria, urgency, frequency, incontinence, hematuria, nocturia, flank pain, penile/vaginal discharge, mentstrual history
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Dysphagia
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Difficulty swallowing
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Odynophagia
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Painful swallowing
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Abdominal assessment order
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Inspection, auscultation, percussion, palpation
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Visceral (organ) pain
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Diffuse, burning/cramping, dull
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Parietal pain
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Shap, localized, aggravated by movement, more severe
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7 F's of abdominal distention
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Fat, flatus, fluid, fetus, feces, full bladder, fibroid
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