before beginning assessment ask pt to
feel for ascites
Order of assessment
Inspect, Auscultate, Percuss, Palpate
30 sec. per quadrant
1 sound per breath, 5-15 sec. long
listen for 5 minutes before stating absent
Hepatic bruits indicate
liver or alcoholic hepatitis
use ____ to auscultate vascular sounds over the aorta, renal and illiac arteries.
venus hums in upper gastric area & umbilical area can indicate
partial obstruction of an artery (reduced blood flow)
with the diaphragm listen for a __________ over the liver & spleen
____ over all 4 quadrants and ______ over the liver & spleen
percuss kidney posteriorly on back @
costovertabral angle over 12th rib
kidney stones, pain while purcessed
scarring of the liver and poor liver function. It is the final phase of chronic liver disease.
Percuss bladder @
symphyis pubis & percuss upward toward umbilicus
tenderness in bladder =
emptry bladder does not rise above
Palpate kidneys on ____ side
umbilicus moves towards stimulus, may not be determined in obese pts.