Clinical cluster 3 part 3

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Created by:

ccuteandsporty09  on March 29, 2012

Subjects:

Clinical Assessment

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Clinical cluster 3 part 3

Kaput Medusa
when the veins around the belly button radiate out
1/23
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Kaput Medusa when the veins around the belly button radiate out
borborygmus loud bowel sound
bad finding4 absent bowel sounds, happens in appendicitis and ruptured bowel, listen for 1 full minute, peritonitis
ascites when the stomach is engorged with fluid
albumin in liver failure not produced
masses produce dull bowel sound
liver location2 between the lungs and the bowel, mid clavicular line
shifting dolus3 not so bad ascites, patient lays on side and you percuss toward center, change in note
major arteries in the abdomen going down4 aorta, renal, iliac, femoral
palpation of the liver edge2 two hands to go under ribs, deep breath
palpation of aorta2 press on either side and feel a pulse, gauge size to check for aneurysms
palpation of spleen2 usually can't feel it, if it is felt it is abnormal,
gereditary spherocytosis3 hereditary condition in which the blood cells remain spheres, causes blood cells to get trapped in the spleen, take it out
acute abdomen8 surgical abdomen, appendicitis, cystitis, infarct, diverticulitis, something has ruptured, absent bowel sounds, rebound tenderness
rebound tenderness press in and upon removing hand quickly it causes pain
colorectal cancer2 most common in us, people with long transit times are at risk,
polyps4 benign growths, usually not a problem, people with hereditary polyps will get cancer, treatment is colectomy (permanent bag)
screening for bowel CA..4 digital, fecal blood, CEA, endoscopy
staging5 dukes, A tumor confined to wall, B tumor invading through wall, C lymph node involvement, D distant metastasis
cholecystitis3 inflammation of the gallbladder, called stones, could cause problems in pancreas too
acute pancreatitis5 common, gallstones or chronic alcoholism, vomiting, pain between shoulder blades, treat symptoms
rectal bleeding4 melena is black and tarry originated high, hemotochezia is red and low, gross blood like nose, microscopic you can't see, colonoscopy
common causes of rectal bleeding6 fissues, diverticulits, carcinoma, polyps, ulcers, infection

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ccuteandsporty09