NSG 2317 Lecture Notes - Lecture 10: Menarche, Health Promotion, Rectal Bleeding

• School: University of Ottawa
• Department: Nursing
• Course: NSG 2317
• Professor: Patrick O' Byrne

Document Summary

Indigestion, lack or loss of appetite: dysphagia difficulty swallowing, pyrosis- heartburn, food intolerance, eructation- belching, abdo/flank pain, nausea/emesis/hematemesis, bowel habits. Ddx: gi, urinary, cardiac/vascular, respi, hematologic, endocrine, repro, msk, neuro, psych. Quadrants, epigastric, umbilical and suprapubic (see page 550 for which organs are in which quadrants) Contour- should be flat, scaphoid caves in: look for rigidity or softness of abdomen, rigidity might be peritonitis. Pulsations: pulsation of aorta means widened pulse pressure (ex. If you thi(cid:374)k they are(cid:374)"t liste(cid:374) for five (cid:373)i(cid:374)utes. Hhypoactivvve: after abdominal surgery or with inflammation of peritoneum. If you hear a bruit do not palpate or percuss the area, and report findings immediately. Vascular sounds: aorta, renal arteries, iliac and femoral, usually no sounds present. Left kidney and and adrenal gland adrenal gland. Cup kid(cid:374)ey a(cid:374)d thud with other ha(cid:374)d, should(cid:374)"t hurt. Deep palpation: use both hands, visualize anatomy underneath.