assessing abdomen

download assessing abdomen

of 33

Transcript of assessing abdomen

  • 8/9/2019 assessing abdomen

    1/33

    Jppnppldg }fn

    jhmeind

  • 8/9/2019 assessing abdomen

    2/33

    Jppnppldg }fn jhmeind

    ]fn d~xpn ce`j}np jdm mnp`xlhnp

    jhmeildjc aldmldgp ~pldg }we `eiied

    in}fem

    P~hmlqlmldg }fn jhmeind ld}e z~jmxjd}p

    jdm xngledp

  • 8/9/2019 assessing abdomen

    3/33

  • 8/9/2019 assessing abdomen

    4/33

  • 8/9/2019 assessing abdomen

    5/33

    Ld jmml}led# rxj`}l}lednxp ea}nd ~pn

    `nx}jld cjdmijxkp }e ce`j}n jhmeildjc

    plgdp jdm p|ir}eip

  • 8/9/2019 assessing abdomen

    6/33

  • 8/9/2019 assessing abdomen

    7/33

    rcjddldg

    Jpk }fn `clnd} }e ~xldj}n pld`n jp nir}|

    hcjmmnx ijknp }fn jppnppind} iexn

    `eiaex}jhcn

    Ndp~xn }fj} }fn xeei lp wjxi

  • 8/9/2019 assessing abdomen

    8/33

    Nz~lrind}

    Nvjildldg clgf}

    ]jrn injp~xn

    Wj}nx pec~hcn pkld ijxkldg rnd`lc p}n}fep`ern

  • 8/9/2019 assessing abdomen

    9/33

    rnxaexijd`n

    Nvrcjld }fn rxe`nm~xn

    Ehpnxqn jrrxerxlj}n ldan`}led `ed}xec

    rxe`nm~xn

    Rxeqlmn `clnd} rxlqj`|

    Fnjc}f flp}ex| }jkldg

    Jpplp} ld p~rldn repl}led

  • 8/9/2019 assessing abdomen

    10/33

    Ldprn`}led ea jhmeind

  • 8/9/2019 assessing abdomen

    11/33

    Ldprn`} }fn jhmeind aex pkld ld}ngxl}|

    Dexijc aldmldgp

    ^dhcnilpfnm pkld; ^dlaexi `ecex;

    Plcqnx)wfl}n p}xljn&p}xn}`f ijxkp, ex

    p~xgl`jc p`jxp

    Mnqlj}led axei dexijc

    Rxnpnd`n ea xjpf exe}fnx cnpledp;

    ]ndpn# gclp}ndldgpkld &ij| ldml`j}n

    jp`l}np# nmnij, R~xrcn p}xljn

    &jppe`lj}nm wl}f@~pfldgp mlpnjpnp,

  • 8/9/2019 assessing abdomen

    12/33

    Ldprn`} }fn jhmeind aex `ed}e~x jdm p|iin}x|$

    Ehpnxqn }fn jhmeildjc `ed}e~x wflcn p}jdmldgj} }fn `clnd}p plmn wfnd }fn `clnd} lp p~rldn$

    Jpk }fn `clnd} }e }jkn j mnnr hxnj}f jdm }efecm l}$

    Jppnpp }fn p|iin}x| ea `ed}e~x wflcnp}jdmldg j} }fn aee} ea }fn hnm$

    La mlp}nd}led lp rxnpnd}# injp~xn }fn jhmeildjcglx}f h| rcj`ldg j }jrn jxe~dm }fn jhmeind j}

    }fn cnqnc ea }fn ~ihlcl`~p$

  • 8/9/2019 assessing abdomen

    13/33

    Dexijc Aldmldgp

    Acj}# xe~dmnm&`edqnv,# exp`jrfelm &`ed`jqn,

    De qlplhcnndcjxgnind} eaprcnnd jdm clqnx

    P|iin}xl` `ed}e~x

    Mnqlj}led axei dexijc

    Mlp}ndmnm

    Nqlmnd`n eandcjxgnind} eaprcnnd jdm clqnx

    Jp|iin}xl` `ed}e~x&ce`jclnmrxe}x~pled,

  • 8/9/2019 assessing abdomen

    14/33

    Ehpnxqn jhmeildjc ieqnind}p jppe`lj}nm

    wl}f xnprlxj}led# rnxlp}jcplp# ex jex}l`

    r~cpj}ledp

    Dexijc aldmldgp

    P|iin}xl`ieqnind}p `j~pnmh| xnprlxj}led;

    Qlplhcn rnxlp}jcplp ldqnx| cnjd rnercn;

    Jex}l` r~cpj}led ld}fld rnxpedp j}nrlgjp}xl jxnj

    Mnqlj}led axei dexijc

    Clil}nm ieqnind}

    m~n }e rjld exmlpnjpn rxe`npp;

    Qlplhcn rnxlp}jcplp ldded cnjd)`clnd}

    &hewnc ehp}x~`}led,; Ijxknm jex}l`

    r~cpj}led

  • 8/9/2019 assessing abdomen

    15/33

    Ehpnxqn }fn qjp`~cjx rj}}nxd$

    Dexijc Aldmldgp

    De qlplhcn qjp`~cjx

    rj}}nxd

    Mnqlj}led axei Dexijc

    Qlplhcn qnde~p

    rj}}nxd &mlcj}nmqnldp, lp jppe`lj}nm

    wl}f clqnx mlpnjpn#

    jp`l}np jdm

    qnde`jqjcehp}x~`}led

  • 8/9/2019 assessing abdomen

    16/33

    J~p`~c}j}led ea }fn

    jhmeind

  • 8/9/2019 assessing abdomen

    17/33

    J~p`~c}j}n }fn jhmeind aex hewnc pe~dmp#

    qjp`~cjx pe~dmp# jdm rnxl}ednjc axl`}led

    x~hpDexijc Aldmldgp

    J~mlhcn hewnc

    pe~dmp;

    Jhpnd`n ea jx}nxljc

    hx~l}p;

    Jhpnd`n ea axl`}led

    x~h

    Mnqlj}led axei dexijc

    Jhpnd}# f|rej`}lqn#

    ex f|rnxj`}lqn hewncpe~dmp;

    Ce~m hx~l} eqnx

    jex}l` jxnj &repplhcn

    jdn~x|pi,;

    Hx~l} eqnx xndjc ex

    lclj` jx}nxlnp

  • 8/9/2019 assessing abdomen

    18/33

    RNX@^PPLEDEA ]FN JHMEIND

  • 8/9/2019 assessing abdomen

    19/33

    Rnx`~pp pnqnxjc jxnjp ld nj`f ea }fn

    ae~x z~jmxjd}p }e mn}nxildn rxnpnd`n ea

    }|irjd|&gjp ld p}eij`f jdm

    ldp}np}ldnp, jdm m~ccdnpp $

    ^pn j p|p}nij}l` rj}}nxd? Hngld ld }fn

    cewnx cna} z~jmxjd}# }fnd rxe`nnm }e }fn

    cewnx xlgf} z~jmxjd}# }fn ~rrnx xlgf}z~jmxjd}# jdm }fn ~rrnx cna} z~jmxjd}$

  • 8/9/2019 assessing abdomen

    20/33

  • 8/9/2019 assessing abdomen

    21/33

    Dexijc aldmldgp

    ]|irjd| eqnx }fn

    p}eij`f jdm gjp)alccnm hewncp;

    m~ccdnpp prn`ljcc|

    eqnx }fn clqnx jdm

    prcnnd# ex j a~cchcjmmnx

    Mnqlj}led axei dexijc

    Cjxgn m~cc jxnjp

    &jppe`lj}nm wl}frxnpnd`n ea ac~lm ex

    }~iex,

  • 8/9/2019 assessing abdomen

    22/33

    Rnx`~pp }fn clqnx }e mn}nxildn l}p

    plzn$

    Dexijc Aldmldg

    1 }e :8 `i ld }fn

    ilm`cjql`~cjx cldn; =}e 6 `i j} }fn

    ilmp}nxdjc cldn

    Mnqlj}led axei dexijc

    Ndcjxgnm pln

  • 8/9/2019 assessing abdomen

    23/33

  • 8/9/2019 assessing abdomen

    24/33

  • 8/9/2019 assessing abdomen

    25/33

    Rnxaexi clgf} rjcrj}led alxp} }e mn}n`}

    jxnjp ea }ndmnxdnpp jdm%ex i~p`cn

    g~jxmldg$

    P|p}nij}l`jcc| nvrcexn jcc ae~x

    z~jmxjd}p$

  • 8/9/2019 assessing abdomen

    26/33

    Dexijc aldmldgp

    De }ndmnxdnpp;

    xncjvnm jhmeindwl}f piee}f#

    `edplp}nd} }ndpled

    Mnqlj}led axei Dexijc

    ]ndmnxdnpp jdm

    f|rnxpndpl}lql}|;P~rnxal`ljc ijppnp;

    Ce`jclnm jxnjp ea

    ld`xnjpnm }ndpled

  • 8/9/2019 assessing abdomen

    27/33

    Rnxaexi mnnrrjcrj}led eqnx jcc ae~x

    z~jmxjd}p

    Dexijc aldmldgp

    ]ndmnxdnpp ij| hn

    rxnpnd} dnjx vlrfelmrxe`npp# eqnx

    `n`~i# jdm eqnx

    plgielm `eced

    Mnqlj}led axei dexijc

    Gndnxjclnm ex

    ce`jclnm jxnjp ea}ndmnxdnpp

    Iehlcn ex alvnm

    ijppnp

  • 8/9/2019 assessing abdomen

    28/33

    Rjcrj}n }fn clqnx }e mn}n`}

    ndcjxgnind} jdm }ndmnxdnpp$

    Dexijc Aldmldgp

    Ij| de} hn rjcrjhcn

    Hexmnx anncp piee}f

    Mnqlj}led axei Dexijc

    Ndcjxgnm

    Piee}f h~} }ndmnx

  • 8/9/2019 assessing abdomen

    29/33

  • 8/9/2019 assessing abdomen

    30/33

    Rjcrj}n }fn jxnj jheqn }fn r~hl`

    p|irf|plp la }fn `clnd}p flp}ex|

    ldml`j}np repplhcn ~xldjx| xn}nd}led$

    Dexijc aldmldgp

    De} rjcrjhcn

    Mnqlj}led axei dexijc

    Mlp}ndmnm jdm

    rjcrjhcn jp piee}f#

    xe~dm# }ndpn ijpp

  • 8/9/2019 assessing abdomen

    31/33

    Jppnpp aex Xnhe~dm ]ndmnxdnpp

    jdm Xeqpldgp Plgd &Jrrndml`l}lp,Dexijc

    De xnhe~dm}ndmnxdnpp lp rxnpnd}

    Mnqlj}led axei D

    @clnd} rnx`nlqnp pfjxr#p}jhhldg rjld jp }fnnvjildnx xncnjpnp

    rxnpp~xn axei }fnjhmeind & Hceihnxgpplgd,$ L} p~ggnp} rnxl}ednjclxxl}j}led$

    Xnanxxnm xnhe~dm

    }ndmnxdnpp) rjld ld }fnXCZ m~xldg rxnpp~xn ld }fnCCZ lp j repl}lqn Xeqpldgpplgd$

  • 8/9/2019 assessing abdomen

    32/33

    @fecn`|p}l}lp) jppnpp X^Z rjld ex

    }ndmnxdnpp wfl`f ij| plgdjc

    ldacjiij}led ea }fn gjcchcjmmnx$ Rxnpp

    |e~x aldgnx }lrp ~dmnx }fn clqnx hexmnx j}}fn xlgf} `ep}jc ijxgld jdm jpk }fn `clnd}

    }e ldfjcn mnnrc|$

  • 8/9/2019 assessing abdomen

    33/33

    Dexijc

    De ld`xnjpn ld rjld

    lp rxnpnd}

    Mnqlj}led axei Dexijc

    J``nd}~j}nm pfjxr

    rjld }fj} `j~pnp }fn

    `clnd} }e fecm flp exfnx hxnj}f

    &ldprlxj}led jxxnp}, lp

    j repl}lqn plgd `jccnm

    I~xrf|p plgd jdm lpjppe`lj}nm wl}f

    j`~}n `fecn`|p}l}lp$