assessing abdomen
Transcript of assessing abdomen
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Jppnppldg }fn
jhmeind
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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
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Ld jmml}led# rxj`}l}lednxp ea}nd ~pn
`nx}jld cjdmijxkp }e ce`j}n jhmeildjc
plgdp jdm p|ir}eip
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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
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Nz~lrind}
Nvjildldg clgf}
]jrn injp~xn
Wj}nx pec~hcn pkld ijxkldg rnd`lc p}n}fep`ern
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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
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Ldprn`}led ea jhmeind
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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,
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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$
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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,
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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
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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
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J~p`~c}j}led ea }fn
jhmeind
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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
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RNX@^PPLEDEA ]FN JHMEIND
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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}$
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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,
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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
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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$
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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
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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
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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
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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
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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$
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@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|$
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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$