costovertebral angle correct answers angle formed by the 12th rib and the vertebral column on
the posterior thorax, overlying the kidney
costovertebral angle tenderness correct answers indirect fist percussion causes tissues to vibrate
instead of producing a sound
To assess kidney, place one hand over 12th rib at costovertebral angle on back
Thump that hand with ulnar edge of your other fist
Person normally feels thud but no pain
Its usual sequence in complete examination is with thoracic assessment, when person is sitting
up and you are standing behind
costovertebral angle tenderness causes correct answers kidney infection, musculoskeletal
problem, inflammation
flank pain, malaise, fever correct answers CVA likely to be tender
do not palpate which organ due to possibility of rupture correct answers spleen
ascites correct answers fluid-filled abdomen, protuberant
black, tarry stool correct answers melena, upper GI bleed
how long do you listen for absent bowel sounds correct answers 5 minutes
bowel sounds should be heard in ____; where is it recommended to start correct answers all 4
quadrants, RLQ
, hypoactive bowel sounds correct answers soft, LOW-PITCHED; less than 5/min
hyperactive bowel sounds correct answers every 2-3 seconds; HIGH-PITCHED; loud, rushing,
tinkling
bowel sounds abdominal surgery post-op correct answers hypoactive
solid/dense organs sound correct answers dull
hollow/air-filled organs sound correct answers tympany
solid or hollow viscera: liver correct answers solid
solid or hollow viscera: pancreas correct answers solid
solid or hollow viscera: spleen correct answers solid
solid or hollow viscera: bladder correct answers hollow
solid or hollow viscera: adrenal gland correct answers solid
solid or hollow viscera: colon correct answers hollow
solid or hollow viscera: small intestine correct answers hollow
solid or hollow viscera: kidneys correct answers solid