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Health Assessment - Exam 3: Male GI/GU
Verified and Updated Questions and
Answers (100% Correct Answers)
Right upper quadrant
Answer: • Liver
• gallbladder
• pylorus
• duodenum
• hepatic flexure of colon
• head of pancreas
Right lower quadrant
Answer: • Cecum,
• appendix
• ascending colon
• right ovary
Left upper quadrant
Answer: • Spleen
• splenic flexure of colon
• stomach
• body and tail of pancreas
• transverse colon
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Left lower quadrant
Answer: • Sigmoid colon
• descending colon
• left ovary
Acute/Emergent Abdominal Pain
Answer: •You must r/o impending decompensation
•Initial assessment:
o Be quick to rule out impending physical deterioration or shock
o Immediately assess the blood pressure
o Gently percuss (palpate?) the abdomen
•Rigid, board-like?
•Severe rebound?
•Involuntary guarding
Quick History with Acute/Emergent Abdominal Pain
Answer: • Gather history while performing exam
• Important information:
o Location
o Onset and progression
o Character of the pain
o Associated symptoms
o Medications
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o Recent surgery
o Recent travel
o LMP
Exam - Rapid Assessment of Acute/Emergent Abdominal Pain
Answer: • Physical exam: REMEMBER to reorder
o Inspection: always first!
o Auscultation: no bowel sounds or abnormal highly predictive of obstruction
o Percussion: gently and may elicit peritonitis; ascites and hepatomegaly
o Palpation: start in area ofleast pain
• Is there:
o Cough tenderness?
o Any external hernias?
Hx & Labs - Rapid Assessment of Acute/Emergent Abdominal Pain
Answer: • Determined by history and exam
• Labs to consider depending on history, exam and availability:
o Complete metabolic panel
o CBC with differential
o Amylase, Lipase
o Urine HCG
o Gonorrhea, chlamydia cultures
o Hemoccult
Health Assessment - Exam 3: Male GI/GU
Verified and Updated Questions and
Answers (100% Correct Answers)
Right upper quadrant
Answer: • Liver
• gallbladder
• pylorus
• duodenum
• hepatic flexure of colon
• head of pancreas
Right lower quadrant
Answer: • Cecum,
• appendix
• ascending colon
• right ovary
Left upper quadrant
Answer: • Spleen
• splenic flexure of colon
• stomach
• body and tail of pancreas
• transverse colon
,Inquire through: | Professional | Confidential Support
Left lower quadrant
Answer: • Sigmoid colon
• descending colon
• left ovary
Acute/Emergent Abdominal Pain
Answer: •You must r/o impending decompensation
•Initial assessment:
o Be quick to rule out impending physical deterioration or shock
o Immediately assess the blood pressure
o Gently percuss (palpate?) the abdomen
•Rigid, board-like?
•Severe rebound?
•Involuntary guarding
Quick History with Acute/Emergent Abdominal Pain
Answer: • Gather history while performing exam
• Important information:
o Location
o Onset and progression
o Character of the pain
o Associated symptoms
o Medications
, Inquire through: | Professional | Confidential Support
o Recent surgery
o Recent travel
o LMP
Exam - Rapid Assessment of Acute/Emergent Abdominal Pain
Answer: • Physical exam: REMEMBER to reorder
o Inspection: always first!
o Auscultation: no bowel sounds or abnormal highly predictive of obstruction
o Percussion: gently and may elicit peritonitis; ascites and hepatomegaly
o Palpation: start in area ofleast pain
• Is there:
o Cough tenderness?
o Any external hernias?
Hx & Labs - Rapid Assessment of Acute/Emergent Abdominal Pain
Answer: • Determined by history and exam
• Labs to consider depending on history, exam and availability:
o Complete metabolic panel
o CBC with differential
o Amylase, Lipase
o Urine HCG
o Gonorrhea, chlamydia cultures
o Hemoccult
