Comprehensive Assessment of the Abdomen, Gastrointestinal, and Breast Health Systems: Health History, Examination, and Common Findings

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Comprehensive Assessment of the Abdomen, Gastrointestinal, and Breast Health Systems: Health History, Examination, and Common Findings Abdomen and GI System: Abdominal Distention - How long? Does it come and go? What relives it? - Other symptoms associated? Abdomen and GI System: Change in Bowel Habits - Describe change. - When did you first notice change? - Other symptoms? Abdomen and GI System: Yellow Discoloration of Eyes or Skin (Jaundice) - When did you first notice it? - Associated with abdominal pain? - Recent blood transfusion or tattoos? - Color of urine or stools changed? Abdomen and GI System: Problems with Urination - Describe change. - Associated symptoms? - Describe color of urine. Blood? - Unexpected weight gain? Abdomen and GI System: Abdomen - patient should appear relaxed, sitting, or lying quietly with slow, even respirations - surface characteristics should be smooth - contour should be smooth and symmetric after asking to take deep breath and hold it - no bulge after coughing (to increase intraabdominal pressure) - peristalsis should not be visible - female =thoracic movements while inhaling - male = abdominal movements while inhaling Abdomen and GI System: Abdomen Abnormal Findings - emaciation, obesity, distended abdomen, marked restlessness, a rigid posture, etc - jaundice, bruises, striae - inverted umbilicus; glistening or taut appearance - prominent venous patterns - marked concavity which is associated with general wasting signs
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