HA | Primer- Abdomen

09/10/2025 14 min Temporada 1
HA | Primer- Abdomen

Listen "HA | Primer- Abdomen "

Episode Synopsis

This 10–15-minute primer episode of STAT Stitch Deep Dive: Beyond the Bedside is your quick, high-yield refresheron the Assessment of the Abdomen—ideal to listen to before or after reviewing your textbook or lecture notes.In this concise audio, we strip away the fluff and focus on what you must know for your next Health Assessment exam, NCLEX, or clinical check-off.You’ll review: • The pathophysiology of Peptic Ulcer Disease and GERD and how to identify their key manifestations. • The correct order of abdominal assessment—Inspection, Auscultation, Percussion, Palpation—and when to stop for safety. • High-priority red flags like rebound tenderness, Murphy’s sign, and pulsating midline masses. • Critical drug interactions and patient teaching for NSAIDs, steroids, and lifestyle risks.💡 Designed for fast learning, this short episode gives you the 20% of knowledge that delivers 80% understanding, so you can master GI assessment and retain what matters most.🎧 Plug in before class or after studying and solidify your understanding of abdominal assessment—quick, efficient, and clinically focused.-------------------------------------------------------------------------------------------------------High-Yield Abdominal Assessment — Nursing Review Assess the abdomen for GI disorders like PUD and GERD, focusing on inspection, auscultation, percussion, and palpation.Pathophysiology: PUD—erosion of gastric/duodenal mucosa from H. pylori or NSAID use. GERD—backflow of stomach acid into the esophagus causing tissue irritation, scarring, or Barrett’s esophagus.Key Manifestations: PUD: Burning epigastric pain (worse on empty stomach), fatigue, weight loss, vomiting, or tarry stools (bleeding). GERD: Hoarseness, cough, reflux, asthma-like symptoms, or chest discomfort. Abdominal Pain: Assess with COLDSPA—sharp pain suggests peritonitis or obstruction. Bowel Changes: Diarrhea → dehydration/electrolyte imbalance; constipation → obstruction or bleeding.Nursing Management: For PUD—avoid NSAIDs/alcohol/tobacco, take meds as directed, report bleeding or severe pain. For GERD—avoid trigger foods (spicy, acidic, caffeine, chocolate), eat small meals, remain upright 2 hrs post-meal, elevate HOB, lose weight if overweight.Assessment Tips: Empty bladder, supine position with knees flexed. Order: Inspection → Auscultation → Percussion → Palpation. Auscultate 1 min per quadrant; listen 5 min if no sounds. Absent BS = ileus; high-pitched tinkling = obstruction.Safety Red Flags: 🚫 Do not palpate pulsating midline mass → suspect AAA. Rebound tenderness = peritonitis. Murphy’s sign = cholecystitis. Rovsing/Psoas/Obturator signs = appendicitis. Enlarged spleen = risk of rupture—use gentle technique.Older Adults: ↓ Pain sensitivity, ↑ UTI risk, ↓ appetite, screen for AAA (men 65–75 with smoking hx).Drugs to Watch: NSAIDs, steroids, anticoagulants, SSRIs, bisphosphonates—all increase PUD/GERD risk.Key Takeaway: Prioritize life-threatening findings—stop palpation for pulsating mass, assess bowel sounds carefully, and educate clients on lifestyle modifications for GI health.