On your way home from dinner, you start experiencing sharp pains in your abdomen. You ate seafood\u2014could you have food poisoning? What else might be causing your pain? Appendicitis? Should you head to the emergency room, or should you wait and see how you feel in the morning?<\/span>\u00a0<\/span><\/p>\n Numerous ailments can affect the GI system and the abdomen. Because the organs are so close, it can be difficult to conduct an accurate assessment. Also, pain in another area of the body can affect the GI system. For example, patients with chronic migraines often report nausea.<\/span>\u00a0<\/span><\/p>\n This week, you will explore how to assess the abdomen and gastrointestinal system.<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Required Readings<\/span><\/b> (click to expand\/reduce) <\/span><\/a>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). <\/span>Seidel’s guide to physical examination: An interprofessional approach<\/span><\/i> (9th ed.). St. Louis, MO: Elsevier Mosby.<\/span>\u00a0<\/span><\/p>\n \u202f<\/span>\u00a0<\/span><\/p>\n \u202f<\/span>\u00a0<\/span><\/p>\n Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). <\/span>Advanced health assessment and clinical diagnosis in primary care<\/span><\/i> (6th ed.). St. Louis, MO: Elsevier Mosby.<\/span>\u00a0<\/span><\/p>\n Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright\u202f2019 by Mosby. Reprinted by permission of\u202fMosby via the Copyright Clearance Center.<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Chapter 3, \u201cAbdominal Pain\u201d<\/span> \ufffc<\/span>\u00a0<\/span><\/p>\n Chapter 10, \u201cConstipation\u201d<\/span> \ufffc<\/span>\u00a0<\/span><\/p>\n Chapter 12, \u201cDiarrhea\u201d<\/span> \ufffc<\/span>\u00a0<\/span><\/p>\n Chapter 29, \u201cRectal Pain, Itching, and Bleeding\u201d<\/span> \u00a0<\/span><\/p>\n Colyar, M. R. (2015). <\/span>Advanced practice nursing procedures.<\/span><\/i> Philadelphia, PA: F. A. Davis.<\/span>\u00a0<\/span><\/p>\n Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright\u202f2015 by F. A. Davis Company. Reprinted by permission of\u202fF. A. Davis Company via the Copyright Clearance Center.<\/span>\u00a0<\/span><\/p>\n \u202f<\/span>\u00a0<\/span><\/p>\n These sections below explain the procedural knowledge needed to perform gastrointestinal procedures.<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Chapter 115, \u201cX-Ray Interpretation of Abdomen\u201d (pp. 514\u2013520)<\/span><\/a>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Note:<\/span><\/i><\/b> Download this Student Checklist and Abdomen Key Points to use during your practice abdominal examination.<\/span><\/i>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Student checklist. In <\/span>Seidel’s guide to physical examination: An interprofessional approach<\/span><\/i> (9th ed.). St. Louis, MO: Elsevier Mosby.<\/span><\/a>\u00a0<\/span><\/p>\n Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright\u202f2019 by Elsevier Health Sciences. Reprinted by permission of\u202fElsevier Health Sciences via the Copyright Clearance Center.<\/span><\/a>\u00a0<\/span><\/p>\n \ufffc<\/span>\u00a0<\/span><\/p>\n Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Key points. In <\/span>Seidel’s guide to physical examination: An interprofessional approach<\/span><\/i> (9th ed.). St. Louis, MO: Elsevier Mosby.<\/span><\/a>\u00a0<\/span><\/p>\n Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.<\/span><\/a>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Chabok, A., Thorisson, A., Nikberg, M., Schultz, J. K., & Sallinen, V. (2021). Changing paradigms in the management of acute uncomplicated diverticulitis. <\/span>Scandinavian Journal of Surgery, 110<\/span><\/i>(2), 180\u2013186. https:\/\/doi.org\/10.1177\/14574969211011032<\/span><\/a>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Hussein, A., Arena, A., Yu, C., Cirilli, A., & Kurkowski, E. (2021). Abdominal pain in the elderly patient: Point-of-care ultrasound diagnosis of small bowel obstruction. <\/span>Clinical Practice and Cases in Emergency Medicine, 5<\/span><\/i>(1), 127\u2013128. https:\/\/doi.org\/10.5811\/cpcem.2020.11.50029<\/span><\/a>\u00a0<\/span><\/p>\n![\"NURS](\"http:\/\/nursingassignmentcrackers.com\/wp-content\/uploads\/2024\/02\/Capture-1-8-300x73.png\")
Learning Objectives<\/span><\/b>\u00a0<\/span><\/h2>\n
Students will:<\/span><\/b>\u00a0<\/span><\/h3>\n
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Learning Resources<\/span><\/b>\u00a0<\/span><\/h2>\n
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\n<\/a>This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis.<\/span><\/a>\u00a0<\/span><\/p>\n
\n<\/a>The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests.<\/span><\/a>\u00a0<\/span><\/p>\n
\n<\/a>In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform.<\/span><\/a>\u00a0<\/span><\/p>\n
\n<\/a>This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies.<\/span><\/a>\u00a0<\/span><\/p>\n