| Abdmen Clinical Anatomy - Muscular Anatomy - Respiratory Tract Anatomy - Digestive Tract Anatomy - Lymphatic Organ Anatomy - Urinary Tract Anatomy - Reproductive Tract Anatomy The Thorax and Abdomen History - Location of pain - Onset of symptoms - Mechanism of injury - Symptoms - History - General medical health Inspeciton - Guarding pattern - Breathing pattern - Lung trauma (pneumothorax, hemothrax, or pulmonary contusion) - Discoloration of skin - Vomiting - Hematuria - Ausculation - "gurgling" (peristalasis) with stethoscope --- indicating internal injury Palpation - Sternum - Xiphoid - Sternal body - Costal cartilage and ribs - Check pain, crepitus, and deformity - Spleen - Under left rib cage - Kern's sign (pain in the upper left quadrant and left shoulder) indicate a ruptured spleen that is irritating the diaphragm. - Kidneys - Appendix - McBurney's point (1/3 of the way between right ASIS and navel) indicates acute appendicitis. Vital Signs - Heart rate - 60-100 BPM (checked by carotid pulse) - Respiratory rate - 12-20 breathe per minute - Rapid, shallow --- Internal injury - Deep, quick --- athma - Noisy, raspy --- Airway obstructions - Blood pressure Neurological Tests - Referred pain patterns Special Tests - Kidney function - Urinalysis - Abdominal injury - Abdominal percussion --- Indicating internal bleeding - Rib fractures - Compression Test |
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