Bella Health Ass Presentation

8/3/2019 Bella Health Ass Presentation

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- curve over the top of the

upper pole of the left kidney.

- has two functional endocrine

portions, the cortex and themedulla

- found at the level of the 12th

thoracic vertebra. The cortex

mainly produces cortisol,aldosterone and androgens,

while the medulla chiefly

produces epinephrine and

norepinephrine.



Left Kidney (Upper Pole)

- located high and deep under the

diaphragm

- protected by the posterior rib cage

- filtrates and eliminates metabolic wasteproducts

- controls blood pressure and maintains

water, salt and electrolyte balances

- functions as endocrine glands by

secreting hormones



Left Ureter

- runs behind the peritoneum from the

renal hilum to the posterior aspect of the

bladder

- passageway that carry urine from the

kidneys to the bladder



- located mostlybehind the stomach deep

in the upper abdomen

- long gland

extending across theabdomen from the RUQ to

the LUQ

- not palpable

- Functions:Endocrine gland

Accessory organ of

digestion



- approximately 7 cm wide

- located above the left kidney just

below the diaphragm at the level of the ninth,

tenth and eleventh ribs- posterior to the left midaxillary line

and posterior and lateral to the stomach

- not palpable

- filters the blood of cellular debris,

digests microorganism and returns the breakdownto the liver

- stores RBCs and platelets, produces

RBCs and macrophages, activates B and T

lymphocytes

S PLEEN



S PLENIC FLEXURE OF COLON

- is a bend in the colon



ST OMACH

- is on the left side of the abdominalcavity, nearly hidden by the liver and

diaphragm

- the stomach has a third oblique layer ofmuscle in its wall that allows it to

perform mixing or churning movements



T RAN SV ER S E COLON

- lies across the abdominal cavity





Left Kidney (Lower Pole)

- located below the

diaphragm and posterior to

the spleen

- protected by the

posterior rib cage

- filtrates and eliminates

metabolic waste products

- controls blood pressure

and maintains water, salt

and electrolyte balances

- functions as endocrine

glands by secreting

hormones



Left Ovary and Tube

ovary - is located in the

lateral wall of the pelvis in a

region called the ovarian

fossa.

- secrete bothestrogen and progesterone

tube ± forms the initial part

of the duct system.

- allows passage of the egg

from the ovary to the

uterus



Left Ureter

- passageway that

carry urine from the

kidneys to the bladder



Left S permatic Cord

- Connective tissue sheath which encloses a

tube called vas deferens, along with

blood vessels and nerves



D escending/ S igmoid Colon

-colon that is extendeddownward along the left sideof the abdomen

Sigmoid colon- curvetoward the midline

-often felt as a firmstructure on palpation

- lies in thepelvis

*primarily secretes largeamounts of alkaline mucus tolubricate the intestine,leaving waste products to be

eliminated in stool







D URING

Assist client to supine position, with the arms placed

comfortable on both sides. Place small pillows beneath the

knees and the head. Expose the client¶s abdomen only from

the chest line to the pubic area.

Inspect the abdomen for skin integrity.

Inspect the abdomen for contour and symmetry. Observe

abdominal movements.

Observe the vascular pattern.



Auscultate the abdomen for bowel sounds. Percuss several areas

in each of the four quadrants to determine presence of tympany

and dullness.

Percuss the liver to determine its size.

Perform light palpation first to detect areas of tenderness and/or

muscle guarding.

Perform deep palpation over all four quadrants.

Palpate the liver to detect enlargement and tenderness.

Palpate the area above the pubic symphysis if the client¶s history

indicates possible urinary retention.



AF T ER

Document findings in the client record using forms

or checklists supplemented by narrative notes

when appropriate.

Perform a detailed follow-up examination.

Report significant deviations from normal to the

primary care provider.

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Bella Health Ass Presentation