Bella Davies (South East Rivers Trust) Keynote presentation from London CaBA Learning Workshop
Bella Health Ass Presentation
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Transcript of Bella Health Ass Presentation
8/3/2019 Bella Health Ass Presentation
http://slidepdf.com/reader/full/bella-health-ass-presentation 1/20
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.
8/3/2019 Bella Health Ass Presentation
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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
8/3/2019 Bella Health Ass Presentation
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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
8/3/2019 Bella Health Ass Presentation
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- 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
8/3/2019 Bella Health Ass Presentation
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- 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
8/3/2019 Bella Health Ass Presentation
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S PLENIC FLEXURE OF COLON
- is a bend in the colon
8/3/2019 Bella Health Ass Presentation
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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
8/3/2019 Bella Health Ass Presentation
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T RAN SV ER S E COLON
- lies across the abdominal cavity
8/3/2019 Bella Health Ass Presentation
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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
8/3/2019 Bella Health Ass Presentation
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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
8/3/2019 Bella Health Ass Presentation
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Left Ureter
- passageway that
carry urine from the
kidneys to the bladder
8/3/2019 Bella Health Ass Presentation
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Left S permatic Cord
- Connective tissue sheath which encloses a
tube called vas deferens, along with
blood vessels and nerves
8/3/2019 Bella Health Ass Presentation
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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
8/3/2019 Bella Health Ass Presentation
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8/3/2019 Bella Health Ass Presentation
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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.
8/3/2019 Bella Health Ass Presentation
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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.
8/3/2019 Bella Health Ass Presentation
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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.