Gastro Assessment

is assessment is part of the nursing head-

o-toe assessment you have to perform in
nursing school and on the job.

During the abdominal assessment

you will be:
Inspecting
Auscultating
Palpating/Percussing
INSPECTION

● Starting the inspection I first asked the patient

about their last bowel movements, any problems
with urination,In a female patient ask when their
last menstrual period was.
Findings:
•  There was no visible mass
•  Bulging
• Asymmetry
• No unusual coloring,
• Scars,
• Lesions,
• Suspicious-looking moles
 Auscaultation

●  I started on the right lower quadrant and went

clockwise in all the other quadrants.
● During this i have listened to 5 to 30 sound per minute
but if you dont hear any sounds listen for 5 full min
Findings:

• The patient is Normoactive

• From the xiphoid process to the symphysis pubis it was flat
• There was no sign of a hernia
 Percussion

• Percussing on the patients abdomen I lightly

pressed the four quadrants of the abdomen.
• A dull sound elsewhere may indicate tumor or
mass.

Findings:

• Dull Sound on solid structures

 Palpation

• Palpating, using a light gentle dipping motion I checked

for any of the following abnormalities, such as muscle
guarding, rigidity, or superficial masses.
• I palpated clockwise after that placing my nondominant
hand on my dominant hand to perform deeper
palpation (1½ to 2 inches [3.8 to 5 cm]).
• If the patients experience any pain stop the deep
palpation immediately.
• Next I palpated the liver placing my left hand under the
patient, parallel to and supporting the right 11th and 12th
ribs and my right hand lateral to the rectus muscle with
my fingertips below the liver border (as identified by
dullness during percussion).
• Pressing gently in and up as my patient takes a deep
breath.
Findings:
•  Light palpation (2 cm): soft with no pain or rigidity
• Deep palpation (4-5 cm): There were no masses, lumps,
tenderness.
• No Lumps, lesions, tenderness found.