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Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
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Assessment of the Abdomen III: Palpation01:23

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Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
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Assessment of the Abdomen I: Inspection and Auscultation01:25

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Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
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Updated: Mar 30, 2026

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Evaluating Patients with Right Upper Quadrant Pain.

Genevieve L Bennett1

  • 1Abdominal Imaging Division, Department of Radiology, NYU Langone Medical Center, 660 First Avenue, Room 332, New York, NY 10016, USA.

Radiologic Clinics of North America
|November 4, 2015
PubMed
Summary
This summary is machine-generated.

Diagnosing right upper quadrant pain often requires advanced imaging. Ultrasonography is the first choice, but CT, MR imaging, and radionuclide scans are crucial for complex hepatobiliary disorders and complications.

Keywords:
Budd-Chiari syndromeCholecystitisCholedocholithiasisCholelithiasisGallstone ileusHepatitisPortal vein thrombosis

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Area of Science:

  • Hepatobiliary imaging
  • Diagnostic radiology

Background:

  • Right upper quadrant pain is a common symptom with diverse causes affecting the liver, gallbladder, and biliary tree.
  • Clinical diagnosis can be challenging, necessitating effective imaging strategies.
  • Imaging is essential for accurate diagnosis and guiding management of hepatobiliary conditions.

Purpose of the Study:

  • To highlight the role of various imaging modalities in diagnosing hepatobiliary disorders.
  • To discuss the diagnostic utility of imaging in cases of right upper quadrant pain.
  • To emphasize the importance of imaging in identifying complications of acute cholecystitis and choledocholithiasis.

Main Methods:

  • Review of imaging techniques including ultrasonography, radionuclide imaging, computed tomography (CT), and magnetic resonance (MR) imaging.
  • Discussion of the specific applications and diagnostic accuracy of each modality.
  • Focus on MR cholangiopancreatography for diagnosing choledocholithiasis.

Main Results:

  • Ultrasonography is the primary imaging modality for most hepatobiliary disorders.
  • CT, MR imaging, and radionuclide imaging offer complementary diagnostic information.
  • MR cholangiopancreatography demonstrates high accuracy in diagnosing choledocholithiasis, especially when other methods are inconclusive.

Conclusions:

  • A stepwise imaging approach is crucial for diagnosing the causes of right upper quadrant pain.
  • Advanced imaging techniques like MR cholangiopancreatography are vital for complex cases and complications.
  • Effective utilization of imaging modalities ensures prompt diagnosis and appropriate patient management.