Pulse heard over RUQ & LUQ?
- 0Feb 11 by here_we_standWhen listening for bowel sounds, a loud pulse was heard over the RUQ & the LUQ, but is not heard in either of the lower quadrants of the abdomen. What could this be?
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- 4Feb 12 by RNGriffinYou tell us....where are pulses normally heard?...if you said veins, arteries, and the heart you're on the right track...
what's in the abdomen that could be pulsating (granted your finger wasn't on the bell)?
I noticed you are a student. I am a firm believer we all, even experienced, should be challenged to critically think what could be going on with our patients. If we're just here to give information to one another, we'll never grow as professionals.
What do you think it is? Once you have assessed your patient or your clinical data, we'll be able to critically think collectively.Last edit by RNGriffin on Feb 12
- 1Feb 12 by TU RNIt means the heart is in closer proximity to the UQs than the LQs. Think about it, the resonance of the "lub-dub" sound will be greater in the thorax and upper abdomen (with their "hollow organs") and lesser in the lower abdomen as the dense, compact intestines absorb much of the sound.
- 4Feb 12 by RNGriffinQuote from TU RNYour explanation is a possibility( though I've never experienced this upon auscultation of the abdomen). But, there is another structure in the abdominal area that could be causing an audible pulse, as well as a pulsating sensation.It means the heart is in closer proximity to the UQs than the LQs. Think about it, the resonance of the "lub-dub" sound will be greater in the thorax and upper abdomen (with their "hollow organs") and lesser in the lower abdomen as the dense, compact intestines absorb much of the sound.Last edit by RNGriffin on Feb 12
- 7Feb 12 by emtb2rnQuote from Esme12I'm thinking what you're thinking and and that kind of thinking will lead to an 18 in the ac along with a bunch of stat orders. "Hey ct, it's emtb2rn, can we reprioritize your priorities?"Moved for best response. Is this a large person or a small one? Could you palpate a pulsatile mass? What major artery might you be hearing in the abdomen? Think about your anatomy.
- 5Feb 12 by JustBeachyNurseDo you mean descending/abdominal aorta? DA is not a standard or acceptable abbreviation. I'm overtired & guessing but my first thought was the same as GrnTea that what on earth did you do that the DA is sitting on your abdomen?!?! I know my sister the ( major US county) ADA can be ruthless, but she worked major crimes/homicide before her recent transfer and she'd leave the abdomen sitting to the detectives & investigators. She saves her battles for the courtroom.