ASSESSMENT OF THE GASTROINTESTINAL GENITOURINARY SYSTEMS Gastrointestinal System

ASSESSMENT OF THE GASTROINTESTINAL & GENITOURINARY SYSTEMS

Gastrointestinal System Function • Receive food • Digestion/absorption • Elimination Genitourinary System Components/Function • Urinary • Reproductive

What is needed to work Age-related changes that impact function: properly

Women Men • Slow gradual changes • Testicular mass ↓ • Gradual ↓ in testosterone • ↓ sperm production • May take longer to obtain erection • Enlarged prostate • Erectile dysfunction usually r/t medical problem or medication (diabetes; HTN meds) • ↑ risk of prostate CA with age

History GI • GERD • H. pylori/peptic ulcer disease • Hernia • Cancers • Polyps • Diverticulosis/diverticulitis • Liver, gall bladder disease, pancreatitis • Irritable bowel syndrome • Surgeries/ostomy • Hepatitis A, B, or C • Diabetes* Parkinson’s* GU

GI System GU System Urinary System Reproductive

Rx and OTC meds Meds that can cause urinary incontinence

GI

GU/ Urinary

Incontinence STRESS

URGE OVERFLOW FUNCTIONAL MIXED

GU/Sexual Function

Physical Exam - Observations

Physical Exam MOUTH INSPECTION

Abdominal Exam Inspect

Abdominal Exam AUSCULTATION • Auscultate BEFORE percussion & palpation so avoid altering bowel sounds with those processes • Check bowel sounds in all 4 quadrants • Listen for presence, character, frequency • Presence of bruits: renal & ABD aorta Aorta Renal

Abdominal Exam

Abdominal Exam

Abdominal Exam

Physical Examination

urine • Color • Clarity • Odor • Specific gravity • p. H

urine • Protein • Glucose • RBCs • Nitrites • Leukocyte esterase • WBCs • Ketones • Casts • Crystals • Bacteria, yeasts, parasites • Squamous cells

NUTRITION HYDRATION

Nursing Process