Complete Shadow Health Abdominal Assessment for Tina Jones from STU NUR504. Full four-quadrant abdominal examination including inspection, auscultation before palpation, percussion and deep palpation. Documents liver span, bowel sounds, tenderness assessment and GERD management in the context of her uncontrolled diabetes.
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Tina Jones presents with epigastric discomfort and upper abdominal pain occurring after meals, consistent with her previously documented GERD. In this module the full abdominal examination is conducted including inspection (abdomen protuberant, no visible masses or pulsations), auscultation of bowel sounds in all four quadrants, percussion for liver span and tympany, and light and deep palpation.
The abdominal assessment in the context of her Type 2 Diabetes is clinically significant — poorly controlled diabetes can lead to gastroparesis, altered gut motility and increased GERD severity. These connections must be documented in the clinical reasoning section.
Bowel sounds normoactive all four quadrants. Liver span within normal limits. No organomegaly. Epigastric tenderness on palpation. Diagnosis: GERD without esophagitis, gastric complications of T2DM.