6.3 Abdominal Physical Assessemt

Question 1

Assessment order

Answer 1

IAPP
Inspection
Auscultation
Percussion
Palpation

Question 2

Bruit

Answer 2

腸鳴聲

Question 3

Spider angiomas

Answer 3

蜘蛛狀血管瘤

Question 4

BS+++

Answer 4

Bowel sound hyperactive

Question 5

Viscera

Answer 5

內臟

Question 6

Size of liver over midclavicular line (MCL)

Answer 6

6-12cm

Question 7

Size of spleen

Answer 7

Not wider than 7cm

Question 8

Ascites: percussion sound

Answer 8

Shift of dullness

Question 9

Costovertebral Angle Tenderness
(CVA Tenderness):
Use ___ percussion
Location
Indication

Answer 9

Fist percussion
Kidney = below CVA (12th rib and vertebral column) on both sides of lumbar vertebra of spine
Sign of kidney stones / pyelonephritis

Question 10

Rebound tenderness
Indication and location

Answer 10

Peritonitis / appendicitis
Appendicitis: McBurney’s point (locate two thirds of distance from umbilicus to anterior superior iliac spine)

Question 11

Auscultation for bowel sound
At least count for _____

Answer 11

1 mins

Question 12

Listen for __ mins before documentation of absent BS

Answer 12

5

Question 13

Percussion of spleen form __ to __ intercostal space just behind the _________ line

Answer 13

9-11th
Mid-axillary line

Question 14

Ascites with fouls less than ___ will no be dectatable

Answer 14

500ml

Question 15

Light palpation = depressing ___cm
Deep palpation = depressing ___ cm

Answer 15

1
2-4

Question 16

Muscle guarding or rigidity indication

Answer 16

Intra-abdominal bleeding (hernia, appendicitis)
Do not continue to palpate