Abd kate Flashcards
Auscultate what for bruits?
renal and iliac aa.
Order of abdominal examination
Inspect
Auscultate
Percuss
Palpate
shifting dullness test
percuss abdomen w/ pt supine, then w/ pt. rolled on their side- check for shifting dullness w/ percussion- indicates fluid movement
fluid wave test
for ascites
stabilize mid-abdomen w/ hand, tap one side & feel for transmitted impulse on the other side
RLQ pain when flexing right hip against resistance
psoas sign
RLQ pain upon internal rotation of the right leg
obturator sign
referred rebound tenderness in the RLQ upon pressure to the LLQ
Rovsing’s sign
pain on palpation of right intercostal margin w/ inspiration
Murphy’s sign
Murphy’s sign indicates?
gall bladder or liver inflammation
abdominal inspection for? (4)
striae
dilated veins
diastasis recti
hernias, bulges
high-pitched, tinkling bowel sounds
obstruction
hyperactive bowel sounds indicate (2)
gastroenteritis
obstruction
paralytic ileus
little to no bowel activity after several minutes
aortic bruit could indicate? (2)
aneurism
dissection
renal aa. bruit?
stenosis –> systematic hypertension
procedure for percussing for liver size (3 notes)
top down, bottom up
mid-clavicular line
6-12 cm
splenomegaly causes (5)
mononucleosis hematologic disorders cirrhosis cysts other infection
upper abdominal reflexes
T 7,8,9
lower abdominal reflexes
T 11,12
cremasteric reflexes
T12, L1, L2
palpate abdominal aorta for?
size,
pulsations
abdominal aorta indications for aneurism?
> 3 cm, intense pulsations
palpate abdominal quadrants for?
Pain!
explosive, excruciating pain could indicate? (5)
coronary occlusion bilary colic ruptured aneurism renal colic stone
