Abdo Flashcards
Grey turners sign indicates
Retroperitoneal haemmorhage or pancreatitis
Cullens sign is
Internal bleeding, trauma, aortic rupture
Asymmetry in stomach due to
6 Fs
Fluid Fat Faeces Flatus Fetus Functional (hernia, tumour)
Bowel sounds -
Tinkling = bowel obstruction Absent = obstruction
Bruits = turbulent blood flow
Can be aortic or renal
9 regions of abdo
Right hypochondriac Epigastric Left hypochondriac Right lumbar Umbilical Left lumbar Right iliac Hypogastric Left iliac
Rovsings sign
Palpate left iliac fossa there will be pain in right
=appendicitis
Murphys sign
Position fingers at right costal margin in mid clavicular line
Ask patient to take a deep breath if stops due to pain = cholecystitis
McBurney’s point y
Press it on right side where appendix is
Between side and the belly button diagonal
Ascites (fluid build up) test
Asses when supine then lay to one side
The area of dullness would shift downwards
Tympany will shift up
Fluid waves
Assistant put hand down mid line
You tap on one side of feel then ascites
Psoas sign
Lie flat lift leg straight up then if pain
Or
Lie on left hand side then extend right leg
Obturator sign
Bring knee up into right angle then turn outwards - pain - appendicitis
Why do you get visceral pain
Characteristic
Hollow organs
Difficult to localise
=burning, cramping
Parietal pain
Is a steady ache
And is localised
Affects peritoneum
Somatic pain is
Caused by peripheral nerve Tracts
Well localised pain usually felt deep
Refered pain is
Caused by peripheral nerve tracts
Originates in abdomen and causes pain in distant location
