Abdo skills Flashcards
Abdo specific global overview
Signs of pain
Abdominal distention
Jaundice
Muscle wastage (cachexia)
Vomit bowls
Stoma bags
Checking eyes
Jaundice (yellowing of sclera) (liver disease)
Conjunctival pallor (pale under eye lid) (anaemia)
Corneal arcus (ring around iris) (Fatty deposit)
Xanthelasma (yellow fatty deposits)
Kayser Fleischer rings (Dark rings around iris) (copper deposit)
Perilimabal injection (Blood shot) (Trauma/infection)
Checking mouth
Angular stomatitis (Sores in corners of mouth) (Oral thrush/ poor nutrition)
Glossitis (Swollen tongue) (Allergy)
Candidiasis (White patches on tongue) (Oral thrush)
Aphthous Ulceration (Mouth ulcer) (Medication/ diet)
Checking Neck
Lymph nodes larger than pea (cancer/ infection)
Virchows node (Swollen lymph on left mid clavicle) (Gastric cancer)
Checking chest
Spider Naevi (Liver diseases)
Gynocomastea (man boobs) (Liver disease)
Hair loss (Liver disease)
Checking abdomen
Surgical scars
Distention (Air, fluid or stool buildup)
Hernia (Increased strain/ weak spot in abdomen)
Stoma (Bag to collect waste) (bowel disease/ cancer)
Cullens sign (Bruising at umbilicus) (internal bleeding)
Grey-Turner sign (Bruising at flank) (internal bleeding)
Palate abdominal regions
Right Hypochondriac
Epigastric
Left Hypochondriac
Right lumbar
Umbilical
Left lumbar
Right iliac
Hypogastric
Left iliac
Palpate organs
Liver
Spleen
Aorta
Kidneys (pinch)
Percuss organs
Liver
Spleen
Shifting dullness (fluid content)
Auscultate
Bowel sounds (Ascending, transvers and descending colon)
Aorta (Bruits)
Renal arteries (Bruits)
Appendicitis
McBurneys point (1/3 distance right iliac crest and umbilicus)
Rovsing’s (apply pressure opposite side of mcburney and push to right)
Obturator (Right leg at 90 degrees and rotated away from body
Psoas (Pressure against right leg as it is lifted)
Cholecystitis
Murphys test
Full test
Check danger
Global overview
DRABCDE
Interventions (if necessary)
Consent
Medical model
Check eyes and mouth
Check chest and abdo
Palpate
Percuss
Auscultate
Specific tests (appendicitis/ choecystis) (If necessary)