Abdomen

Question 1

Order of assessment

Answer 1

1. Inspect
2. Auscultate
3. Percuss
4. Palpate

Question 2

Muphy’s sign

Answer 2

Palpation of gallbladder
RUQ
Cholecystitis

Question 3

Rovsing Sign

Answer 3

Palp of LLQ felt in RLQ

appendicitis

Question 4

Aaron Sign

Answer 4

distress or pain in heart or stomach when palp mcburneys points

appendicitis

Question 5

Ballance sign

Answer 5

dullness to percussion in flank that disappears with position change

peritoneal irritation

Question 6

Blumberg sign

Answer 6

rebound tenderness

appendicitis
peritoneal irritation

Question 7

Cullen Sign

Answer 7

ecchymosis around umbilicus

hemoperitoneum
pancreatitis
ectopic pregnancy

Question 8

Dance SIgn

Answer 8

Absent RLQ BS

intussusception

Question 9

Gray Turner Sign

Answer 9

ecchymosis of flanks

hemoperitoneum
pancreatitis

Question 10

Kehr Sign

Answer 10

Abdominal pain radiating to left shoulder

spleen rupture
renal calculi
ectopic pregnancy

Question 11

Markle (heel jar) Sign

Answer 11

patient stand with straightened knees, then raise up on toes, relaxes and allows heels to hit floor (cause abdominal pain if positive)

peritoneal appendicitis

Question 12

McBurneys point located

Answer 12

RLQ

Question 13

Normal Umbilicus

Answer 13

2 arteries 1 vein

Question 14

acute diverticulitis

Answer 14

LLQ pain

Question 15

enlarged liver with firm non-tender border and mild ascites

Answer 15

hepatitis

Question 16

3 week old infant: epigastric distension, visible peristalsis and olive shaped mass in RUQ

Answer 16

pyloric stenosis

Question 17

Patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is likely to be associated with this condition EARLY in its course

Answer 17

Psoas Sign

Question 18

Constant epigastric LUQ pain, steatorrhea, weight loss, elevated amylase and lipase are most likely indicative of

Answer 18

Chronic pancreatitis