abdomen Flashcards

1
Q

The sequence of assessment is IAPP

A

o INSPECTION, AUSCULTATION, PERCUSSION,
PALPATION

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2
Q

purple discoloration in the flank (
sign) – indicates bleeding within the abdominal wall. (Hemorrhagic Pancreatitis)

A

Grey Turner

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3
Q
  • seen in cirrhosis, obstruction of the
    inferior vena cava, portal hypertension or ascites
A

Dilated veins

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3
Q

– dilated vein in the abdominal
wall; portal HPN, and ascitis

A

Caput Medusa

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3
Q

Dilated surface arterioles and
capillaries with central star may be seen with liver
disease or portal hypertension.

A

o Spider angioma

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4
Q

dark bluish-pink striae -

A

Cushing syndrome

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4
Q

bluish or purple discoloration around umbilicus–
due to intra-abdominal bleeding.

A

Cullen’s Sign – (Periumbilical Echymosis)

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5
Q

Presence of Rose spots
▪ Indication of

A

typhoid fever

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6
Q

6 F’s - major causes of abdominal distention

A

(Fat,
feces, fetus, fibroids, flatulence, and fluid)

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6
Q

– bulging between vertical midline
separation of the abdominis rectus muscle

A

Diastasis Recti

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7
Q
  • protrusion of the bowel through the
    abdominal wall
A

Hernia -

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7
Q
  • hyperactive- loud, prolonged
    gurgles - “ Growling” sound
A

BORBORYGMI

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8
Q
  • palpate deeply
    at 90 degrees into the abdomen halfway between the
    umbilicus and the anterior iliac crest (McBurney point) then
    suddenly release pressure  listen and watch for reaction to
    pain, ask the client which hurt more,
A

Rebound tenderness ( Blumberg’s sign)

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9
Q
  • palpate LLQ deeply = if with pain the
    RLQ during pressure at LLQ - the test is positive
A

Rovsing’s Sign

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10
Q

A large ovarian cyst or
fibroid tumor appears as
generalized distention in
the lower abdomen.
o The mass displaces
bowel, and, thus, the
percussion tone over the
distended area is
dullness with tympany at the periphery. The
umbilicus may be everted.

A

A large ovarian cyst or
fibroid tumor appears as
generalized distention in
the lower abdomen.
o The mass displaces
bowel, and, thus, the
percussion tone over the
distended area is
dullness with tympany at the periphery. The
umbilicus may be everted.

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10
Q

: Press fingertips under the liver border at the right
costal margin and ask client to inhale deeply

A

Murphy’s
test

11
Q

The abdomen distended with gas may appear as
a generalized protuberance (as shown), or it may
appear more localized. Tympany is the percussion
tone over the area.

A
  • Flatus
11
Q

o Fluid in the abdomen
causes generalized
protuberance, bulging
flanks, and an everted
umbilicus. Percussion
reveals dullness over
fluid (bottom of
abdomen and flanks)
and tympany over
intestines (top of abdomen).

A

Ascitic Fluid

12
Q

An enlarged liver ()

A

An enlarged liver hepatomegaly