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Phys Di > Abdomen > Flashcards

Abdomen Flashcards

1
Q

Initially periumbilical or epigastric, colicky; later becomes localized to RLQ, often at McBurneys point

A

Appendicitis

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2
Q

Onset sudden or gradual; pain generalized or localized, dull or severe and unrelenting; guarding; pain on deep inspiration

A

Peritonitis

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3
Q

Severe, unrelenting RUQ or epigastric pain; may be referred to right sub scapular area

A

Cholecystitis

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4
Q

Dramatic, sudden, excruciating LUQ, epigastric, or umbilical pain; may be present in one or both flanks; may be refereed to left shoulder and penetrates to back

A

Pancreatitis

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5
Q

Lower quadrant, worse on left

A

Salpingitis

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6
Q

Lower quadrant, increases with activity

A

Pelvic inflammatory disease

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7
Q

Epigastric, radiating down left side of abdomen especial after eating; may be referred to back

A

Diverticulitis

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8
Q

Abrupt RUQ may be referred to shoulders

A

Perforated gastric or duodenal ulcer

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9
Q

Abrupt, severe, colicky, spasmodic; referred to epigastrium, umbilicus

A

Intestinal obstruction

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10
Q

Referred to hypogastrium and umbilicus

A

Volvulus

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11
Q

Steady throbbing midline over aneurysm; may penetrate to back, flank

A

Leaking abdominal aneurysm

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12
Q

Episodic, severe, RUQ, or epigastrium lasting 15 minutes to several hours may be lower

A

Biliary stones, colic

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13
Q

Guarding, tenderness; + iliopsoas and + obturator signs, RLQ skin hyperesthesia; anorexia, nausea, or vomiting after onset of pain; low grade fever; + Aaron, Rovsing, Markle, and McBurney signs

A

Appendicitis

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14
Q

Shallow respiration; + Blumberg, Markle, and Balance signs; reduced or absent bowel sounds, nausea and vomiting; + obturator & iliopsoas signs

A

Peritonitis

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15
Q

RUQ tenderness and rigidity, + Murphy sign, palpable gallbladder, anorexia, vomiting, fever, possible jaundice

A

Cholecystitis

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16
Q

Epigastric tenderness, vomiting, fever, shock; + Gray Turner sign; + Cullen sign; both signs occur 2 to 3 days after onset

A

Pancreatitis

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17
Q

Nausea, vomiting, fever, suprapubic tenderness, rigid abdomen, pain on pelvic examination

A

Salpingitis

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18
Q

Tender adnexa and cervix, cervical discharge, dyspareunia

A

Pelvic inflammatory disease

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19
Q

Flatulence, borborygmus, diarrhea, dysuria, tenderness on palpation

A

Diverticulitis

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20
Q

Abdominal free air and distention with increased resonance over liver; tenderness in epigastrium or RUQ; rigid abdominal wall, rebound tenderness

A

Perforated gastric or duodenal ulcer

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21
Q

Distention, minimal rebound tenderness, vomiting, localized tenderness, visible peristalsis; bowel sounds absent (with paralytic obstruction) or hyperactive high pitched (with mechanical obstruction)

A

Intestinal obstruction

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22
Q

Distention, nausea, vomiting, guarding, sigmoid loop volvulus may be palpable

A

Volvulus

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23
Q

Nausea, vomiting, abdominal mass, bruit

A

leaking abdominal aneurysm

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24
Q

RUQ tenderness, soft abdominal wall, anorexia, vomiting, jaundice, subnormal temperature

A

Biliary stones, colic

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25
Q

intense; flank, extending to groin and genitals; may be episodic

A

renal calculi

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26
Q

lower quadrant; referred to shoulder; with rupture is agonizing

A

ectopic pregnancy

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27
Q

lower quadrant, steady, increases with cough or motion

A

ruptured ovarian cyst

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28
Q

intense; LUQ, radiating to left shoulder; may worsen with foot of bed elevated

A

splenic rupture

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29
Q

fever, hematuria; + Kehr sign

A

renal calculi

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30
Q

hypogastric tenderness, symptoms of pregnancy, spotting, irregular menses, soft abdominal wall, mass on bimanual pelvic examination; ruptured; shock, rigid abdominal wall, distention; + Kehr and Cullen signs

A

Ectopic pregnancy

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31
Q

Vomiting, low grade fever, anorexia, tenderness on pelvic examination

A

Ruptured ovarian cyst

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32
Q

Shock, pallor, lowered temperature

A

splenic rupture

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33
Q

Hypogastric pain; crampy, variable, infrequent associated with bowel function

A

irritable bowl syndrome

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34
Q

crampy pain after drinking milk or eating milk products

A

lactose intolerance

35
Q

localized pain

A

diverticular disease

36
Q

colicky or dull and steady pain that doesn’t progress or worsen

A

constipation

37
Q

pain related to menses, intercourse

A

uterine fibroids

38
Q

localized pain that increases with exertion or lifting

A

hernia

39
Q

burning or gnawing pain in midepigastrium, worsens with recumbency and certain foods

A

esophagitis/gastroesophageal reflux disease

40
Q

burning or gnawing pain

A

peptic ulcer

41
Q

constant burning pain in epigastrium

A

gastritis

42
Q

unremarkable physical examination. Pain associated with gas, bloating, distention; relief with passage of flatus, feces

A

Irritable bowel syndrome

43
Q

associated with diarrhea; unremarkable physical examination

A

lactose intolerance

44
Q

abdominal tenderness, fever

A

diverticular disease

45
Q

fecal mass palpable myomas

A

uterine fibroids

46
Q

hernia on physical examination

A

hernia

47
Q

may have epigastric tenderness on palpation

A

peptic ulcer

48
Q

May be accompanied by nausea, vomiting, diarrhea, or fever. Unremarkable physical examination

A

Gastritis

49
Q

Burning sensation

A

peptic ulcer

50
Q

Cramping

A

biliary colic, gastroenteritis

51
Q

Colicky

A

appendicitis with impacted feces; renal stone

52
Q

Aching

A

appendices irritation

53
Q

knifelike

A

pancreatitis

54
Q

Ripping, tearing

A

Aortic dissection

55
Q

Gradual onset

A

infection

56
Q

Sudden onset

A

duodenal ulcer, acute pancreatitis, obstruction, perforation

57
Q

Duodenal ulcers, hepatitis, hepatomegaly, lower lobe pneumonia, and cholecystitis are found in what abdominal quadrant?

A

RUQ

58
Q

Appendicitis, salpingitis, ovarian cyst, ruptured ectopic pregnancy, tube-ovarian abscess, renal/uretal stone, strangulated hernia, mocked diverticulitis, regional ileitis, and perforated cecum are found in what quadrant?

A

RLQ

59
Q

Intestinal obstruction, acute pancreatitis, early appendicitis, mesenteric thrombosis, aortic aneurysm, and diverticulitis are found in what abdominal area?

A

Periumbilical

60
Q

Ruptured spleen, gastric ulcer, aortic aneurysm, perforated colon, lower lobe pneumonia are found in what quadrant?

A

LUQ

61
Q

Sigmoid diverticulitis, salpingitis, ovarian cyst, ruptured ectopic pregnancy, tube-ovarian abscess, renal/uretal stone, strangulated hernia, perforated colon, regional ileitis, ulcerative colitis

A

LLQ

62
Q

Pain or distress occurs in are of patients heart or stomach on palpation of McBurneys point

A

Aaron sign

63
Q

what does Aarons sign indicate

A

appendicitis

64
Q

Fixed dullness to percussion in left flank and dullness in right flank that disappears on change of position

A

balance sign

65
Q

what does balance sign indicate

A

peritoneal irritation

66
Q

rebound tenderness

A

blumberg

67
Q

what does blumbergs test indicate

A

peritoneal irritation and appendicitis

68
Q

ecchymosis around umbilicus

A

hemoperitoneum; pancreatitis; ectopic pregnancy

69
Q

absence of bowl sounds in RLQ

A

dance sign

70
Q

what does dance sign indicate

A

intussusception

71
Q

ecchymosis of flanks

A

grey turner sign

72
Q

What does grey turner sign indicate?

A

hemoperitoneum, pancreatitis

73
Q

Abdominal pain radiating to left shoulder

A

Kehr sign

74
Q

what does kehr sign indicate?

A

spleen rupture, renal calculi, or ectopic pregnancy

75
Q

patient stand with straightened knees, then raises up on toes, relaxes, and allows heels to hit floor, thus jarring body. Action will cause abdominal pain if positive

A

marble (heel jar) sign

76
Q

what does marble (heel jar) sign indicate?

A

peritoneal irritation, appendicite

77
Q

rebound tenderness and sharp pain when mcburnesys point is palpated

A

mcburney sign

78
Q

what does mcburneys sign indicate?

A

appendicitis

79
Q

abrupt cessation of inspiration on palpation of gallbladder

A

murphy sign

80
Q

what does murphy sign indicate?

A

cholecystitis

81
Q

pain down the medial aspect of the thigh to the knees

A

romberg-howship sign

82
Q

what does roberg-howship sign indicate

A

strangulated obturator hernia

83
Q

RLQ pain intensified by LLQ palpation

A

Rovsing sign

84
Q

what does rovsing sign indicate?

A

peritoneal irritation and appendicitis

Phys Di (1 decks)

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