Abdomen

Question 1

Bright red blood per rectum due to colon tumor, diverticula dx., ulcerative colitis, hemorrhoids

Answer 1

Hematochezia

Question 2

Black, tarry stool (bleeding of 1st section of duodenum/upper

Answer 2

Melina

Question 3

Absence of bowel sounds

Answer 3

No sound heard for 2+ mins—> check for renal a./ AA bruits, due to stenosis

Question 4

Hyperperistalsis creating low- pitched rumbling sounds

Answer 4

Borborygmi

Question 5

Can you percussions the spleen?where?

Answer 5

Yes, but it is not palpable and you have to do it at the anterior axillary line

Question 6

right shoulder pain

Answer 6

referred from acute cholecystitis or anything irritating the right hemidiphragm

Question 7

testicular pain

Answer 7

reffred from renal colic or appendicits

Question 8

periodic epigastric pain

Answer 8

1-hr after eating–> think gastric peptic ulcer

Question 9

Pain 2-3 hr after wating

Answer 9

duodenal peptic ulcer

Question 10

back pain

Answer 10

perforation of duodenal ulcer, pancreatic pain

Question 11

nocturnal pain

Answer 11

duodenal peptic ulcer

Question 12

postprandial pain

Answer 12

part of the abdominal angina triad, which also includes anorexia and weight loss

Question 13

tenesmus

Answer 13

a feeling of needing to void the bowel but unable to defecate

Question 14

episodic vomiting at height of pain

Answer 14

obstruction

Question 15

persistent vomiting

Answer 15

toxin, CNS causes or metabolic causes

Question 16

Green- yellow vomitus

Answer 16

biliary colic

Question 17

feculent smelling vomitus

Answer 17

intestinal obstruction

Question 18

is used to detect guarding, tenderness and areas of muscular spasm or rigidity.

Answer 18

Light palpation

Question 19

is used to determine organ size and presence of abnormal masses.

Answer 19

Deep palpation

Question 20

involuntary muscle spasm- is indicative of peritoneal irritation, which may be diffuse or localized.

Answer 20

rigidity

Question 21

abdominal wall muscle tension/contraction, which may be localized or diffuse.

Answer 21

Guarding

Question 22

sign for peritoneal irritiation

Answer 22

rebound tenderness

Question 23

This is an area of the abdomen that is 2/3 of the distance between the umbilicus and the right anterior superior iliac spine.

Answer 23

McBurney’s point

Question 24

tenderness over McBurney’s point is concering for

Answer 24

appendicitis

Question 25

fluid wave

Answer 25

ascites

Question 26

Push on the patinet’s LLQ, and if pain is present on the other side (the right lower quadrant, or at McBurney’s Point,

Answer 26

Rovsing's sign

Question 27

Tests for inflammation, appendicitis or peritoneal irritation.  With the patient lying supine, flex the patient’s leg at the hip with knee bent.  Rotate the leg internally

Answer 27

obturator sign

Question 28

Tests for intra-abdominal inflammation, appendicitis, or psoas abscess.  With the patient lying on the unaffected side, passively extend the affected side.

Answer 28

Psoas sign

Question 29

Seen in acute cholecystitis, an inflamed gallbladder.  With the patient lying supine, palpate the liver head on patient’s deep inspiration, feeling for the gall bladder. 

Answer 29

Murphy's sign