Abdomial Exam 2

Question 1

RUQ

Answer 1

Liver and gallbladder

Question 2

RLQ

Answer 2

Appendix

Question 3

LUQ

Answer 3

Stomach and spleen

Question 4

LLQ

Answer 4

Descending colon

Question 5

Pain in the hollow viscera

Answer 5

Crampy/paroxysmal
Often poorly localized
Related to peristalsis
Patient writhing on exam table

Question 6

Pain from peritoneal irritation

Answer 6

Steady pain
Often localized
Patient lies still with knees up

Question 7

Acute Appendicitis

Answer 7

Diffuse periumbilical pain and anorexia early
Pain localized to the RLQ as peritonitis develops
Low grade fever, nausea and vomiting may not be present

Question 8

Acute Cholecystitis (gallbladder)

Answer 8

Localized or diffuse RUQ pain
Radiation to right scapula
Vomiting and constipation
Low grade fever

Question 9

Acute Renal Colic (Kidney Stones)

Answer 9

Sever flank pain
Radiation to groin
Vomiting and urinary symptoms
Blood in urine

Question 10

Normal urine

Answer 10

1,200 to 1,500 per day
Color: urine should be straw colored
Clarity: clear to transparent
Odor: may be a faint aromatic odor