Abdominal Flashcards
Pyrosis
Heart burn
Melena
black, tarry stool indicating lower
gastrointestinal bleeding or colon cancer
pyrosis
heartburn
melena
black, tarry stool indicating lower GI bleeding or colon cancer
nine-region
superficial bleeding under
the skin (ecchymosis) around the umbilicus and may indicate intra-abdominal bleeding
Cullen’s Sign
Fluid, fat, feces, flatulence,
fibroids, or a fetus refers to ____ of the abdomen (6 F’S)
distention
______ (also known as abdominal separation) is a condition where the right and left abdominal muscles (rectus abdominis muscles) separate along the midline of the body
Diastasis recti
a medical condition characterized by the abnormal accumulation of fluid in the abdominal cavity. This fluid buildup causes the abdomen to become swollen and distended
Ascites
Number of normoactive sounds
5-30
loud,
gurgling sounds made by
the movement of gas
through the intestines
Borborygmus
Percussing for Costovertebral
Tenderness:
Purpose
To assess tenderness or inflammation of the kidney
Percussing for Costovertebral
Tenderness:
Position
Sitting
Percussing for Costovertebral
Tenderness:
Where
Thump over the 12th rib
at the costovertebral angle on the back
Colon cancer screening
using fecal
occult blood testing, sigmoidoscopy, or
colonoscopy in adults, beginning at age
50 years and continuing until age 75
tapping of side of abdomen and feeling for “fluid
wave” on other side- positive for ___ if wave is felt
ascites
Rebound tenderness (______sign): choose site away from
painful area, push down slowly and deeply and release
quickly- pain occurs when releasing the pressure indicating
inflammation
Blumberg
Inspiration arrest (_____ sign): hold your fingers under the liver border and have patient take a deep breath – positive for cholecystitis (inflamed gallbladder) if painful
Murphy’s
Iliopsoas: patient supine, have them lift their right leg straight
up and press down on the upper thigh – if pain then positive
sign for ________
appendicitis
Pain elicited by either the psoas or the obturator maneuvers suggest irritaton of the respective muscles by an inflammatory process such as acute appendicitis, ruptured appendix, or ____
PID
A positive ____ sign is when there is tenderness in the RLQ when palpating the LLQ. This could mean appendicitis
Rovsing’s
Unexpected findings for ABD assessment
Rounded or protuberant abdomen, bulges or masses
Cool or hot, diaphoretic, open skin
Hypo- or hyperactive bowel sounds, absent bowel sounds,
borborygmus
Bruits in vascular sounds
Dullness or hyperresonance on percussion
Pain with superficial or deep palpation
Positive special tests
