Abdominal Flashcards
Acute cholecystitis (Referred Pain)
Right shoulder
Reflux (Referred Pain)
Midsternal line
Cholecystitis (Referred Pain)
Right breast
Angina (Referred Pain)
Epigastric region
Pleuritic Pain (Referred Pain)
RUQ
Splenic infarct (Referred Pain)
LUQ
Appendicitis (Referred Pain)
periumbilical pain that transitions to RLQ
Diverticulitis (Referred Pain)
LLQ and down left leg
Renal colic (Referred Pain)
Testicles
Acute Pancreatitis (Referred Pain)
Radiation to back
Cullen Sign
Bruising around umbilicus indicative of intraperitoneal hemorrhage, pancreatitis, or ectopic pregnancy
Grey Turner Sign
Eccymosis of flanks indicative of hemoperitoneum or panreatitis
Shifting dullness
Test for ascities. Pt supine percuss border of tympanic vs. dullness. Pt rolls to side, and repeat.
Murphy sign
On deep palpation, have pt inspire. Inflamed gallbladder will cause pt pain.
Fluid wave
Test for ascitiies. Pt places hand midline. Tap belly looking for transmission of wave.
Rovsing sign
Intensified by opposite palpation. Ex: Palpation in RLQ intensifies pain in LLQ. Indicative of appendicitis.
McBurney point
Half way between naval and iliac crest. Point of appendix.
Obturator sign.
Bring pt leg to 90 degrees, bring ankle to opposite knee. Indicative of appendicitis with pain.
Psoas test
Have pt bring leg up against examiners hand. Indicative of appendicitis with pain.
Borborygmi
Rumbling, gurgling, tinkling noises heard on auscultation due to hyperactive intestinal peristalsis.
Singultus
Hiccup
Eructation
Belch
High pitched tinkles
Suggests fluid and air under pressure
Borborygmi
Long, prolonged gurgle.
