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Advanced Assessment > Abdominal > Flashcards

Abdominal Flashcards

1
Q

Hypokalemia

A

Think of intestinal pseudo-obstruction

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2
Q

Drugs r/t malabsorption

A

Anticholinergics, Xenecal

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3
Q

Where to percuss for Spleen

A

Traube’s space

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4
Q

Sign of abdominal malignancy

A

Sister Mary Joseph’s nodule

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5
Q

7 Fs for distention

A

Fat, Feces, Fluid, Flatus, Fibroids, Fetus, Fatal tumor

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6
Q

Grey Turner’s sign

A

Ecchymosis to the flanks

R/t hemorrhagic pancreatitis or strangulated bowel

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7
Q

Cullen’s sign

A

Bluish discoloration of umbilicus 2/to hemoperitoneum

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8
Q 
Pain is initially periumbilical or epigastric; colicky; later localized to RLQ often at McBurney's point
\+Aaron
\+Rovsing
\+Markle
\+McBurney
A

Appendicitis

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9
Q

Pain is sudden or gradual; generalized or localized, dull or sever and unrelenting; guarding; pain on deep inspiration
+Blumberg
+Markle
+Ballance signs

A

Peritonitis

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10
Q

Pain is severe, unrelenting RUQ or epigastric pain; may be referred to right sub-scapular area
+Murphy sign

A

Cholecystitis

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11
Q

Pain is dramatic, sudden, excruciating LUQ, ,epigastric or umbilical; may be present in one or both flanks; may be referred to left shoulder and penetrate to back
+Grey Turner
+Cullen sign

A

Pancreatitis

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12
Q

Pain to lower quadrant, worse on left

C/o N/V, fever, suprapubic tenderness on palpation

A

Salpingitis

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13
Q

Pain to lower quadrant, increases with activity

C/o tender adnexa and cervix, cervical discharge

A

Pelvic inflammatory disorder

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14
Q

Pain to epigastric region, radiating down left side of abdomen especially after eating; may be referred to back
C/o flatulence, borborygmus, diarrhea, dysuria, tenderness on palpation

A

Diverticultis

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15
Q

Abrupt RUQ pain, referred to shoulders
Abdominal free air and distention
Tenderness to epigastrium or RUQ
Rigid abdominal wall

A

Perforated gastric or duodenal ulcer

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16
Q

Pain is abrupt, severe, colicky, spasmodic; referred to epigastrium and umbilicus
Distention, minimal rebound tenderness, vomiting

A

Intestinal obstruction

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17
Q

Pain referred to hypogastrium and umbilicus

C/o distention, vomiting, guarding

A

Volvulus

18
Q

Pain is steady, throbbing midline over aneurysm; may penetrate to back, flank
N/V, abdominal mass, bruit

A

Leaking abdominal aneurysm

19
Q

Episodic pain, severe, RUQ or epigastrium lasting 15 minutes to several hours
Anorexia, vomiting, jaundice

A

Biliary stones, colic

20
Q

Intense pain to flank; extending to groin and genitals; may be episodic
Fever, hematuria
+Kehr sign

A

Renal calculi

21
Q

Pain to lower quadrant, referred shoulder pain
Spotting, irregular menses, mass on bimanual pelvic examination
+Kehr
+Cullen

A

Ectopic pregnancy

22
Q

Pain to lower quadrant, steady, increases with cough or motion
Vomiting, low fever, anorexia, tenderness on pelvic exam

A

Ruptured ovarian cyst

23
Q

Intense pain to LUQ, radiating to left shoulder
May worsen with foot of bed elevated
Shock, pallor, lower temperature

A

Splenic rupture

24
Q

Burning pain

A

Peptic ulcer

25
Q

Cramping pain

A

Biliary colic, gastroenteritis

26
Q

Colicky

A

Appendicitis with impacted feces; renal stone

27
Q

Aching

A

Appendiceal irritation

28
Q

Knifelike

A

Pancreatitis

29
Q

Ripping tearing

A

Aortic dissection

30
Q

Gradual pain

A

Infection

31
Q

Sudden pain

A

Duodenal ulcer, acute pancreatitis, obstruction, perforation

32
Q

Aaron sign

A

Pain or distress in heart or stomach on palpation of McBurney’s point
Appendictis

33
Q

Ballance sign

A

Fixed dullness to percussion in left flank and dullness in right flank on change of position
Peritoneal irritation

34
Q

Blumberg sign

A

Rebound tenderness

Peritoneal irritation; appendicitis

35
Q

Cullen sign

A

Ecchymosis around umbilicus

Hemoperitoneum; pancreatitis; ectopic pregnancy

36
Q

Dance sign

A

Absence of bowel sounds in RLQ

Intussusception

37
Q

Grey Turner sign

A

Ecchymosis of flanks

Hemoperitoneum; pancreatitis

38
Q

Kehr sign

A

Abdominal pain radiating to left shoulder

Spleen rupture; renal calculi; ectopic pregnancy

39
Q

Markle sign

A

Heel jar

Peritoneal irritation; appendicitis

40
Q

McBurney sign

A

Rebound tenderness, sharp pain to point when palpated

Appendicitis

41
Q

Romberg-Howship

A

Pain down medial aspect of thigh to knees

Strangulated obturator hernia

42
Q

Rovsing

A

RLQ pain intensified by LLQ abdominal palpation

Peritoneal irritation; appendicite

Advanced Assessment (14 decks)

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