Abdominal Assessment

Question 1

Blood Transfusion could mean

Answer 1

liver issues

Question 2

What would a profession be that is immobile and low fiber diet leading to constipation?

Answer 2

Truck Driver

Question 3

DysphaGia

Answer 3

difficulty swallowing

Question 4

Abdominal assessment order

Answer 4

inspect–> auscultate–> percuss–> palpate

Question 5

Scaphoid

Answer 5

looks like stomach is protruding in

Question 6

How to test abdominal muscles

Answer 6

have patient move head off pillow to contract abs; can also be used to find a hernia

Question 7

Cullen’s Sign

Answer 7

Looking for blueish coloration of stomach to indicate abdominal bleeding, circle around belly button

Question 8

Six F’s of Distention

Answer 8

fat
fluid
flatus (gas)
feces
fetus
fibroid

Question 9

Aorta Bruit can indicate

Answer 9

aneurysm

Question 10

What side of stethoscope should you use to listen for venous hum

Answer 10

bell

Question 11

What does a venous hum suggest

Answer 11

cirrhosis or portal hypotension

Question 12

Borborygmi

Answer 12

growling of stomach

Question 13

Normal Liver span

Answer 13

6-12 cm should hear dullness

Question 14

Normal Spleen

Answer 14

should barley extend out of ribcage

Question 15

CVA Tenderness

Answer 15

pain when percussing kidneys on back; can mean UTI or kidney infection

Question 16

Hook Method

Answer 16

stand behind patient and “hook” under ribcage

Question 17

Should we be able to palpate liver?

Answer 17

No

Question 18

Shifting Dullness Test

Answer 18

determines if there is fluid in abdomen; Positive if you have 2 separate lines

Question 19

Fluid Wave Test

Answer 19

watch for “waving” of stomach

Question 20

Rebound Tenderness

Answer 20

Palpate deeply and let go, if it is painful, it is indicative of appendicitis

Question 21

Psoas Sign

Answer 21

have pt. raise right knee which contracts the muscle over appendices, if there is pain in RLQ it is indicating appendicitis

Question 22

Operator Sign

Answer 22

have pt flex hip and take hip and rotate in and out; positive test is pain in RLQ

Question 23

What Tests are used to test for appendicitis?

Answer 23

Psoas, Rebound tenderness and operator

Question 24

Murphys Sign

Answer 24

palpate liver margin while patient takes a deep breath; abnormal is pain on palpation; tests for cholecystitis

Question 25

Cholecystitis

Answer 25

inflammation of gallbladder

Question 26

Peptic Ulcer Disease

Answer 26

break in the lining of the stomach