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DIAGNOSIS 3 > Abdominal Exam > Flashcards

Abdominal Exam Flashcards

1
Q

Causes of abominar distention?

A

Ascites: CHF, Cirrhosis
Obesity
Pregnancy

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2
Q

Types of scars/lumps/bumps?

A

Hernia: inguinal, femoral, umbilical, epigastric
Lipoma: fat bump
Undescended testicle

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3
Q

Striae types/colors?

A

Pink/purple- Cushings
Silver-normal or marfans

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4
Q

Capital Medusae meaning?

A

Portal hypertension d/t cirrhosis or IVC obstruction

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5
Q

Spider naevi meaning?

A

More than 3= liver disease
Pregnancy

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6
Q

Types of Rashes and their meaning?

A

Target sign- lymes disease
Psoriasis
Erythema
Eczema
Herpes Zoster (shingles)

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7
Q

Visible peristalsis?

A

Skinny- low body fat
IBS/IBD

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8
Q

Pulsations?

A

AAA
Heaves- visible over heart and great vessels can indicate atrial regurgitation

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9
Q

Jaundice presents with?

A

Yellow skin,nails and sclera
General feeling of malaise
Dark color urine
Pruritis- itching

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10
Q

Increased bowel sounds?

A

IBD/IBS, diarrhea or gastroenteritis

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11
Q

Decreased bowel sounds?

A

Ileus d/t post abdominal surgery or slow digestive tract mobility

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12
Q

Bruits?

A

Turbulent blood flow over aorta, both iliac arteries and renal arteries d/t atherosclerosis

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13
Q

Friction rub over liver or spleen?

A

Abnormal mass present

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14
Q

Venous hum?

A

Portal venous hypertension secondary to liver disease

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15
Q

Causes of Hepatomegaly?

A

Cirrhosis
Neoplasm
Mononucleosis
Hepatitis A B C
Fatty liver disease

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16
Q

Causes of Splenomegaly?

A

CHF
tumor
Portal hypertension
Malaria
Cirrhosis

17
Q

Kidney enlargement?

A

Pyelonephritis
Hydro nephritis
Poly cystic kidney disease
Kidney stones- dehydration and excess exercise, obesity

18
Q

Light palpation findings?

A

Crepitus-gas filled subcutaneous tissue
Bumps- hernias, lipomas
McBurney’s point - appendicitis

19
Q

Deep palpitation findings?

A

Rigidity- peritonitis
Guarding- muscle contraction to protect inflamed area

20
Q

Special Abdominal tests?

A

Ascites: wave test, AP/Lat percussion
RIF: pain over McBurneys
Hernia assessment: patient coughs—> hernia bulges out

DIAGNOSIS 3 (8 decks)

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