Abdominal exam Flashcards
Where is kidney, gallbladder, and liver pain felt?
Right hypochondrium (or L for L kidney)
Where is an acute MI pain felt?
epigastric
Where is spleen pain felt
L hypochondrium
What do you feel in Right/ left inguinal region?
Hernia
What is hematamesis
vomitting blood
What is hematakesia
bright red blood in stool
what is melena
black tarry stool
steatorrhea
fat in stool
Fat in stool is called
steatorrhea
gallbladder inflammation without gallstones is called
acalculus colilicystitis
Gallbladder inflammation without gallstones
Stones in bile tree are called
Choledocholithiasis
Squeezing chest pain is called
angina
Splenic infarct is felt where
Left upper quadrent or flank
Where does renal colic present pain?
Testicular/ inguinal region
What is a clogged vessel called
infarct
What is the exam sequence of the abdomen
-inspection
-ascultation
- percussion
-palpation
What is the proper position for an abdominal exam
supine, knees bent, draped with abdomen exposed
Associated organs in the RUQ
Liver, GB, Colon
Associated organs in the Epigastric
stomach, liver, colon, pancreas
Associated organs in the LUQ
Spleen, stomach, colon
Associated organs in the RLQ
Appendix, colon, cecum, ureter, ovary
Associated organs in the Hypogastric/suprapubic
bladder, uterus
Associated organs in the LLQ
Colon, ureter, ovary
A patient that doesn’t want to move can indicate
peritinitis (inflammation of peritinium), appendicitis
A patient who is writhing in pain may indicate
renal lithiasis( kidney–> bladder, but stuck at urital vesicular junction) - no comfortable position
If a patient has pain in their abdomen, when do you auscultate that quadrent?
Last
What is the low-pitched rumbling sound associated with hyperperistalsis
borborygmi
What causes hyperactive bowel sounds
cholitis (bowel inflammation) (Chron’s disease )
When you tap one flank sharply with the fingertips while feeling the opposite flank for an impulse, what are you feeling?
Feeling ascities, feeling fluid wave
What is the area that you feel pain in appendicitis?
McBurney’s point
When left sided deep palplation causes RLQ pain, what is this called?
Rovsing’s sign
When extension of the right hip causes RLQ pain what is this called
psoas sign- press psoas against appendix
When flexion and internal rotation of the right hip causes RLQ pain what is this called
obturator sign- press into appendix
When there is quick withrdawl on the LLQ and this causes RLQ pain, what is this called?
Referred rebound pain
What sign do you have to test for cholecystitis in the RUQ?
Murphy’s sign- Put fingers under liver edge, as pt to exhale, have pt inhale (cause severe pain and can’t inhale more)
What does costovertebral angle tenderness pain indicate
UTI/pyelonephritis
What is CVA tenderness indicative of
pyelonephritis
What causes cullen sign or grey turner sign
Ruptured AAA, hemmorhage internally, Hemmorhagic pancreatitis, ectopic pregnancy
Yellowed eyes are called
scleral icterus
Increased systemic estrogen can lead to what skin condition
spider angiomata
What is pruritis
itching
If you have sholder/clavical pain, what could this be referred from
acute colecystitis or angina
If percussion causes pain, what could this indicate?
Inflammation (peritonitis)
Describe pitting edema from 0 to 4
0: none
1:2mm, dissapears readily
2: 4mm, dissapears in 15 seconds or less
3: 6mm, lasts 60 seconds
4: 8mm, lasts 2-3 minutes
What shift occurs in urine during liver disease
urine gets much darker
