Abdominal exam

Question 1

Where is kidney, gallbladder, and liver pain felt?

Answer 1

Right hypochondrium (or L for L kidney)

Question 2

Where is an acute MI pain felt?

Answer 2

epigastric

Question 3

Where is spleen pain felt

Answer 3

L hypochondrium

Question 4

What do you feel in Right/ left inguinal region?

Answer 4

Hernia

Question 5

What is hematamesis

Answer 5

vomitting blood

Question 6

What is hematakesia

Answer 6

bright red blood in stool

Question 7

what is melena

Answer 7

black tarry stool

Question 8

steatorrhea

Answer 8

fat in stool

Question 9

Fat in stool is called

Answer 9

steatorrhea

Question 10

gallbladder inflammation without gallstones is called

Answer 10

acalculus colilicystitis
Gallbladder inflammation without gallstones

Question 11

Stones in bile tree are called

Answer 11

Choledocholithiasis

Question 12

Squeezing chest pain is called

Answer 12

angina

Question 13

Splenic infarct is felt where

Answer 13

Left upper quadrent or flank

Question 14

Where does renal colic present pain?

Answer 14

Testicular/ inguinal region

Question 15

What is a clogged vessel called

Answer 15

infarct

Question 16

What is the exam sequence of the abdomen

Answer 16

-inspection
-ascultation
- percussion
-palpation

Question 17

What is the proper position for an abdominal exam

Answer 17

supine, knees bent, draped with abdomen exposed

Question 18

Associated organs in the RUQ

Answer 18

Liver, GB, Colon

Question 19

Associated organs in the Epigastric

Answer 19

stomach, liver, colon, pancreas

Question 20

Associated organs in the LUQ

Answer 20

Spleen, stomach, colon

Question 21

Associated organs in the RLQ

Answer 21

Appendix, colon, cecum, ureter, ovary

Question 22

Associated organs in the Hypogastric/suprapubic

Answer 22

bladder, uterus

Question 23

Associated organs in the LLQ

Answer 23

Colon, ureter, ovary

Question 24

A patient that doesn’t want to move can indicate

Answer 24

peritinitis (inflammation of peritinium), appendicitis

Question 25

A patient who is writhing in pain may indicate

Answer 25

renal lithiasis( kidney--> bladder, but stuck at urital vesicular junction) - no comfortable position

Question 26

If a patient has pain in their abdomen, when do you auscultate that quadrent?

Answer 26

Last

Question 27

What is the low-pitched rumbling sound associated with hyperperistalsis

Answer 27

borborygmi

Question 28

What causes hyperactive bowel sounds

Answer 28

cholitis (bowel inflammation) (Chron's disease )

Question 29

When you tap one flank sharply with the fingertips while feeling the opposite flank for an impulse, what are you feeling?

Answer 29

Feeling ascities, feeling fluid wave

Question 30

What is the area that you feel pain in appendicitis?

Answer 30

McBurney's point

Question 31

When left sided deep palplation causes RLQ pain, what is this called?

Answer 31

Rovsing's sign

Question 32

When extension of the right hip causes RLQ pain what is this called

Answer 32

psoas sign- press psoas against appendix

Question 33

When flexion and internal rotation of the right hip causes RLQ pain what is this called

Answer 33

obturator sign- press into appendix

Question 34

When there is quick withrdawl on the LLQ and this causes RLQ pain, what is this called?

Answer 34

Referred rebound pain

Question 35

What sign do you have to test for cholecystitis in the RUQ?

Answer 35

Murphy's sign- Put fingers under liver edge, as pt to exhale, have pt inhale (cause severe pain and can't inhale more)

Question 36

What does costovertebral angle tenderness pain indicate

Answer 36

UTI/pyelonephritis

Question 37

What is CVA tenderness indicative of

Answer 37

pyelonephritis

Question 38

What causes cullen sign or grey turner sign

Answer 38

Ruptured AAA, hemmorhage internally, Hemmorhagic pancreatitis, ectopic pregnancy

Question 39

Yellowed eyes are called

Answer 39

scleral icterus

Question 40

Increased systemic estrogen can lead to what skin condition

Answer 40

spider angiomata

Question 41

What is pruritis

Answer 41

itching

Question 42

If you have sholder/clavical pain, what could this be referred from

Answer 42

acute colecystitis or angina

Question 43

If percussion causes pain, what could this indicate?

Answer 43

Inflammation (peritonitis)

Question 44

Describe pitting edema from 0 to 4

Answer 44

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

Question 45

What shift occurs in urine during liver disease

Answer 45

urine gets much darker