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PCM FInal > Abdominal Exam > Flashcards

Abdominal Exam Flashcards

1
Q

Which type of peptic ulcer gets better with food? Worse?

A

Better: Duodenal
Worse: Gastric (stomach cancer as well)

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2
Q

What is a sister mary joseph nodule?

A

Palpable nodule bulging into umbilicus as a result of metastasis of a malignant cancer in pelvis or abdomen.

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3
Q

What is virchow’s node?

A

Sentinel, left supraclavicular node indicating cancer

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4
Q

What type of abdominal pain is better upon leaning forward?

A

Pancreatitis

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5
Q

Sequelae of chronic pancreatitis?

A
  1. Steatorrhea

2. Diabetes

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6
Q

Which abdominal pain radiates toward right should?

A
  1. Biliary colic form gallstones in cystic or common bile duct
  2. Acute cholecystitis
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7
Q

What does murphy’s sign indicate?

A

Acute cholecistitis

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8
Q

Where is pain from acute diverticulitis experienced?

A

LLQ from mass effect

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9
Q

What are the signs of appendicitis?

A
  1. Rovsing
  2. Psoas
  3. Obturator
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10
Q

What does pain in mcburney’s point indicated?

A

Apendicitis

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11
Q

Where is obstruction if fecal vomit? Bile/mucous?

A

Fecal: colon
Bile: SI

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12
Q

What is obstipation?

A

Inability to pass stool OR fart

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13
Q

What are “high pitched tinkling noises on auscultation” indicative of?

A

Acute obstruction

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14
Q

Where is pain from Crohn’s?

A

RLQ

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15
Q

What are Skip lesions?

A

Palpable inflammation of ileum seen in crohn’s

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16
Q

What is the following indicative of: “I just don’t feel like I can fully empty my bowels and the pain relieves upon defecation”

A

IBD

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17
Q

Main type of stomach cancer?

A

Adenocarcinoma

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18
Q

Where does a peptic ulcer radiate to?

A

The back

19
Q

What is acute cholecystitis?

A

Inflammation of gallbladder usually from obstruction of cystic duct by gallstone

20
Q

What pain is relieved by antacids?

A

GERD

Peptic ulcer

21
Q

What pain is worse on lying down or leaning forward?

A

GERD

22
Q

What pain is worse with booze, fatty meals and chocolate?

A

GERD

23
Q

Pain relieved by Ca blockers?

A

GERD

24
Q

What pain wakes you up at night?

A

Duodenal ulcer

25
Q

Epigastric pain NOT releived by food or tums?

A

Cancer

26
Q

What to suspect in acute RLQ pain that temporarily subsides?

A

Ruptured appendix

27
Q

Pain worse lying on back?

A

Acute pancreatitis

28
Q

What do steatorrhea and TIIDM indicate?

A

Chronic pancreatitis

29
Q

What makes hernias more apparent on exam?

A

Raising head and shoulders while laying on back

30
Q

What is diastasis recti?

A

Separation of 2 rectus abdominal muscles with abdominal contents forming midline ridge when head and shoulders raised from supine position

  • Pregnancy, obesity, and lung disease can cause
  • Not dangerous
31
Q

Prognosis of umbilical hernias in infants?

A

Spontaneously close in 1 - 2 years

32
Q

Is a small or large incisional hernia more dangerous?

A

Smaller: I am guess this is because it is more likely to wrap tightly around abdominal contents causing ischemia?

33
Q

Where does epigastric hernia occur?

A

Linea alba between umbilicus and xiphoid

34
Q

What is a pannus?

A

Apron of fatty tissue seen in obesity that can drape below the inguinal ligaments

35
Q

Appearance of stomach tumor on percussion?

A

Dull to percussion with displaced air filled bowel on periphery showing tympany

36
Q

Most common cause of abdominal mass?

A

Pregnancy

37
Q

How long must you listen to prove absent bowel sounds?

A

2 minutes

38
Q

What are high pitched tinkling bowel sounds indicative of?

A

Air in bowel

39
Q

What does hepatic bruit suggest?

A

Hepatic carcinoma or alcoholic hepatitis

40
Q

What would a venous hum indicated?

A

cirrhosis

41
Q

Does raising head alleviate deep or superficial abdominal pain?

A

Deep

42
Q

Presentation of acute salpingitis?

A
  1. Rebound tenderness
  2. Rigidity
  3. Uteran motion tenderness
  4. Maximal above inguinal ligmanets
43
Q

What is riedel’s lobe?

A

Elongated right lobe of liver often seen in tall people

- Not hepatomegaly as volume is normal, just change in shape

PCM FInal (14 decks)

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