Abdominal Exam

Question 1

What is Grey Turner Sign?

Answer 1

Flank ecchymosis secondary to hemorrhage

Question 2

What is Cullen Sign?

Answer 2

Umbilical ecchymosis sceondary to hemorrhage

Question 3

What is the normal amount of bowel sounds?

Answer 3

5-34 clicks per minute

Question 4

What is the expected liver span?

Answer 4

6-12 cm

Question 5

What is the expected spleen span?

Answer 5

Ribs 6-10 mid-axillary line, left

Question 6

What is the classification of light palpation?

Answer 6

1 cm depth

Question 7

What is the classification of moderate palpation?

Answer 7

2-3 cm depth

Question 8

What is the classification of Deep Palpation?

Answer 8

> 3cm depth

Question 9

What is Murphy’s Sign?

Answer 9

Palpate under the right costal margin; and observe for pain/sudden stop in inspiratory effort

Question 10

What is Courvoisier’s Sign?

Answer 10

It is an enlarged non tender gallbladder secondary to pancreatic disease or cancer

Question 11

What is an unexpected finding regarding the Abdominal Aorta pulsation?

Answer 11

Lateral protrusion; more than 3.0 cm in width

Question 12

What classifies decreased bowel sounds?

Answer 12

None for one minute; could be d/t post-surgical ileus and peritonitis

Question 13

What classifies absent bowel sounds?

Answer 13

None for > 2 minutes

Question 14

Increased bowel sounds could be due to?

Answer 14

Diarrhea, early bowel obstruction

Question 15

What do high pitched bowel sounds indicate?

Answer 15

Early intestinal obstruction

Question 16

Where does one listen for a venous hum and what does it indicate?

Answer 16

Listen over the epigastric regions and umbilical regions; indicates increased collateral circulation between the portal and systemic venous systems

Question 17

What does a protuberant abdomen that is tympanic thoughout indicate?

Answer 17

Possible intestinal obstruction

Question 18

What does RUQ visceral pain indicate?

Answer 18

Liver distension against the capsule; with alcholic hepatitis

Question 19

What does Periumbilical Visceral Pain indicate?

Answer 19

Acute appendicitis (early)

Question 20

What does a Irregular edge/nodules when palpating the liver indicate?

Answer 20

Hepatocellular Carcinoma

Question 21

What does firmness/hardness when palpating the liver indicate?

Answer 21

Cirrhosis, amyloidosis, lymphoma

Question 22

What physical exam finding would indicate Splenomegaly?

Answer 22

Dullness at the left mid axillary line