Abdominal Exam Flashcards
1
Q
grey turners sign
A
retroperitoneal bleeding
hemorrhagic pancreatitis
2
Q
caput medusa
A
alcoholic cirrhosis
3
Q
bowel sounds
A
normoactive - medium to low frequency - 5-35x a min
hyperactive - > 40x a min or continuous
hypoactive - < 5x a min over 3 min
absent - adynamic ileus - no bowel sounds over 3 min
4
Q
liver percussion
A
MCL
dullness begins 5-7 ribs to costal border
5
Q
spleen percussion
A
MAL 6-10 ribs
6
Q
what causes splenomegaly
A
hemolytic anemia mono leukemia hodgkins portal hypertension cirrhosis
7
Q
splenomegaly symptoms
A
asymptomatic pain or fullness in LUQ left shoulder feeling full after small meals anemia fatigue infection
8
Q
abdominal aorta
A
> 3cm - no further testing needed
3-4 - every 12 months
4-4.5 - every 6 months
> 4.5 - consult
9
Q
rebound tenderness
A
blumbergs sign - same side appendix
rovsings - opposite side of appendix
10
Q
murphys sign
murphys punch
A
gall bladder
kidney
