Abdominal Exam Lecture Powerpoint

Question 1

Burning/cramping/aching/knife like abdominal pain possibly references what of each respectively?

Answer 1

peptic ulcer, biliary colic, appendicitis, pancreatitis

Question 2

Anatomic correlates of right upper quadrant pain (list as many as you can)

Answer 2

• liver
• gallbladder
• pylorus
• duodenum
• pancreas
• right kidney/adrenal
• ascending colon
• transverse colon

Question 3

Anatomic correlates of left upper quadrant pain (list as many as you can)

Answer 3

• left lobe of liver
• spleen
• stomach
• body of pancreas
• left adrenal gland
• left kidney
• transverse colon
• descending colon

Question 4

Anatomic correlates of right lower quadrant pain (list as many as you can)

Answer 4

• lower pole of right kidney
• cecum
• appendix
• ascending colon
• bladder
• ovary
• inguinal canal
• right ureter

Question 5

-cullen and grey turner sign

Answer 5

• Periumbilical bruising and discoloration due to intraperitoneal hemorrhage from any cause most common acute hemorrhagic panniculitis
• flank bruising and discoloration due to intraperitoneal hemorrhage most often from hemorrhagic pancreatitis

Question 6

Anatomic correlates of Left lower quadrant pain (list as many as you can)

Answer 6

• lower pole of left kidney
• descending colon
• sigmoid colon
• bladder
• ovary
• inguinal canal
• left ureter

Question 7

Any woman with abdominal pain should have what specific test ordered? (1)

Answer 7

HCG

Question 8

Obturator and psoas sign

Answer 8

• Internal rotation of a supine patient’s flexed right hip with knee bent to test for appendicitis if pain is elicited
• lifting right leg straight performing hip flexion on supine patient against resistance or extend patients right leg at hip while laying on left side to test for appendicitis

Question 9

Rovsing’s sign

Answer 9

Test for appendicitis with either pain in right lower quadrant from pressing deeply into the left lower quadrant or if RLQ pain occurs on quick withdrawal (rebound tenderness)

Question 10

Murphy’s sign

Answer 10

A test for acute cholecystitis if the patient is asked to inspire with a hand below the costal margin on the right side at mid clavicular line, positive if the patient stops breathing in and winces

Question 11

Rebound tenderness

Answer 11

A sign of peritoneal inflammation where upon pressing on the peritoneal cavity on physical exam of the abdomen letting go induces pain