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PCM > Abdominal Exam OSCE notes > Flashcards

Abdominal Exam OSCE notes Flashcards

1
Q

Inspection: 4 general things

A

color, symmetry , surface motion (peristalsis), pulsations

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2
Q

inspection: color

A

jaundice, grey turner sign, cullen sign scares, dilated veins, rashes and lesion

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3
Q

Grey turner sign

A

flank ecchymosis, secondary to hemorrhage

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4
Q

Cullen sign

A

ecchymosis around the umbilicus (periumbilical) secondary to hemorrhage

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5
Q

Inspection: contour/symmetry

A

abdominal distention

hernias, masses

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6
Q

inspection: surface motion

A

peristalsis, pulsations

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7
Q

Auscultation of bowel sounds: normal/abnormal

A

5-35 clicks or gurgles per minute

abnormal: high pitched, decreased or absent

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8
Q

Auscultation of bowel sounds: vascular sounds

what side of the stethoscope do you use?

A

abdominal aorta, iliac, renal, and femoral arteries.

listen for bruits with bell of stethoscope

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9
Q

Percussion of the abdomen: what sounds?

A

tympanic and dullness

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10
Q

tympanic sounds

A

found in the majority of the abdomen, caused by air filled viscera

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11
Q

dullness sounds

A

flat without echoes, heard over solid organs. the liver and spleen, fluid in peritoneum or feces give a dull note

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12
Q

percussion of liver: expected liver span

A

6-12 cm at the mid clavicular line

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13
Q

percussion of the spleen: expected spleen span

A

6-10 cm at the mid axillary line on the left

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14
Q

Palpation: general considerations

A

warm hands, if needed, bend patients knees to relax the abdominal muscles
examine tender areas last
palpate all four quadrants

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15
Q

Palpation: light palpation

A

Light palpation

use tips of fingers to touch skin ~1 cm

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16
Q

Palpation: moderate palpation

A

use fingers or side of hand to lightly touch the skin, 2-3 cm depth in all four quadrants

17
Q

Deep palpation

A

this has all the signs associated with it

rebound tenderness
guarding
rigidity 
rovsings sign
mcburney's point
18
Q

osteopathic evaluation: sympathetic levels

esophagus

19
Q

osteopathic evaluation: sympathetic levels

stomach

20
Q

osteopathic evaluation: sympathetic levels

Liver

21
Q

osteopathic evaluation: sympathetic levels

Small intestines

22
Q

osteopathic evaluation: sympathetic levels

Colon

23
Q

osteopathic evaluation: sympathetic levels

pancreas

24
Q

osteopathic evaluation: sympathetic levels

Appendix

25
Q

osteopathic evaluation: parasympathetic levels

upper level

A

OA, AA vagus n

26
Q

osteopathic evaluation: parasympathetic levels

lower level

A

pelvic splanchnic n.

S2-S4

PCM (13 decks)

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