abdominal exam: parrott Flashcards
grey turner sign
ecchymosis of flanks
hemoperitoneum
pancreatistis
cullen’s sign
ecchymosis around umbilicus
hemoperitoneum, pancreatitis, ectopic pregnancy
normal bowel clicks/min
5-35
abnormal sound
high pitched, decreased/absent sounds
listen for vascular sounds with ___ of stethoscope
bell
tympany
predominate sound in abdomen
high pitched sound heard over air filled viscera
perussion of liver spot
right mid-clavicular line
normal span is 6-12 cm
percussion of spleen location
left mid ax line
normal span ribs 6-10
light palpation depth
1 cm
moderate palpation depth
2-3 cm
deep palpation depth
over 3 cm
rebound tenderness tests for
peritoneal inflammation
palpation of liver
cephalad hand press anterior on ribs 11 and 12
caudad hand below costal margin in right mid clavicular line
press posterior and cephalad
ROVSING’S SIGN
PAIN in RLQ during left sided pressure reffered rebound tenderness in appendicitis
murphys sign tests for
acute cholecystitis or cholelithiasis
courvoisier’s sign
enlarged non tender GB secondary to pancreatic disease or cancer
palpate kidney
cephalad hand push anterior just below 12th rib
normal width of abdominal aorta
2-3 cm
ilipsoas muscle test positive
irritation of psoas m from inflamed appendix
obturator m test
flex pts right thigh at hip with knee bent and interanlly rotate leg at hip
-right hypogastric pain is positive test
irritatino of obturator m from inflamed appendix
lloyd punch
positive is pyelonephritis or renal stone
heel stirke
pain upon stiriking could indicate appendicitis
esophagus
T2-T8
stomach
T5-T9
