abdominal exam: parrott Flashcards

1
Q

grey turner sign

A

ecchymosis of flanks
hemoperitoneum
pancreatistis

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2
Q

cullen’s sign

A

ecchymosis around umbilicus

hemoperitoneum, pancreatitis, ectopic pregnancy

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3
Q

normal bowel clicks/min

A

5-35

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4
Q

abnormal sound

A

high pitched, decreased/absent sounds

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5
Q

listen for vascular sounds with ___ of stethoscope

A

bell

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6
Q

tympany

A

predominate sound in abdomen

high pitched sound heard over air filled viscera

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7
Q

perussion of liver spot

A

right mid-clavicular line

normal span is 6-12 cm

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8
Q

percussion of spleen location

A

left mid ax line

normal span ribs 6-10

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9
Q

light palpation depth

A

1 cm

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10
Q

moderate palpation depth

A

2-3 cm

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11
Q

deep palpation depth

A

over 3 cm

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12
Q

rebound tenderness tests for

A

peritoneal inflammation

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13
Q

palpation of liver

A

cephalad hand press anterior on ribs 11 and 12
caudad hand below costal margin in right mid clavicular line
press posterior and cephalad

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14
Q

ROVSING’S SIGN

A

PAIN in RLQ during left sided pressure reffered rebound tenderness in appendicitis

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15
Q

murphys sign tests for

A

acute cholecystitis or cholelithiasis

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16
Q

courvoisier’s sign

A

enlarged non tender GB secondary to pancreatic disease or cancer

17
Q

palpate kidney

A

cephalad hand push anterior just below 12th rib

18
Q

normal width of abdominal aorta

A

2-3 cm

19
Q

ilipsoas muscle test positive

A

irritation of psoas m from inflamed appendix

20
Q

obturator m test

A

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

21
Q

lloyd punch

A

positive is pyelonephritis or renal stone

22
Q

heel stirke

A

pain upon stiriking could indicate appendicitis

23
Q

esophagus

A

T2-T8

24
Q

stomach

A

T5-T9

25
Q

liver/GB

A

T6-T9

26
Q

pancreas

A

T5-T11

27
Q

SI

A

T9-T11

28
Q

colon

A

T10-L2

29
Q

appendix

A

T12