Abdominal exam refresher Flashcards
1
Q
Grey Turner Sign
A
-Flank echymosis secondary to hemorrhage
2
Q
Cullen sign
A
-ecchymosis around the umbilicus secondary to hemorrhage
3
Q
Steps in abdominal exam
A
- IAPP
- auscultate before touch
- It’s usually IPPA
4
Q
Normal gurgle clicks per minute?
A
-5-34
5
Q
Rosving’s sign
A
- pain in RLQ during left-sided pressure
- referred rebound tenderness seen in appendicitis
6
Q
McBurney’s point
A
- rebound tenderness or pain 1/3 of the distance from the ASIS to the umbilicus
- may suggest appendicitis/peritoneal irritation
7
Q
Murphy sign
A
- palpate deeply under right costal margin during inspiration
- observe for pain or sudden stop in inspiratory effort
- tests for acute cholecystitis or cholelithiasis
8
Q
Courvoisier’s sign
A
-enlarged non-tender gallbladder secondary to pancreatic disease or cancer
9
Q
Symp for esoph
A
-T2-8
10
Q
Symp for stomach
A
-T5-9
11
Q
Symp for liver
A
-T6-9
12
Q
Symp for gallbladder
A
-T6-9
13
Q
Symp for small intestine
A
-T9-11
14
Q
Symp for colon
A
-T10-L2
15
Q
Symp for pancreas
A
-T5-11
16
Q
Symp for appendix
A
-T12
17
Q
Parasymp down to transverse colon?
A
-OA, AA (vagus)
18
Q
Parasymp for the lower portion
A
-S2-4 (pelvic splanchnic n.)
19
Q
Iliopsoas muscle test
A
- have pt flex their hip against your resistance
- increased ab pain is +
- suggests irritation of the psoas muscle from inflammation of the appendix
20
Q
Obturator muscle test
A
- flex pt right thigh at the hip, with the knee bent
- rotate the leg internally at the hip
- right hypogastric pain is +
- suggests irritation of the obturator muscle from an inflamed appendix
21
Q
Lloyd punch
A
- gently tapping the area of the back overlying the kidney produces pain
- suggests an infection around the kidney, pyelonephritis, or renal stone
22
Q
Heel strike
A
- pt supine
- doc strikes pt’s heel
- pain upon striking could indicate appendicitis or possible peritonitis
