Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

2b > Abdominal examination > Flashcards

Abdominal examination Flashcards

1
Q

GI symptoms

A 
Weight loss
Anorexia
Dysphagia
N and V
Altered bowel habit
PR bleeding
Haematemesis
Abdo pain
Abdo distension
Fatigue/ SOB
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

5 steps of GI exam

A 
Inspection
Palpation
Percussion
Auscultation
Special tests
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Special tests in GI examination

A

Transillumination

Shifting dullness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Observations from the end of the bed

A

Pain
Tachypnoea
Jaundice/cyanosed
Body habitus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hand signs

A 
Koilonychia
Leukonychia
Nail clubbing
Palmar erythema
Dupuytrens contracture
Liver flap
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What can cause palmer erythema and leukonychia

A

Liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Eye signs

A

Jaundice
Anaemia
Xanthelasma
Kayser fleischer rings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who pulls the eye lid down

A

Ask the patient to

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Mouth signs

A

Angular cheilitis
Glossitis
Mouth ulcers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Chest signs

A

Spider naevi
Gynaecomastia
Supraclavicular lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do you test for spider naevi

A

Press on the centre and it will blanch from outside in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Things to look for when the patient is lying flat

A 
Scars, massess, pulsations
Stomas
Drains
Catheters
Caput medusae
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

5 causes of abdominal distension

A 
Fat
Fluid
Faeces
Flatus
Foetus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

4 things of stomas

A

Site
Type of bowel
Content
Type of bag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cullens sign and grey turners sign

A

Appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Periumbilical bruising

A

Cullens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Retrosternal flank bruising

A

Grey turners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What should you do before palpating

A

Ask where the patient is most sore, and start far away

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How do you palpate

A

Hand flat over each area and flex at the MCP. Look at the patients face

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Where do you palpate

A

9 areas, deep then soft, liver, spleen, kidneys, AA, bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Liver

A

Deep breaths, 1cm below costal margin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How do you measure enlarged liver

A

How many finger breaths below the costal margin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is murphys sign

A

RUQ tender. Breath in and pain under costal margin. Cholecystitis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Spleen

A

Start at RIF, if you feel then it is enlarged

25
Q

Kidneys

A

One on top, one underneath and push up with the lower hand. Enlarged if can feel or theyre thin

26
Q

Big spleen signs

A 
Cant get above
Can cross midline
Splenic notch
Moves down on inspiration
Cannot ballot the spleen
27
Q

Big kidney signs

A

Can get above
Doesnt cross midline
Doesnt move on inspiration
Ballotable

28
Q

Bladder

A

Palpable when >300ml. Can

29
Q

Rosvigs sign

A

Palpation in the LIF results in pain in the RIF. Can indicate appendicits

30
Q

Where do you percuss

A

Liver, spleen bladder

31
Q

Liver percussion

A

6th rib downwards then umbilicus up. Until resonant goes to dull

32
Q

Spleen percussion

A

Left anterior axillary line, lowest intercostal space. If changes from resonant to dull on inspiration then splenomegaly

33
Q

Bladder percussion

A

From umbilicus to pubic symphis. Wait from resonant to dull

34
Q

Shifting dullness

A

Wait for resonance change then get them to move over. If dullness has moved then indicates fluid

35
Q

Auscultation

A

Bowel sounds and describe them. Abdominal and femoral bruits.

36
Q

To complete the examination

ISHRUG

A 
Inguinal lymph nodes
Stools
Hernial orrifices
Rectal examination
Urinalysis
Genitalia
37
Q

Technique of DRE

A

Left lateral or nee elbow position. Gloved, well lubricated finger

38
Q

Assess on DRE

A

Perineal skin, anal tone, rectal contents, prostate, cervix

39
Q

4 questions for scrotal swellings

A

get above?
normal testes?
tender?
transilluminate?

40
Q

What is it if you cant get above

A

Tumour
Tense hydrocele
Orchitis
Hernia

41
Q

What if you can get above

A

True scrotal swelling

42
Q

If it is a true scrotal

A

Can you transilluminate

43
Q

Cant feel above but does transilluminate

A

Hydrocele

44
Q

Cant get above and cant transilluminate

A

Spermatocele
Epididymitis
Epididymal tumour
TB

45
Q

Cant get above and cant transilluminate

A

Spermatocele
Epididymitis
Epididymal tumour
TB

46
Q

Right upper name

A

Right hypochondrium

47
Q

Right middle name

A

Right lumbar

48
Q

Right lower name

A

Right iliac fossa

49
Q

Middle upper name

A

Epigastrium

50
Q

Middle middle name

A

Umbilical

51
Q

Middle lower name

A

Hypogastric, suprapubic

52
Q

Left upper name

A

Left hyperchondrium

53
Q

Left middle name

A

Left lumbar/flank

54
Q

Left lower name

A

Left iliac fossa

55
Q

What is an enlarged left supraclavicular lymph node

A

Virchows node, troisiers sign. Met from GI cancer

56
Q

What is cassels method

A 
Breathe in
Hold breathe
Tap
Breathe out
Hold breathe 
Tap
57
Q

What are you auscultating on abdo exam

A

Renal
Aortic
Femoral

58
Q

Abdominal conclusion

A

Abdomen was soft and non tender with no palpable masses. Aorta pulsatile and not expansile. No bruits. No organomegaly on palpation and percussion

2b (28 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions