Abdominal Findings Flashcards
Abdominal bruit left of the midline epigastrium
Unilateral renal artery stenosis
Absent bowel sounds (paralytic ileus)
Generalized peritonitis
Acetone breath
Diabetic ketoacidosis
Argyll Robertson pupil
Tertiary syphilis
Ascites (fluid in the abdomen-shifting dullness)
Cirrhosis, nephrotic syndrome, cancer
Beef red smooth tongue
Vitamin B12 deficiency
Bilateral kidney enlargement
Polycystic disease of the kidneys
Bluish discoloration in flanks (Grey Turner sign)
Pancreatitis or ectopic pregnancy
Bluish discoloration in umbilicus (Cullen sign)
Pancreatitis or ectopic pregnancy
Blumberg’s sign (rebound tenderness)
Generalized peritonitis
Caput medusa (dilated veins radiating from navel)
Portal hypertension as in cirrhosis
Cessation of inspiration on RUQ pressure (murphy sign)
Cholecystitis
CVA tender on percussion (murphy’s punch)
Pyelonephritis
Dull percussion not in Traube’s space
Splenomegaly
Epigastric tenderness
PUD, gastritis, pancreatitis
Friction rub
Trauma, infection or cancer
Hepatojugular reflex (increase JVP with RUQ pressure)
CHF
Hyperactive bowel sounds with borborygmi
intestinal obstruction
Hyper-resonant percussion note
Intestinal obstruction
Irregular hard prostate
Prostate cancer
Kehr’s sign (left shoulder pain in the acute abdomen)
Ruptured ectopic pregnancy or spleen
Left iliac fossa tenderness
Diverticulitis, ulcerative colitis
Liver edge below right costal margin
Hepatomegaly
Magenta tongue
Riboflavin deficiency
McBurney’s sign (tenderness over McBurney’s point)
Appendicitis
Murphy’s punch (CVA tenderness or percussion)
Pyelonephritis
Murphy’s sign (RUQ pain on deep inspiration)
Cholecystitis
Non-tender hepatomegaly
Cirrhosis, hepatic metastases
Obturator internus test (RIF pain on hip internal rotation)
Appendicitis
Painful boggy prostate
Prostatitis
Painless testicular mass
Testicular cancer
Prehn’s sign
Epididymo-orchitis
Puddle sign
Ascites
Reducible gurgling mass in the inguinal region
Inguinal hernia
RIF pain with pressure in left quadrant
Rovsing’s sign
RIF pain with internal rotation of right hip
obturator sign
Right hypochondriac tenderness with jaundice
hepatitis
Right hypochondriac tenderness and positive murphy’s sign
cholecystitis
Right iliac fossa tenderness maximum at McBurney’s point
Appendicitis
Right iliac fossa tenderness with recurrent diarrhea
Crohn’s disease
Right iliac fossa tenderness, purulent vaginal discharge
Pelvic inflammatory disease
Rogoff’s sign
Adrenal inflammation
Rovsing’s sign (RLQ pain on pressure in the LLQ)
Appendicitis
Scaphoid abdomen
Severe malnutrition
Sharp pain on sudden removal of pressure
Blumberg’s sign
Shifting dullness
Ascites
Small liver on percussion
Cirrhosis or emphysema
Tender hepatomegaly
Hepatitis, congestive heart failure
Abdominal bruit in the midline of the epigastrum
Abdominal Aortic Aneurysm