Abdominal Findings Flashcards

1
Q

Abdominal bruit left of the midline epigastrium

A

Unilateral renal artery stenosis

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2
Q

Absent bowel sounds (paralytic ileus)

A

Generalized peritonitis

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3
Q

Acetone breath

A

Diabetic ketoacidosis

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4
Q

Argyll Robertson pupil

A

Tertiary syphilis

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5
Q

Ascites (fluid in the abdomen-shifting dullness)

A

Cirrhosis, nephrotic syndrome, cancer

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6
Q

Beef red smooth tongue

A

Vitamin B12 deficiency

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7
Q

Bilateral kidney enlargement

A

Polycystic disease of the kidneys

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8
Q

Bluish discoloration in flanks (Grey Turner sign)

A

Pancreatitis or ectopic pregnancy

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9
Q

Bluish discoloration in umbilicus (Cullen sign)

A

Pancreatitis or ectopic pregnancy

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10
Q

Blumberg’s sign (rebound tenderness)

A

Generalized peritonitis

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11
Q

Caput medusa (dilated veins radiating from navel)

A

Portal hypertension as in cirrhosis

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12
Q

Cessation of inspiration on RUQ pressure (murphy sign)

A

Cholecystitis

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13
Q

CVA tender on percussion (murphy’s punch)

A

Pyelonephritis

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14
Q

Dull percussion not in Traube’s space

A

Splenomegaly

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15
Q

Epigastric tenderness

A

PUD, gastritis, pancreatitis

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16
Q

Friction rub

A

Trauma, infection or cancer

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17
Q

Hepatojugular reflex (increase JVP with RUQ pressure)

A

CHF

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18
Q

Hyperactive bowel sounds with borborygmi

A

intestinal obstruction

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19
Q

Hyper-resonant percussion note

A

Intestinal obstruction

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20
Q

Irregular hard prostate

A

Prostate cancer

21
Q

Kehr’s sign (left shoulder pain in the acute abdomen)

A

Ruptured ectopic pregnancy or spleen

22
Q

Left iliac fossa tenderness

A

Diverticulitis, ulcerative colitis

23
Q

Liver edge below right costal margin

A

Hepatomegaly

24
Q

Magenta tongue

A

Riboflavin deficiency

25
Q

McBurney’s sign (tenderness over McBurney’s point)

A

Appendicitis

26
Q

Murphy’s punch (CVA tenderness or percussion)

A

Pyelonephritis

27
Q

Murphy’s sign (RUQ pain on deep inspiration)

A

Cholecystitis

28
Q

Non-tender hepatomegaly

A

Cirrhosis, hepatic metastases

29
Q

Obturator internus test (RIF pain on hip internal rotation)

A

Appendicitis

30
Q

Painful boggy prostate

A

Prostatitis

31
Q

Painless testicular mass

A

Testicular cancer

32
Q

Prehn’s sign

A

Epididymo-orchitis

33
Q

Puddle sign

A

Ascites

34
Q

Reducible gurgling mass in the inguinal region

A

Inguinal hernia

35
Q

RIF pain with pressure in left quadrant

A

Rovsing’s sign

36
Q

RIF pain with internal rotation of right hip

A

obturator sign

37
Q

Right hypochondriac tenderness with jaundice

A

hepatitis

38
Q

Right hypochondriac tenderness and positive murphy’s sign

A

cholecystitis

39
Q

Right iliac fossa tenderness maximum at McBurney’s point

A

Appendicitis

40
Q

Right iliac fossa tenderness with recurrent diarrhea

A

Crohn’s disease

41
Q

Right iliac fossa tenderness, purulent vaginal discharge

A

Pelvic inflammatory disease

42
Q

Rogoff’s sign

A

Adrenal inflammation

43
Q

Rovsing’s sign (RLQ pain on pressure in the LLQ)

A

Appendicitis

44
Q

Scaphoid abdomen

A

Severe malnutrition

45
Q

Sharp pain on sudden removal of pressure

A

Blumberg’s sign

46
Q

Shifting dullness

A

Ascites

47
Q

Small liver on percussion

A

Cirrhosis or emphysema

48
Q

Tender hepatomegaly

A

Hepatitis, congestive heart failure

49
Q

Abdominal bruit in the midline of the epigastrum

A

Abdominal Aortic Aneurysm