Chapter 20—Abdominal Assessment Flashcards
diastasis recti
cullen sign
test for rebound tenderness
abdomen auscultation sequence
start RLQ
clockwise
abdomen palpation/percussion sequence
start RUQ
clockwise
normal bowel sounds range
5-30/min
signs for appendicitis
Psoas
Rovsing
Obturator
raise right leg - if there is pain in right iliac fossa, it is positive
Psoas sign
pain with slow internal movement of hip, with knee flexed
Obturator sign
right lower abd pain upon palpation of left lower abd
Rovsing sign
flex leg to 90 degrees & rotate internally - if pain is felt & a “click” or “thud” is heard, it is positive for a torn lateral meniscus
McMurray sign
bruising around umbilicus - indicates internal hemorrhage, often pancreatitis
cullen sign
“sunken” while pt is lying flat
Scaphoid
large rounded abdomen while pt is lying flat
protuberant
able to hear bowel sounds w/o stethoscope
borborygmi
