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
how to percuss for liver
normal size
look for tympany to dullness as you percuss upward
normal is 6-12 cm
how to percuss for ascites
assess for thrill wave by placing hands on either side of abd
light palpation
pain indicates…
1-2 cm - pain indicates peritonitis
deep palpation
detects…
4-6 cm - detect abnormal masses or swellings
which quadrant has…
- Stomach
- Part of liver
- Part of transverse colon
- Part of descending colon
LUQ
which quadrant has…
- Liver
- Gallbladder
- Part of descending colon
- Part of stomach
RUQ
which quadrant has…
- Ascending colon
- Sm intestine
- Cecum
- Appendix
- Part of bladder
RLQ
which quadrant has…
- Descending colon
- Sigmoid colon
- Sm intestine
- Part of bladder
LLQ
