Differential stuff Flashcards

1
Q

McBurney’s point

A

1/2 between umbilicus and ASIS with pt in full supine position
**Appendicitis

  • different from palpating the iliopsoas (90/90 position. Palpate 1/3 between ASIS and umbilicus)
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2
Q

Pinch and Inch

A
  • Appendicitis
  • performed at the McBurney’s point
  • grasp skin at McBurney’s point and elevate and then release
  • positive is increased pain when released
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3
Q

Blumberg’s Test

A
  • Appendicits
  • aka rebound test performed at McBurney’s point.
  • press fingers into the point and hold for 15-30 sec and then quickly remove hand.
  • positive is pain with removal of hand.
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4
Q

Spleen location

A

LUQ

Enlarges and prone to rupture after trauma to this area or mononucleosis

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5
Q

Where does the stomach refer pain?

A

R shoulder
Upper trapzius
Back T6-10

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6
Q

Where does the appendix refer pain?

A

RLQ
Flank
Thigh
Groin
Testicle

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7
Q

Where does kidney pain refer?

A

dull/achey
ipsilateral groin
ipsilateral shoulder
across lower back
flank into the lower abdominal region

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