Disorders

Question 1

In what disorder might the patient experience RUQ symptoms?

Answer 1

Cholecystitis

Question 2

1. In what disorder does the patient exhibit Murphy’s sign?
2. What is Murphy’s sign?
3. Where on the abdomen, in this disorder, have tenderness upon palpation?

Answer 2

1. Cholecystitis
2. Deep pain on inspiration when fingers are placed under the right rib cage
3. RUQ

Question 3

What is Grey Turner’s Sign? In what disorder is it common?

Answer 3

Flank discoloration; acute pancreatitis

Question 4

1. What is Cullen’s Sign?

2. In what disorder may you find it?

Answer 4

1. Umbilical discoloration

2. Acute pancreatitis

Question 5

In acute pancreatitis, where does the pain occur?
What worsens the pain?
What alleviates the pain?

Answer 5

Epigastric area
Walking, lying supine
Sitting and leaning forward

Question 6

Describe the pain that a patient experiences with a bowel obstruction.

Answer 6

First, periumbilical cramping pain; later, constant and diffuse

Question 7

In what GI disorder is the abdominal pain described as cramping, colicky pain, maybe after eating?

Answer 7

Mesenteric Infarct

Question 8

1. What 3 signs accompany Appendicitis? Define them.

2. Where is the pain?

Answer 8

1. Psoas sign - Pain with right thigh extension
   Obturator sign - Pain with internal rotation of flexed right thigh
   Positive Rovsing’s sign: RLQ pain when pressure applied to LLQ
2. First, vague colicky umbilical pain; after several hours, pain in RLQ

Question 9

In what disorder might the patient experience moderate aching abdominal pain in the LLQ?

Answer 9

Diverticulitis