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Cskills Mel > GI > Flashcards

GI Flashcards

1
Q

Order of GI examination

A

Inspection
Auscultation
Percussion
Palpation

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2
Q

Looking for during abdominal inspection

A 
skin characteristics
symmetry
surface motion
masses
hernias
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3
Q

Where do you listen for friction rubs?

A

liver or spleen

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4
Q

In Epigastric region

A

pylorus
duodenum
pancreas
portion of liver

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5
Q

umbilical region

A

omentum
mesentery
lower part of duodenum
jejunum & ileum

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6
Q

left lumbar region

A

descending colon
lower half of left kidney
portions of jejunum & ileum

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7
Q

left inguinal region

A

sigmoid colon
left ureter
left spermatic cord
left ovary

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8
Q

right inguinal region

A 
cecum
appendix
distal ileum
R ureter
R spermatic cord
R ovary
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9
Q

presence of scarring should alert to the possibility of

A

adhesions

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10
Q

limited abdominal movement associated with respiration in adult males

A

peritonitis

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11
Q

loud prolonged gurgles

A

boborygmi

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12
Q

tinkling bowel sounds

A

intestinal fluid & air under pressure = early obstruction

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13
Q

decreased bowel sounds

A

peritonitis

paralytic ileus

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14
Q

abdominal friction rub indicates

A

inflammation of the peritoneal surface of the organ from tumor, infection or infarct

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15
Q

What is assessed by percussion of the R and L costovertebral angles?

A

kidney tenderness

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16
Q

Light palpation in all 4 abdominal quadrants assesses

A

guarding (muscle resistance)
tenderness
masses

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17
Q

Deep palpation is to identify

A 
ID liver border
ID bulges/masses around umbilicus
uncover gallbladder enlargement
splenomegaly
enlargement or tenderness of kidneys
identify aortic pulsations
deep abdominal masses
18
Q

soft, low-pitched sound that is continuous and may be heard epigastric & around the umbilicus

A

venous hum

19
Q

midsternal liver span

A

4-8 cm

20
Q

midclavicular vertical liver span

A

6-12 cm

21
Q

dullness from L ribs 6-10

A

spleen

22
Q

inflamed gallbladder pain with examination that abruptly halts inspiration

A

Murphy sign

23
Q

pain or distress in the area of the patient’s heart or stomach on palpation of the McBurney’s point; associated with appendicitis

A

Aaron sign

24
Q

fixed dullness to percussion on the left flank & dullness on the right flank that disappears with change in position; associated with peritoneal irritation

A

Ballance sign

25
Q

rebound tenderness associated with peritoneal irritation or appendicitis

A

Blumberg sign

26
Q

ecchymosis around umbilicus associated with pancreatitis, hemoperitoneum, pregnancy

A

Cullen sign

27
Q

absence of bowel sounds in RLQ associated with intussusception

A

Dance sign

28
Q

Which kidney is more palpable?

A

right

29
Q

prominent lateral pulsation of the abdominal aorta

A

aortic aneurysm

30
Q

What can be felt easily in a patient with ascites?

A

fluid wave

31
Q

rebound tenderness over RLQ that suggests appendicitis

A

McBurney sign

32
Q

pain related to intercourse or menses

A

uterine fibroids

33
Q

burning abdominal pain

A

peptic ulcer

34
Q

colicky pain

A

appendicitis; renal stone

35
Q

Ecchymosis of flanks associated with pancreatitis

A

Grey Turner sign

36
Q

abdominal pain radiating to left shoulder associated with splenic rupture

A

Kehr sign

37
Q

RLQ pain intensified by LLQ palpation associated with appendicitis

A

Rovsing

38
Q

examine conjunctiva to evaluate

A

pallor = anemia

39
Q

examine the sclerae for

A

jaundice = hyperbilirubinemia

40
Q

perianal tags are common with

A

Crohn’s disease

Cobblestone mucosa on colonoscopy

41
Q

associated with sclerosing cholangitis and bloody, frequent watery diarrhea

A

UC

Cskills Mel (6 decks)

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