GI/Abdomen - charts

Question 1

Pain in the RLQ during left-sided pressure indicates a + ___ sign.

Answer 1

Rovsing’s

Question 2

Pain elicited by placing your hand just above the pt’s Rt knee and ask pt to raise that thigh against your hand indicates a + ___ sign.

Answer 2

psoas

Question 3

Pain elicited when flexing the pt’s Rt thigh at the hip, w/the knee bent, and then rotate the leg internally at the hip indicates a + ___ sign.

Answer 3

obturator

Question 4

To test for ___ sign, hook fingers of your Rt hand under the costal margin at the point where the lateral border of the rectus muscles intersects wthe costal margin. Ask the pt to take a deep breath in. A sharp increase in tenderness upon inspirationwould indicate it to be +.

Answer 4

Murphy’s

Question 5

If you suspect but do not see an umbilical or incisional hernia, ask the pt to raise both ___ and ___ off the exam table.

Answer 5

shoulders, head

Question 6

Gastitis, GERD, peptic ulcer, esophageal or gastric varices, Mallory-Weiss tear in esophageal mucosa d/t retching/vomiting would all cause what type of stool? Occult blood tests are ___.

Answer 6

Melena (black tarry), +

Question 7

Ingestion of iron, bismuth salts, licorice, or even chocolate cookies may result in ___ stools, but the occult blood tests are ___.

Answer 7

melena, -

Question 8

Colon CA, hyperplasia, adenomatous polyps, diverticula of the colon, UC, Crohn’s, infectious diarrhea, ischemic colitis, hemorrhoids, and anal fissure’s can call cause what type of stool?

Answer 8

hematochezia (red/maroon bloody)

Question 9

The urethral sphincter is weakened in ___ ___. Increases in intra-abd pressure raise the bladder pressure to levels that exceed urethral resistance.

Answer 9

stress incontinence.

Question 10

Causes of ___ ___ include childbirth and sgy.

Answer 10

stress incontinence

Question 11

May have leakage of small amt of urine w/coughing, laughing, and sneezing w/___ ___.

Answer 11

stress incontinence

Question 12

In ___ ___, there is weakness of the pelvic floor w/inadequate muscular support of the bladder and proximal urethra and a change in the angle btwn the bladder and the urethra.

Answer 12

stress incontinence

Question 13

In ___ ___, detrusor contractions are stronger than normal and overcome the normal urethral resistance.

Answer 13

urge incontinence

Question 14

In ___ ___, there is decreased cortical inhibition of detrusor contractions from stroke, brain tumor, dementia, and lesions of the spinal cord above the sacral level.

Answer 14

urge incontinence

Question 15

In ___ ___, there is involuntary urine loss preceded by an urge to void.

Answer 15

urge incontinence

Question 16

In ___ ___, detrusor contractions are insufficient to overcome urethral resistance.

Answer 16

overflow incontinence

Question 17

In ___ ___, there is obstruction of the bladder outlet, as in BPH or tumor, weakness of the detrusor muscle, and impaired bladder sensation.

Answer 17

overflow incontinence

Question 18

In ___ ___, there is a continuous dripping or dribbling and decreased force of the urinary stream.

Answer 18

overflow incontinence

Question 19

___ ___ is a functional inability to get to the toilet in time because of impaired health or env. conditions.

Answer 19

Functional incontinence

Question 20

Problems in mobility resulting from weakness, arthritis, poor vision, or other conditions can l/t ___ ___

Answer 20

functional incontinence