GI/GU

Question 1

Looking for?

Answer 1

Rebound tenderness
Voluntary/involuntary guarding
Masses

Question 2

Masses

Answer 2

6 Fs
Fat
Fluid
Flatus
Faeces
Fetus
Fulminant- location, size, consistency, mobility, pulsatility

Question 3

Palpation signs

Answer 3

Murphys
Kehrs
Rovsings
McBurneys

Question 4

Murphys sign

Answer 4

P during inspiration with pressure to R abdominal
DDx- acute collitis

Question 5

Kehrs sign

Answer 5

L shoulder P
Pressure on L upper abdo
DDx- splenic P

Question 6

Revsings sign

Answer 6

P in R lower quadrant, pressure on L
DDx- appednicitis

Question 7

Mcburneys sign

Answer 7

Max P location for appendicitis
Lower right quadrant

Question 8

Normal bowel sounds

Answer 8

Gurgle, borboygmi 10-30s

Question 9

Tinkling bowel sounds

Answer 9

Associated with bowel obstruction

Question 10

Absent bowel sounds

Answer 10

Ileus- lack of movement in intestine= blockage

Question 11

Auscultation over aortic and renal arteries

Answer 11

Aortic bruits- auscultate 1-2cm superior to umbilicus
Renal bruits- 1-2cm superior to umbilicus and slightly lateral to mid line, bilaterally

Question 12

Palpation of aorta

Answer 12

Place both hands superior to umbilicus
Normal= hands move superiorly with pulses
Abnormal= hands move outwards with pulses

Question 13

Palpation of liver

Answer 13

R iliac fossa, edge of ASIS
Palpate superiroly to border og rib cage
Inhale= descends
5-10 ribs (R lobe)
L lobe spans from 5-7 ribs

Question 14

Spleen

Answer 14

Same as liver but on L
9-11 ribs

Question 15

Kidneys

Answer 15

Palpate under rib cage ant and post
Press as they breathe
TPs T12-L3
L is higher because of stomach
R is lower because of liver