HPI/PE Flashcards
Parietal Pain
Precisely located over the involved structure.
More severe pain steady, aching pain, , movement causes severe pain
ex. appendicities
Somatic Pain
Originates in deep tissue: skin, muscle, bones.
Dull or aching
Easy to locate
Visceral Pain
less severe pain
difficult to localize
solid organs become painful when their capsules are stretched, ie: pain from biliary tree and liver
Referred Pain
Pain/discomfort is felt in a location distant from the origin
superficially or deeply, well organized.
Cullens sign
superficial edema and bruising in fatty tissue around the umbilicus
Cullens sign is an example of what injury?
acute pancreatitis
Blunt abdominal trauma
Aortic rupture
Ectopic pregnancy
Grey Turner sign
Bruising in the upper quadrants or flank area
Grey Turner sign is an example of what injury?
Retroperitoneal hemorrhage
Liver, spleen, or kidney
Acute pancreatitis w/ hemorrhage
Blunt, abdominal trauma
Aortic Rupture
Ectopic hemorrhage
Describe how to test for appendicitis with psoas sign
place hand above the right knee, ask pt to raise thigh against your hand
Describe how to test for appendicitis with obturator sign
flex pts R hip with the knee flexed, then rotate leg internally
Describe how to test for appendicitis with McBurney’s Point
direct rebound tenderness located 1/3rd distance from the anterior superior iliac spine on a straight line to the umbilicus
Describe how to test for appendicitis with rovsing maneuver
apply pressure opposite location for pain (L lower abomin region opposite from appendix)
PE test used to determine acute cholecystitis
Murphy’s sign, have them exhale and you push into their gall bladder and will have pain radiating to the scapula.
Test used for ascites
shifting dullness and fluid wave
Fluid wave tells you what?
how much free fluid is in the abdomen
