Lab Handout-Abdominal Exam Flashcards
correct order for abdominal exam?
Inspect–> auscultate –> percuss –> palpate
__=flank ecchymosis secondary to hemorrhage
grey turner sign
__=ecchymosis around umbilicus (periumbilical) secondary to hemorrhage
cullen sign
normal amount of clicks heard when auscultating bowel sounds? abnormal?
normal=5-34
abnormal=high pitched, decreased/absent
part of stethoscope to listen for bruits?
bell
where/when would you hear dullness to percussion?
solid organs=liver and spleen
fluid in peritoneum or feces give dull note
expected liver span?
6-12 cm at midclavicular line
expected spleen span?
from ribs 6-10 at mid-axillary line on left
__=pain upon removal of pressure, rather than the application of pressure to abdomen. tests for peritoneal inflammtion
rebound tenderness
__=pain in RLQ during left-sided pressure
Rovsings sign
referred rebound tenderness seen in appendicitis
__=rebound tenderness or pain 1/3 from ASIS to umbilicus
McBurneys
may suggest appendicitis/peritoneal inflamm
positive murphy sign may indicate __
acute cholecystitis or cholelithiasis
positive Courvoisier’s sign may indicate __
enlarged non-tender GB secondary to pancreatic disease or CA
Sympathetic levels:
Esophagus=__
Stomach=__
Liver=__
esophagus=T2-8
stomach=T5-9
Liver=T6-9
Sympathetic levels: GB=\_\_ SI=\_\_ Colon=\_\_ Pancreas=\_\_ Appendix=\_\_
GB=T6-9 SI=T9-11 Colon=T10-L2 Pancreas=T5-11 Appendix=T12
Parasympathetic levels:
Upper portion, esophagus thru transverse colon=__
Lower portion, desc colon, sigmoid, rectum=__
Upper=OA, AA (Vagus n)
Lower=S2-4 (pelvic splanchnic n.)
You flex a pts hip against your resistance and they report abdominal pain. What does it suggest?
irritation of psoas muscle from inflam of appendix
Iliopsoas muscle test
You flex the pts right thigh at the hip with the knee bent and rotate the leg internally at the hip. They report pain in the right hypogastric region. Suggests?
irritation from obturator muscle from inflammed appendix
Obturator muscle test
