palpation Flashcards
what does moderate Palpation help find
diagnose muscle and tissue issues like hernias
where tenderness Deep Palpation patient in normal patient
The cecum, sigmoid, aorta and xiphoid
symptoms of peritonitis
muscle rigidity, involuntary guarding with distention
what is rigidity a sign of
can be negative with infection present in posterior abdomen or pelvis
for example perforated gastric/duodenal ulcer
as peritonitis progresses what are the symptoms
muscle rigidity decreases to absent
what is rebound tenderness and when is it found
pain that increases when deep palpation ends
positive in right lower quadrant, Mcburney’s point, equals appendicitis
what is a positive iliiopsoas muscle test
Iliopsoas muscle irritation due to inflamed area or perforated appendix
what is Murphy’s sign
also called inspiratory arrest palpate right costal margin, then takes breath
stops mid breath due to pain
what does positive Murphy’s sign mean
Choleycystitis, hepatitis, or hepato- megaly
what is McBurney’s point
means appendicitis
Tender and rigid at umbilicus to right antero superior iliac spine
what is obturator sign
means ruptured appendix or pelvic infection
lie supine, right leg bent up at knee, pain in hypogastric area
how to Palpate for abdominal aortic aneurysm
bifurcates at umbilicus
Palpate at epigastric
if pulsations do NOT Palpate.
diameter greater than 3 cm then positive aneurysm
how do you Palpate the liver
one hand on the right anterior costal margin
patient should take a deep breath
liver will come down into hand
when to not Palpate spleen
increased chance of rupture so percuss to see if enlarged before
