PHD Term 4 Flashcards
Bruising on the flanks
Grey Turner Sign
Umbilical bruising
Cullen Sign
Cause of caput medusa
Distension, engorgement of the umbilical veins. Indicates portal HTN
Extreme generalized edema
Anasarca
Nodule near the umbilicus. Indicates metastasis
Sister Mary Joseph Nodule
olive shaped mass in the epigastric region (pediatric). Indicates pyloric stenosis
Epigastric olive
diastasis recti
separation of the rectus abdominal muscles
why have patient lift their head on abdominal exam inspection?
to assess for diastasis recti
increased bowel sounds
- hyperactive movement
- early intestinal obstruction
Decreased bowel sounds
- illeus
- peritonitis
Clapatage
splashing sound
Hepatic bruits suggest….
carcinoma of the liver
alcoholic hepatitis
Arterial bruits suggest…
partial occlusion of the aorta
Venous hums suggest..
increased collateral circulation between portal and systemic systems
Where do you hear venous hums typically?
epigastric region
umbilical region
what does a venous hum sound like?
continuous, soft humming noises
What do friction rubs sound like?
grating sounds with respiratory variation
Where would you hear friction rubs?
hepatic and splenic reginos
What is Cruveilheir-Baumgarten sign?
a murmur over the umbilicus often in the presence of caput medusa
What causes Cruveilheir-Baumgarten sign?
recanalization of the umbilical vein with reverse blood flow from the liver into the abdominal wall veins that causes a hum
What type of pain is well localized?
somatic pain
what type of pain is poorly localized?
visceral
What type of pain would cause TTP on deep palpation?
visceral
What type of pain would cause TTP on light palpation?
somatic
Visceral pain has two associations:
- hollow organs
2. autonomic changes
What type of pain do you think of with these words: superficial pinch, burn, stabbing, cutting, electrical, thermal
Somatic pain
Ileus
intestine stops moving, can cause obstruction
Volvulus
intestine turns over on itself
