Quiz #3 Abdominal Distention

Question 1

Uniformly rounded
Umbilicus sunken
Normal bowel sounds
Normal palpation

Answer 1

Obesity

Question 2

Single round curve.
Auscultation: decreased or absent sounds with ileus, hyperactive with early intestinal obstruction.
Tympany over large area
Muscle spasm may be present

Answer 2

Air or gas

Question 3

Single curve. Everted umbilicus. Bulging flanks when supine. Taut, glistening skin. Recent weight gain and increase in abdominal girth
Normal bowel sounds over intestines, diminished over fluid.
Tympany at the top, dull over fluid.
Fluid wave and shifting dullness.
Taut skin and increased intra-abdominal pressure limit palpation

Answer 3

Ascites

Question 4

Curve in lower half of abdomen- midline. Everted umbilicus
Normal bowel sounds over upper abdomen where intestines pushed superiorly
Percussion- top dull over fluid. Intestines pushed superiorly. Fluid wave, shifting dullness.
Transmits aortic pulsation

Answer 4

Ovarian cyst (large)

Question 5

How to tell between ascites and ovarian cyst?

Answer 5

Ovarian cyst transmits aortic pulsation

Question 6

Single curve, diminished bowel sounds, umbilicus protruding. Tympany over intestines.
Breasts engorged

Answer 6

pregnancy

Question 7

Localized distension.
Normal bowel sounds
Tympany with scattered dullness.
Plastic-like or ropelike mass.

Answer 7

Feces

Question 8

Localized distension.
Normal bowel sounds.
Dull percussion over mass if it reaches to skin surface.

Answer 8

Tumor