refresher abdominal exam

Question 1

listen for bruits with ___ of stethoscope

Answer 1

bell

Question 2

normal width of aorta and location for palpate

pulsation should be in what direction?

Answer 2

2-3 cm
just above umbilicus slightly left of midline
anterior inferior

Question 3

abnormal bowel sounds

Answer 3

high pitches, decreased/absent

Question 4

pancreas symp

Answer 4

T5-11

Question 5

tympany found in

Answer 5

majority of abdomen, caused by air filled viscera

Question 6

sympathetics for esophagus

Answer 6

T2-8

Question 7

normal amt of bowel sounds

Answer 7

5-34 clicks or gurgles per min

Question 8

ecchymosis around umbillicus secondary to hemorrhage

Answer 8

cullen sign

Question 9

rebound tenderness or pain 1/3 of distance from ASIS to umbilicus may suggest ___

Answer 9

mcburney;s pt

appendicitis or periotneal irritation

Question 10

rebound tenderness tests for

Answer 10

peritoneal inflammation

Question 11

expected spleen span

Answer 11

from ribs 6-10 at mid axillary line on left

Question 12

symp for SI

Answer 12

T9-11

Question 13

symp for colon

Answer 13

T10-L2

Question 14

obturator m test

Answer 14

flex pt right thigh at hip with knee bent then rotate leg interanally at the hip
right hypogastric pain is positive
suggests irriation of obturator m from inflammed appendix

Question 15

appendix symp

Answer 15

T12

Question 16

flank ecchymosis secondary to hemorrhage

Answer 16

grey turner sign

Question 17

iliopsoas m test

Answer 17

have pt flex hip against resistance, increased abdominal pain = positive test

irritation of psoas m from inflammation of appendix

Question 18

symp for stomach

Answer 18

T5-9

Question 19

light palpation depth
mod
deep

Answer 19

light = 1 cm
med = 2-3 cm
deep = more than 3 cm

Question 20

symp for GB

Answer 20

T6-9

Question 21

symp for liver

Answer 21

T6-9

Question 22

doc hand to palpate kidney

Answer 22

behind pt just below and parallel to 12th rib and press anterior

Question 23

dullness

Answer 23

flat sound without echoes, heard over solid organs like liver and spleen

also fluid in the periotneum or feces give dull note

Question 24

expected liver span

Answer 24

6-12 cm at mid clavicular line on right

Question 25

courvoisier’s sign

Answer 25

enlarged non tender GB secondary to pancreatic disease or cancer

Question 26

rovsing’s sing

Answer 26

pain in RLQ on left sided pressure

appendicitis