Wise MD Flashcards
Why is respiratory included on the ROS in suspected appendicitis?
Rule out mesenteric adenines
What is Rovsing’s sign?
Pushing on LLQ elicits pain in the RLQ
What exam maneuvers can you perform when appendicitis is suspected?
Rovsing sign, obturator sign, psoas sign
What is Chvostek’s sign? When is it seen?
Abnormal reaction of the facial nerve to stimulation; seen in hypocalcemia
What is Carnett’s sign? When is it seen?
Abdominal wall pain decreases when the abdominal wall musculature is tensed; typically indicating that the source of the pain is the abdominal wall, as opposed to the abdominal cavity.; seen in Rectus sheath hematoma
abdominal wall trauma
What is Murphy’s sign? When is it seen?
Pain and tenderness to palpation of the RUQ during inspiration and resulting in cessation of inspiration; can be associated with physical examination or ultrasonography; Seen in Acute cholecystitis and Liver pathology
What is Psoa’s sign?
Right lower quadrant pain with passive (or active) extension of the right lower extremity. This typically indicates a process that is irritating the right psoas muscle. (Note: the patient is on their side during this examination); seen in Appendicitis (typically retrocecal)
Psoas muscle abscess or hematoma
Which laboratory results would be most typical for mesenteric adenitis?
Elevated lymphocyte count
What imaging modality is essential in diagnosing appendicitis?
CT with oral and IV contrast
What is the best imaging modality for an intra-abdominal abscess?
CT scan
