Abdominal
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| What might back pain at the CVA be? | Kidney problem, or in men referred pain from prostate
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| Where does the aorta bifurcate? | Level of umbilicus
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| Is bladder palpable? | When distended.
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| Where do you percuss the posterior kidneys? | At the CVA.
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| What is the order for the abdominal exam? | Inspect, AUSCULTATE, Percuss, Palpate
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| What can be noted with aneurysm? | Increased aortic pulsation
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| What are bulging flanks and a venous pattern on abdomen signals of? | Fluid in peritoneal space consistent with liver disease.
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| Name four bruits you must auscultate for. | Renal, aortic, iliac, femoral.
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| How long must you listen in each ab quadrant before concluding that bowel sounds are absent? | At least two minutes.
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| What is a Borborygmi? | loud stomach growls
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| What is the absence of bowel activity and sounds due to a direct insult to the gut? | Paralytic Ileus
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| Where do you percuss spleen? | Lowest interspace in lt anterior axillary line
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| What is shifting from typmany to dullness with inspiration suggestive on when percussing the spleen? | This is a positive splenic percussion sign suggestive of enlarged spleen.
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| What do bilaterally enlarged kidneys suggest? | Polycystic disease
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| What are three causes of enlarged kidney? | Hydronephrosis, cysts, tumor
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| Where do you press to idenitify aortic pulsations? | Left of midline.
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| What might a pulsatile upper abdominal mass suggest? | Aneurysm
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| What three tests check for ascites? | Shifting dullness, fluid wave, Ballotte
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| What is Murphy's sign, and what is it indicative of? | Pain over gall bladder as you press while pt inspires; acute cholecystitis
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| What may be accentuated by pt lifting head? | Hernia
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| Describe visceral pain. | gnawing, cramping, aching, difficult to localize, may be cetered around umbilicus - hepatitis
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| Describe parietal pain | more severe, easy to localize, may come with nausea, vomitting, anorexia, is localized over area of inflammation; appendicits
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| Where might gallbladder pain be referred to? | Shoulder.
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| What are some signs of parietal pain in the acute abdomen? | Decreased bowel sounds, rebound tenderness, guarding, rigidity, hypersneitivity
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| Where does appendicitis pain often start, and where does it move? | Periumbilical to RLQ
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| What may increase pain in appendicitis? | Cough
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| What is the test for appendicitis? | Point tenderness of McBurney's point, Psoas Sign, Rovsing Sign (or rebound pain, cutaneous hypersthesia)
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Created by:
adhass