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PDX Practical 2

Purple striae on the abdomen indicates _____. Cushing's Syndrome
Dilated abdominal veins indicates _____. Hepatic cirrhosis
A bulging flank indicates _____. Ascites
A suprapubic bulge indicates _____. distended bladder or pregnant
Increased peristaltic waves indicates _____. intestinal obstruction
Pulsation in the upper midline is often visible in thin adults, but increased pulsation indicates _____. increased pulse pressure or abdominal aortic aneurysm
“Tenting” of abdominal contents through separation of rectus abdominis muscles is called _____. diastasis recti
Glistening, taut appearance of the abdomen indicates Ascites
Bluish periumbilical discoloration is known as _____ and indicates _____. <P ALIGN=Left>1. Cullen sign <P ALIGN=Left>2. intraabdominal bleeding
A lower abdominal mass is likely a _____ or _____. ovarian or uterine tumor
A mass in the inguinal region is likely a _____ or _____. inguinal hernia or inguinal disruption
Loud, prolonged gurgles during auscultation of the abdomen indicates _____ or _____. borborygmi
Increased bowel sounds indicates _____. or _____. diarrhea or early intestinal obstruction
Decreased bowel sounds indicates _____ or _____. paralytic ileus or peritonitis
High-pitched (tinkling or rushing) sounds during auscultation of the abdomen indicates _____ or _____. intestinal fluid or obstruction
Risk factors for abdominal aortic aneurysm include _____. ≥65 yoa, smoker, male, family hx
The liver is ascultated _____ above the _____ from the mid-sternal line to the AAL. <P ALIGN=Left>2-6 cm <P ALIGN=Left>subcostal margin
The spleen is located along the _____ ribs roughly from the (left/right) mid-scapular line to the MAL <P ALIGN=Left>9th, 10th, & 11th <P ALIGN=Left>left
A hepatic bruit indicates _____ carcinoma of the liver or alcoholic hepatitis
arterial bruits indicate _____. partial occlusion of aorta or large arteries
venous hum indicates _____. hepatic cirrhosis
friction rub indicates _____. inflammation of the peritoneal surface of an organ
Hepatic bruit + hepatic friction rub indicates _____. carcinoma of the liver
Tympany indicates _____. Over air-filled viscera
Hyperresonance can be heard _____. Base of left lung
Resonance can be heard _____. Over lung tissue & sometimes over the abdomen
Dullness can be heard ____. Over solid organs adjacent to air-filled structures
Normal span of the liver is _____. 6-12 cm
Percussive note from tympanic to dull in the lowest intercostal space in the anterior axillary line on the left, percuss while the patient slowly inspires fully indicates _____. splenic enlargement
RLQ pain or pain that migrates from the periumbilical region, combined with abdominal wall rigidity on palpation indicates _____. appendicitis
LLQ pain with a palpable mass indicates _____. diverticulitis
Deep tenderness at McBurney's point indicates _____. appendicitis
A normal aorta is not more than _____ wide. 3.0 cm
Causes of kidney enlargement include _____. hydronephrosis, cysts & tumors
B/L enlargement of the kidneys suggests _____. polycystic kidney disease
If a mass becomes more prominent when the patient bears down, it is _____. intramural
If a palpable mass disappears when the patient bears down, it is _____. intraabdominal
Inability of the patient to take a deep, full inspiration while palpating the liver, as a result of tenderness or pain, is recorded as a _____ indicates _____. <P ALIGN=Left>positive Murphy’s signd <P ALIGN=Left>liver/gallbladder irritation
rebound tenderness indicates _____. peritoneal irritation
Pain in the RLQ during left-sided pressure suggests _____ and is known as _____. <P ALIGN=Left>appendicitis <P ALIGN=Left>Rovsing’s sign
Causes of ascites include _____. cirrhosis, CHF, constrictive pericarditis, inferior vena cava/hepatic vein obstruction, nephrotic syndrome, malnutrition & ovarian cancer
Positive Murphy’s Punch Sign suggests _____. kidney infection, pyelonephritis or renal stone(s)
Created by: cailintimm