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Abdomen
PDX Practical 2
| Question | Answer |
|---|---|
| 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
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