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Signs

Physical exam signs

TermDefinition
Obturator sign pelvic inflammation or infection (appendix); supine flex right hip/knee to 90 degrees & passively internal rotate the hip; + test if RLQ pain, - test if hip or back pain
Blumberg's sign rebound tenderness for visceral pathology; choose area away from painful area, fingers perpendicular to abdomen, push down deep and slow then lift up quickly
McBurney's point 1/3-1/2 the distance between the right ASIS & umbilicus
Murphy's sign gallbladder location; hook fingers under the right aspect of the ribcage; patient takes a deep breath as you ease your fingers into the viscera; + if pain prior to reaching full inspiration
AAA palpation supine with hips/knees flexed, palpate abdomen halfway between umbilicus/xyphoid just midline to the L of midline; press firm/deep to palpate the pulsation of the aorta; + if aorta width greater than 2-3cm
Lhermitte's sign screen for possible upper motor neuron lesion (associated with MS) & myelopathy; in sitting, tuck chin to chest; + test= sharp, electric shock like pain down spine and sometimes into UE
C3-5 Diaphragm; refers to C-spine
T1-5 Heart; refers to anterior neck, chest, left UE
T4-6 Esophagus; refers to substernal & upper abdomen
T5-6 Lungs; refers to T spine
T6-10 Stomach, refers to upper abdomen & T spine; pancreas, refers to upper abdomen, low T spine, & upper L spine; Bile duct, refers to upper abdomen, mid T spine
T7-10 small intestine, refers to mid T spine
T10-11 testes/ovaries, refers to lower abdomen & sacrum
T10-L1 Kidney, refers to L spine, abdomen
T10-L1, S2-4 Uterus/prostate, refers to T/L & L/S junction sacrum, testes, T/L jct
T11-L2, S2-4 Ureter, refers to groin, suprapubic, medial thigh; Bladder, refers to sacral apex, suprapubic
Created by: jessupj17
 

 



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