8.22 Symptom Investigation 6 (Red Flags) Flashcards
(19 cards)
What are common signs of visceral referred pain
- McBurney’s point
- Murphy sign
- Romberg-Howship sign
- Kehr Sign
Associated condition: McBurney’s point
appendicitis
Associated condition: Murphy sign
cholecystitis
Associated condition: Romberg-Howship sign
strangulated obturator hernia
Associated condition: Kehr sign
- spleen rupture
- renal calculi
- ectopic pregnancy
What is McBurney’s point?
- rebound tenderness in RLQ
- sharp pain when palpated
What is Murphy sign?
abrupt cessation of inspiration upon palpation of gall bladder in RUQ
What is the Romberg-Howship sign?
pain down medial aspect of thigh to knees
What is the Kehr sign?
abdominal pain radiating to the L shoulder
obturator hernia
herniation of the viscera through the obturator muscle
Where might an inflamed appendix also cause irritation or pain?
along the iliopsoas
What else can cause inflammation of the obturator muscles?
- ruptured appendix
- abscess within pelvic region
What organs are located in the RUQ?
- liver
- gall bladder
- duodenum
- head of pancrease
- hepatic flexure of colon
What organs are located in the RLQ?
- cecum
- appendix
- ascending colon
- R ovary
- R fallopian tube
- R ureter
What organs are located in the LUQ?
- stomach
- spleen
- L lobe of liver
- body of pancreas
- L kidney
- adrenal gland
- splenic flexure of colon
- part of transverse and descending colon
What could cause pain in the LLQ?
- descending colon
- sigmoid colon
- L ovary
- L fallopian tube
- L uterine tube
What is GERD?
gastroesophageal reflux disease
What is considered the marker for someone who has severe GERD?
hiatal hernia
A link has been established between GERD, hiatal hernia, and
adenocarcinoma
