Abdomen Flashcards
(23 cards)
What is found in the RUQ
Liver
gallbladder
duodenum
Hepatic flexure
Pancreatic head
What is found in the left upper quadrant
Spleen
splenic flexure
stomach
body and tail of pancreas
What is in the RLQ
Appendix
cecum
ascending colon
right ovary
What is found in the LLQ
Sigmoid colon
descending colon
Left ovary
What are the 9 regions in the abdomen
L. Hypochondriac
R. Hypochondriac
Epigastric
R. Lumbar
L. Lumbar
Umbilical
R. Iliac
L. Iliac
Hypogastric OR Suprapubic
What is diastasis recti
Separation of the 2 rectus abdominal muscles
When can you see diastasis recti
When a patient is supine and lifts their head and shoulders
What are the common causes of diastasis recti
Pregnancy
obesity
Chronic lung disease
If percussion of the abdomen has tympanic sound, what is it indicative of
Gas
If the abdomen is dull upon percussion what is it indicative of
Fluid
Stool
Solid organ
Mass
Where do you look for bruits in the abdomen
Iliac
Aorta (Epigastric)
Femoral
Renal
How large should an average liver size be
10-12cm in midclavicular for average
6-12 for normal
What is traubes space
Left 6th rib, at the costal margin, and anterioaxillary line
where the spleen sits, running anterior to posterior
What is castells sign
The bottom on the triangle that makes up Traube’s space
If you hear dullness while percussing the spleen, what is the first concern
splenomegaly
what are common things that can cause dullness in the abdomen on percussion
Bowel contents
full stomach
L. sided pleural effusion
*less reliable in obese patients
Which kidney should NOT be palpable
Left
How large should the aorta be on palpation
<3cm
If a patient presents with guarding, rigidity, and rebound tenderness in the abdomen, what is this indicative of
Peritonitis
What is involuntary guarding known as
rigidity
What is positive rebound tenderness
When is hurts more when you let go
Where is McBurney’s point
1/3 the distance from the anterior superior process of the ilium
What is a positive Murphys sign a potential sign of
Cholecystitis