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NBCE Part 4 > Abdomin Exam > Flashcards

Flashcards in Abdomin Exam Deck (123)
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1

Distention of the Upper abdomin: Which organs could be affected?

Stomach, Liver, GB, Spleen

2

Distention of the Lower abdomin: Possible diagnosis

Bladder, Hernia, Prego

3

Distention of both lower and upper abdomin is what pathology?

Ascities

4

Purple Striae in the abdomin could indicate?

Cushing's OR Adrenal tumor that produces cortisol

5

Describe INC/DEC in peristalsis in both early and late bowel obstruction?

INC = Early Obstruction
DEC = Late Obstruction

6

Pulsations in the abdomin could indicate

Abdominal aneurysm

7

Diastasis Recti (What is it and would you treat?)

It is a separation of the abdominal muscles towards the lateral sides caused by heavy lifting/Prego.
Not significant.

8

Grey Turner's sign (Located where and what doe sit indicate?)

Blood in Flanks
Indicates Pancreatitis (Rupture has already occurred)

9

Caput Medusa indicate?

Portal Hypertension

10

Definition of Borborygmi

Rumbling sounds heard in abdomin. Bowel sounds.

11

Tympani indicates?

Air

12

Dullness indicates?

Fluid

13

Liver size parasternal and midclavicular?

Parasternal = 4-8cm
Midclavicular = 6-12cm

14

Dullness over the spleen indicates?

Normal spleen unless enlarged.

15

How do you palpate the liver?

Start at zyphoid and go around coastal margin to posterior axillary line

16

How do you palpate the KD?

Entrapment -- Dr Beings pressing medially and with each breath out the dr moves lateral wo bunny hopping. Dr does this over 3 breaths. The other hand is placed underneath the PT. Dr always observes PTs face for pain.

17

How do you palpate the spleen?

Start at Anterior axillary line. Pull w left hand and push with right hand.

18

Name 3 tests and describe how they are performed for Ascities

Shifting dullness = Percuss horizontally across abdomen. If tympany changes to dullness over the center of the abdomen it could indicate air bubble. Have PT side-lying and repeat test. If there is no change in the location of the air then it is most likely gas trapped in the bowel and not from ascities. If it changes location it indicates ascities.
Fluid Wave = PT supine. Dr taps each side of the abdomen and observes for fluid wave indicating ascities.
Puddle Sign =

19

Name 3 tests and describe how they are performed for Ascities? Which sign is the most sensitive?

Shifting dullness = Percuss horizontally across abdomen. If tympany changes to dullness over the center of the abdomen it could indicate air bubble. Have PT side-lying and repeat test. If there is no change in the location of the air then it is most likely gas trapped in the bowel and not from ascities. If it changes location it indicates ascities.
Fluid Wave = PT supine. Dr taps each side of the abdomen and observes for fluid wave indicating ascities.
Puddle Sign = PT standing. Place Stethescope midline above umbilicus. Have PT forward flex. Percuss a few times to each side of the scope.
Puddle sign is the most sensitive test for Ascities.

20

Which condition is Blumberg's Test used for and describe the test?

Blumberg's Rebound tenderness for GB.
Palpate each of the 4 quadrants by pressing in slowly and releasing quickly. Go deep.

21

Describe how to perform Obturator and Psoas sign tests for GB

Psoas sign = PT side-lying. Hold PTs leg near knee and extend femur while bracing Hip w other hand. Pain near the GB indicates GB as pain generator bec psoas will irritate the GB.
Obturator sign = PT supine. Flex thigh to 90. To externally rot femur int rot leg.

22

What is the #1 cause of chest pain

Heart Burn

23

Hiatal hernia cause?

Weak Diaphragm

24

What is Achalasia? What disease causes it?

Distal narrowing of the Esophagus.
Cause = Scleroderma

25

Gastric Vs Duodenal ulcers (Course of pain after eating?)

Duodenal pain 2hrs after eating
Gastric pain during meal otherwise unpredictable.

26

Gastric Vs Duodenal ulcers (Course of pain after eating?)

Duodenal pain 2hrs after eating
Gastric pain during meal (Could also be cancer so ask if pain unrelieved by position or medication) otherwise unpredictable.

27

Cause of Acute Gastritis?

Allergies/Sensitivities

28

Name one thing to be concerned about in chronic gastritis?

B12 deficiency
Low B12 -> Pernicious anemia -> PLS

29

Gastric Cancer causes which lymh node to become enlarged?

Left Virchow

30

Diseases ass w head of pancreas

Pancreatitis, Cancer