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Physical Diagnosis II > Abdominal > Flashcards

Flashcards in Abdominal Deck (24):
1

Acute cholecystitis (Referred Pain)

Right shoulder

2

Reflux (Referred Pain)

Midsternal line

3

Cholecystitis (Referred Pain)

Right breast

4

Angina (Referred Pain)

Epigastric region

5

Pleuritic Pain (Referred Pain)

RUQ

6

Splenic infarct (Referred Pain)

LUQ

7

Appendicitis (Referred Pain)

periumbilical pain that transitions to RLQ

8

Diverticulitis (Referred Pain)

LLQ and down left leg

9

Renal colic (Referred Pain)

Testicles

10

Acute Pancreatitis (Referred Pain)

Radiation to back

11

Cullen Sign

Bruising around umbilicus indicative of intraperitoneal hemorrhage, pancreatitis, or ectopic pregnancy

12

Grey Turner Sign

Eccymosis of flanks indicative of hemoperitoneum or panreatitis

13

Shifting dullness

Test for ascities. Pt supine percuss border of tympanic vs. dullness. Pt rolls to side, and repeat.

14

Murphy sign

On deep palpation, have pt inspire. Inflamed gallbladder will cause pt pain.

15

Fluid wave

Test for ascitiies. Pt places hand midline. Tap belly looking for transmission of wave.

16

Rovsing sign

Intensified by opposite palpation. Ex: Palpation in RLQ intensifies pain in LLQ. Indicative of appendicitis.

17

McBurney point

Half way between naval and iliac crest. Point of appendix.

18

Obturator sign.

Bring pt leg to 90 degrees, bring ankle to opposite knee. Indicative of appendicitis with pain.

19

Psoas test

Have pt bring leg up against examiners hand. Indicative of appendicitis with pain.

20

Borborygmi

Rumbling, gurgling, tinkling noises heard on auscultation due to hyperactive intestinal peristalsis.

21

Singultus

Hiccup

22

Eructation

Belch

23

High pitched tinkles

Suggests fluid and air under pressure

24

Borborygmi

Long, prolonged gurgle.