Flashcards in Abdominal Deck (24):
Acute cholecystitis (Referred Pain)
Reflux (Referred Pain)
Cholecystitis (Referred Pain)
Angina (Referred Pain)
Pleuritic Pain (Referred Pain)
Splenic infarct (Referred Pain)
Appendicitis (Referred Pain)
periumbilical pain that transitions to RLQ
Diverticulitis (Referred Pain)
LLQ and down left leg
Renal colic (Referred Pain)
Acute Pancreatitis (Referred Pain)
Radiation to back
Bruising around umbilicus indicative of intraperitoneal hemorrhage, pancreatitis, or ectopic pregnancy
Grey Turner Sign
Eccymosis of flanks indicative of hemoperitoneum or panreatitis
Test for ascities. Pt supine percuss border of tympanic vs. dullness. Pt rolls to side, and repeat.
On deep palpation, have pt inspire. Inflamed gallbladder will cause pt pain.
Test for ascitiies. Pt places hand midline. Tap belly looking for transmission of wave.
Intensified by opposite palpation. Ex: Palpation in RLQ intensifies pain in LLQ. Indicative of appendicitis.
Half way between naval and iliac crest. Point of appendix.
Bring pt leg to 90 degrees, bring ankle to opposite knee. Indicative of appendicitis with pain.
Have pt bring leg up against examiners hand. Indicative of appendicitis with pain.
Rumbling, gurgling, tinkling noises heard on auscultation due to hyperactive intestinal peristalsis.
High pitched tinkles
Suggests fluid and air under pressure