Abdominal

Question 1

What are the terms used to describe general contour of the abdomen?

Answer 1

Flat, distended, scaphoid (low body fat), protuberant

Question 2

What two things can cause a caput medusa?

Answer 2

1. Liver cirrhosis

2. IVC obstruction

Question 3

What is rectus diasthesis and how do physicians test for it?

Answer 3

Weakening in the ant. abdominal wall.

Appears as a distended ridge when the patient flexes their head and upper thorax while lying supine.

Question 4

What is borborygmus?

Answer 4

Rumbling of the large intestine.

normal is 5-34/minute

Question 5

What is “tinkling” in regards to the abdominal PE and what does it indicate?

Answer 5

High pitched fountain sound in the abdomen on auscultation. Indicates intestinal air and fluid under high pressure in a dilated bowel.

Question 6

What does a venous hum indicate?

Answer 6

Liver cirrhosis.

Heard in both systole and diastole because of extra collateral circulation in the hepatic portal system.

Question 7

What do friction rubs indicate?

Answer 7

Inflammed peritoneal surfaces.

Question 8

What is Murphy Sign?

Answer 8

Physician pushes up under right costal margin and asks the patient to inhale deeply. Pain or cessation of the inhalation indicates cholecytitis.

Question 9

What is the Lloyd Punch?

Answer 9

Strong percussion using a fist in the posterior abdominal wall. Pain indicates nephrolithiasis, hydronephrosis, or pyelonephritis