Abdominal Day 2 Flashcards Preview

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Flashcards in Abdominal Day 2 Deck (32):
1

what is obstipation?

complete lack of BM seen in bowel obstruction

2

what is steatorrhea?

fatty stools seen in malabsorption

3

what is tenesmus?

intense urge with straining but with little result seen in conditions involving the anal sphincter

4

what is an acholic stool?

gray or light colored stool that lacks bile because of some kind of obstruction

5

what might present with belly pain and LOW grade fever?

appendicitis
diverticulitis
cholecystitis
(slow developing)

6

what might present with belly pain and HIGH grade fever?

cholangitis
UTI
PID
perforation with peritonitis

7

what do you observe on the abdomen (1)?

contour
symmetry
visible masses /hernias

scars
striae
rashes/ lesions

8

what do you observe on the abdomen (2)?

dilated veins (IVC obst or cirrhosis)
discoloration
peristalsis

9

what is diastasis recti?

where midline muscle pops up when pt moves (common in babies)

10

what color are striae in Cushings?

blue/purple

11

what is capat medusae?

distended vasculature in the belly

12

what is cullen's sign?

discoloration around the umbalicus
-indicates bleeding within the abdominal cavity (pancreatitis)

13

what is the Grey-Turner's sign?

discoloration around the flank region (bruising)
-indicates intraabdominal bleeding

14

what side do you use for belly sounds?

diaphragm

15

what do you assess for on auscultation?

bowel sounds and bruits

16

what would indicate absent/hypoactive bowel sounds?

no sounds after a minute or two

17

what is borborigymi?

high pitched tinkle bowel sound
-may mean hyperactive bowel or potential obstruction

18

what sound predominates in the belly?

tympany

19

what type of aorta may be palpated?

distended
-greater than 5.5 cm indicates need for surgery

20

what would light palpations identify?

abdominal tenderness
muscular resistance
superficial organs

21

what would deep palpations identify?

identify masses
peritoneal signs
-localization
-cough
-rebound (est peritoneal inflammation)

22

what is the normal size of the liver?

6-12 cm

23

where do you percuss to find size of liver?

midclavicular line

24

what is CVA on abdominal exam?

costovertebral angle tenderness for kidney tenderness

25

what is Rovsing's sign?

referred pain to RLQ when LLQ is palpated

26

what is referred rebound sign?

RLQ pain when LLQ pain palpation is released with rebound

27

what is psoas sign?

pain when pt tries to lift leg against resistance

28

what is obturator sign?

abdominal pain when hip is flexed and internally rotated

29

what is tenderness at McBurney's point?

diagonal area from umbilicus to RLQ where appendix pain would present

30

what is Murphy's sign?

deeply palpate costal margin at rectus muscle and have pt take a deep breath.
positive sign would have increased tenderness or respiration halts

31

what would cause visible peristalsis?

intestinal obstruction

32

what abdominal bruits would be considered normal?

if they are heard only during systole

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