Flashcards in Abdominal Day 2 Deck (32):
what is obstipation?
complete lack of BM seen in bowel obstruction
what is steatorrhea?
fatty stools seen in malabsorption
what is tenesmus?
intense urge with straining but with little result seen in conditions involving the anal sphincter
what is an acholic stool?
gray or light colored stool that lacks bile because of some kind of obstruction
what might present with belly pain and LOW grade fever?
what might present with belly pain and HIGH grade fever?
perforation with peritonitis
what do you observe on the abdomen (1)?
visible masses /hernias
what do you observe on the abdomen (2)?
dilated veins (IVC obst or cirrhosis)
what is diastasis recti?
where midline muscle pops up when pt moves (common in babies)
what color are striae in Cushings?
what is capat medusae?
distended vasculature in the belly
what is cullen's sign?
discoloration around the umbalicus
-indicates bleeding within the abdominal cavity (pancreatitis)
what is the Grey-Turner's sign?
discoloration around the flank region (bruising)
-indicates intraabdominal bleeding
what side do you use for belly sounds?
what do you assess for on auscultation?
bowel sounds and bruits
what would indicate absent/hypoactive bowel sounds?
no sounds after a minute or two
what is borborigymi?
high pitched tinkle bowel sound
-may mean hyperactive bowel or potential obstruction
what sound predominates in the belly?
what type of aorta may be palpated?
-greater than 5.5 cm indicates need for surgery
what would light palpations identify?
what would deep palpations identify?
-rebound (est peritoneal inflammation)
what is the normal size of the liver?
where do you percuss to find size of liver?
what is CVA on abdominal exam?
costovertebral angle tenderness for kidney tenderness
what is Rovsing's sign?
referred pain to RLQ when LLQ is palpated
what is referred rebound sign?
RLQ pain when LLQ pain palpation is released with rebound
what is psoas sign?
pain when pt tries to lift leg against resistance
what is obturator sign?
abdominal pain when hip is flexed and internally rotated
what is tenderness at McBurney's point?
diagonal area from umbilicus to RLQ where appendix pain would present
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
what would cause visible peristalsis?