Abdominal Exam Flashcards Preview

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Flashcards in Abdominal Exam Deck (12):
1

Grey Turner’s Sign

Ecchymosis of the flanks

• Hemoperitoneum;
(pancreatitis)

2

Cullen’s Sign

Ecchymosis
around the umbilicus
• Hemoperitoneum
(pancreatitis; ectopic
pregnancy)

3

Normal span of the liver

Normal span = 6‐12cm

4

Rovsing’s Sign

Pain in the RLQ during Left‐sided pressure‐
referred rebound tenderness seen in appendicitis

5

McBurney’s Point

rebound tenderness or pain 1/3 of the
distance from the ASIS to the umbilicus‐ may suggest appendicitis/peritoneal irritation.

6

Murphy Sign

tests for acute cholecystitis or
cholelithiasis. Palplate deeply during inspiration and
observe for pain.

7

Courvoisier’s Sign

Enlarged non‐tender gallbladder
secondary to pancreatic disease or cancer

8

Iliopsoas Muscle Test

Have the patient flex their hip against your resistance
‐ Increased abdominal pain is a
positive test. This suggests irritation of the psoas muscle from an inflamed appendix.

9

Obturator muscle test

Flex the patients right thigh at the hip, with the knee bent, and rotate the leg internally at the hip. Right hypogastric pain is a positive test. This suggests
irritation of the obturator muscle from an inflamed appendix.

10

Lloyd punch/Kidney punch/Costovertebral Angle(CVA) Tenderness

 

gently tapping the area of the back overlying the kidney produces pain in people with an infection around the kidney (perinephric abscess) or pyelonephritis or renal
stone.

11

Heel Strike

Patient supine. Doc strikes patient’s heel. Pain
upon striking could indicate appendicitis.

12