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SRNAHealthAssessment > Abdominal Examination > Flashcards

Abdominal Examination Flashcards

(43 cards)

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1
Q

Protuberant means

A

Protuberant = Distention

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2
Q

Protuberant abdomen can be due to

OFATOA

A 
Obesity
Air/Gas
Ascites
Ovarian Cyst (Large)
Fecal impaction
Tumor
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3
Q

Inspect abdomen for (BMH)

A
  • Bulges
  • Masses
  • Hernias
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4
Q

What is hernia?

A

Protrusion of viscera through muscle wall

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5
Q

Everted umbilicus (MAH)

A
  • Mass
  • Ascites
  • Hernia
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6
Q

Caput Medusa

A

Caput Medusa
• Portal HTN
• Cirrhosis
• IVC obstruction

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7
Q

What is the Cullen’s sign?

A

Blood tracks from retroperitoneum to umbilicus along gastrohepatic & falciform lig.

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8
Q

Pulsations/Movement

• Marked Pulse of Aorta (HAT)

A
  • HTN
  • Aortic insufficiency
  • Thyrotoxicosis
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9
Q

May indicate obstruction

A

Marked Visible Peristalsis w/ distention

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10
Q

No bowel sounds after _____indicates

A

• Absent (after 5 mins) = poss. Ileus

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11
Q

Auscultation 4 areas to cover (ARIF)

A 
4 Areas to check over:
• Aorta
• Renal arteries
• Iliac arteries
• Femoral arteries
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12
Q

Systolic bruit –>indicates

A

stenosis/occlusion

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13
Q

Dullness of abdomen can indicate (MAD)

A
  • Mass/Tumor
  • Ascites
  • Distended bladder
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14
Q

Hyperresonance may indicate

A

• Gaseous distention

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15
Q

Dullness above_________ indicates _______such as ____ and _______

A
  • Dullness above 5th interspace = Lung Ds.
  • Pleural effusion
  • consolidation
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16
Q

Normal adult liver span

A

Normal adult span 6-12cm

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17
Q

Stratch test
Alternate method to measure _______
4 steps PWBS

A

Alt. method to measure Liver Span
• Place stethoscope over Liver
• With one fingernail, scratch short strokes starting in RLQ, moving up
• Border found when scratch is heard in stethoscope
• Sound heard better through solids than air

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18
Q

**Splenic Dullness forward______indicates ________

Study These Flashcards
A

Dullness forward of Midaxillary line = enlargement

19
Q

• If Spleen dull–>

20
Q

For splenic dullness

Study These Flashcards
A
  • Percuss for dull note from 9th to 11th interspace just behind Midaxillary line
  • Dullness forward of Midaxillary line = enlargement
  • Next, percuss @lowest interspace Anterior axillary line
21
Q

Percussion and spleen what does it help with ?

Study These Flashcards
A

This method gives early detection mild-moderate splenomegaly before spleen become palpable.

22
Q

Percuss kidneys

Study These Flashcards
A

At 12th rib, CVA angle

• If pain = inflammation of kidney or paranephric area

23
Q

Abdomen palpation

Study These Flashcards
A

Palpate Abdomen Surface & Deep Areas – mass or tenderness
• Start w/ Light palpation

24
Q

For abdominal palpation

25
Note any abnormalities: | L-TRAMB
* Muscle guarding * Large masses * Tenderness * Rigidity * Boardlike = protective mechanism * Acute inflammation peritoneum
26
Why do we use the bimanual technique?
to overcome resistance of large or obese abdomen
27
LIVER PALPATTION If felt costal margin =________ note:
``` >2cm below Enlarged • Note: • Tenderness • Consistency (hard, nodular) ```
28
Hernias can be (SIS)
Stranding Incarcerated Strangulated
29
If this organ is found enlarged ______during palpation what to do
SPLEEN If enlarged, Stop • Enlarged spleen very friable – can rupture easily
30
Enlarged SPLEEN Indicates -->
Mononucleosis or Trauma
31
AORTA: • Prominent Lateral Pulse (or >4cm) = | Normal is
Aortic aneurysm | 2.5 – 4cm wide
32
Pain @ McBurney’s point =
Acute appendicitis
33
Rebound tenderness also knonw as
Rebound Tenderness (Blumberg Sign)
34
McBurney's point Line from ______ Correlates to _________
Line from ASIS to Umbilicus ~ 1/3 of the way up Correlates to base of appendix
35
Appendicitis : • Iliopsoas Muscle Test
* Pt. supine * Ask pt. raise Right leg (keep knee straight) * Push down against lower thigh * RLQ pain = appendicits
36
Appendicitis: Obturator Test
* Pt. supine * Flex hip & knee 90° * Internally & Externally rotate leg * Pain = appendicitis
37
Ascites : Fluid wave test
Fluid Wave Test • Ulnar edge of another examiner’s hand, or pt.s hand firmly on midline • Place your L. hand on pt. right side • Using your R. hand, Firmly strike pt. left flank • If ascites present, fluid wave transmits through abd. to left hand • If distended from gas, no wave is felt
38
WHen there is ASCITES there will be
SHIFTING DULLNESS
39
Shifting Level indicates= ______present
• Indicates shifting level of dullness = fluid presentd
40
Shifting level positive with? | Will not detect?
* Shifting level positive with Large Volume Ascites | * This method will not detect < 500 ml of fluid
41
Inspiratory Arrest
(Murphy’s Sign)
42
Murphy's sign-->
* Hold fingers under liver border * Ask pt. Deep Breath * If they wince or stop inspiration midway = cholecystitis
43
Height correlates with
LIVER SIZE

SRNAHealthAssessment (20 decks)

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