Abdominal Findings

Question 1

Abdominal bruit left of the midline epigastrium

Answer 1

Unilateral renal artery stenosis

Question 2

Absent bowel sounds (paralytic ileus)

Answer 2

Generalized peritonitis

Question 3

Acetone breath

Answer 3

Diabetic ketoacidosis

Question 4

Argyll Robertson pupil

Answer 4

Tertiary syphilis

Question 5

Ascites (fluid in the abdomen-shifting dullness)

Answer 5

Cirrhosis, nephrotic syndrome, cancer

Question 6

Beef red smooth tongue

Answer 6

Vitamin B12 deficiency

Question 7

Bilateral kidney enlargement

Answer 7

Polycystic disease of the kidneys

Question 8

Bluish discoloration in flanks (Grey Turner sign)

Answer 8

Pancreatitis or ectopic pregnancy

Question 9

Bluish discoloration in umbilicus (Cullen sign)

Answer 9

Pancreatitis or ectopic pregnancy

Question 10

Blumberg’s sign (rebound tenderness)

Answer 10

Generalized peritonitis

Question 11

Caput medusa (dilated veins radiating from navel)

Answer 11

Portal hypertension as in cirrhosis

Question 12

Cessation of inspiration on RUQ pressure (murphy sign)

Answer 12

Cholecystitis

Question 13

CVA tender on percussion (murphy’s punch)

Answer 13

Pyelonephritis

Question 14

Dull percussion not in Traube’s space

Answer 14

Splenomegaly

Question 15

Epigastric tenderness

Answer 15

PUD, gastritis, pancreatitis

Question 16

Friction rub

Answer 16

Trauma, infection or cancer

Question 17

Hepatojugular reflex (increase JVP with RUQ pressure)

Answer 17

CHF

Question 18

Hyperactive bowel sounds with borborygmi

Answer 18

intestinal obstruction

Question 19

Hyper-resonant percussion note

Answer 19

Intestinal obstruction

Question 20

Irregular hard prostate

Answer 20

Prostate cancer

Question 21

Kehr’s sign (left shoulder pain in the acute abdomen)

Answer 21

Ruptured ectopic pregnancy or spleen

Question 22

Left iliac fossa tenderness

Answer 22

Diverticulitis, ulcerative colitis

Question 23

Liver edge below right costal margin

Answer 23

Hepatomegaly

Question 24

Magenta tongue

Answer 24

Riboflavin deficiency

Question 25

McBurney's sign (tenderness over McBurney's point)

Answer 25

Appendicitis

Question 26

Murphy's punch (CVA tenderness or percussion)

Answer 26

Pyelonephritis

Question 27

Murphy's sign (RUQ pain on deep inspiration)

Answer 27

Cholecystitis

Question 28

Non-tender hepatomegaly

Answer 28

Cirrhosis, hepatic metastases

Question 29

Obturator internus test (RIF pain on hip internal rotation)

Answer 29

Appendicitis

Question 30

Painful boggy prostate

Answer 30

Prostatitis

Question 31

Painless testicular mass

Answer 31

Testicular cancer

Question 32

Prehn's sign

Answer 32

Epididymo-orchitis

Question 33

Puddle sign

Answer 33

Ascites

Question 34

Reducible gurgling mass in the inguinal region

Answer 34

Inguinal hernia

Question 35

RIF pain with pressure in left quadrant

Answer 35

Rovsing's sign

Question 36

RIF pain with internal rotation of right hip

Answer 36

obturator sign

Question 37

Right hypochondriac tenderness with jaundice

Answer 37

hepatitis

Question 38

Right hypochondriac tenderness and positive murphy's sign

Answer 38

cholecystitis

Question 39

Right iliac fossa tenderness maximum at McBurney's point

Answer 39

Appendicitis

Question 40

Right iliac fossa tenderness with recurrent diarrhea

Answer 40

Crohn's disease

Question 41

Right iliac fossa tenderness, purulent vaginal discharge

Answer 41

Pelvic inflammatory disease

Question 42

Rogoff's sign

Answer 42

Adrenal inflammation

Question 43

Rovsing's sign (RLQ pain on pressure in the LLQ)

Answer 43

Appendicitis

Question 44

Scaphoid abdomen

Answer 44

Severe malnutrition

Question 45

Sharp pain on sudden removal of pressure

Answer 45

Blumberg's sign

Question 46

Shifting dullness

Answer 46

Ascites

Question 47

Small liver on percussion

Answer 47

Cirrhosis or emphysema

Question 48

Tender hepatomegaly

Answer 48

Hepatitis, congestive heart failure

Question 49

Abdominal bruit in the midline of the epigastrum

Answer 49

Abdominal Aortic Aneurysm