Exam #4: Abdomen Lab Flashcards
Purple striae are seen upon inspection of the abdomen. What could this be a sign of?
Cushing’s Disease
A rippling movement is seen upon inspection of the abdomen. What could this be a sign of?
Obstruction
Marked pulsations are seen upon inspection of the abdomen. What could this be a sign of?
Increased pulse pressure or abdominal aortic aneurysm
Which portion of the stethoscope should you use for auscultation of the abdomen for bowel sounds?
Diaphragm
Which portion of the stethoscope should you use for auscultation of the aorta, and renal, iliac, and femoral arteries?
Bell
What organs and area should be evaluated with percussion?
Bladder
Liver
Spleen
Gastric Bubble
What is the normal size of the liver?
6-12 cm
If percussion elicits tenderness for the patient, what should you suspect?
Peritonitis
Should you be able to palpate a normal sized spleen?
No
Which kidney is more likely to be palpated? For which kidney is palpation usually not possible?
Left= not palpable
Right= palpable
List the tests that are indicative of peritoneal signs.
Obturator Test (flex to 90 & internally/externally rotate)
Iliopsoas Test (lift leg against resistance)
Rebound tenderness
Heel jar Test
Rovsing’s Sign (LLQ palpation–>RLQ tenderness)
*Abdominal pain with walking, painful car ride
Ballottement
Palpation technique used in detecting or examining a floating object in the body
Colic
Spasm in any hollow tubular soft organ accompanied by pain
Dyschezia
Painful or difficult bowel movement
Hepatitis
Inflammation of the liver resulting in diffuse or patchy infiltrates
