OSCE - Abdo Assessment Flashcards
(18 cards)
What are the 6 F’s included in inspection of abdomen?
- Fat (i.e. obesity)
- Fluid (i.e. ascites)
- Flatus (i.e. bloating)
- Faeces (i.e. constipation)
- Foetus (i.e. for women)
- Fibroids (non-cancerous growths on the uterus)
what is a pulsatile mass a sign of?
AAA
scars
previous surgery
what is caput medusa
distended, engorged episgastric veins across the abdomen (liver cirrhosis)
what is cullen’s sign
bruising around the umbilicus (pancreatitis)
what is grey-turners sign
bruising to flanks (pancreatitis)
how to correctly auscultate abdomen?
4 quadrants clockwise from right iliac fossa
what is a hypoactive bowel a sign of?
slow / stopped bowel - ? obstruction
what is a hyperactive bowel a sign of?
irritated bowel - ? diorrhaea
what is auscultation of the liver a sign of?
hepatic hum (cirrhosis)
how to auscultate renal bruits?
ausc mid point between xiphisternum and umbilicus 2cm either side of midline, should hear turbulent sounds - suggesting impeding blood flow to kidney
What is Murphy’s sign
Palpate right upper quadrant, pain may indicate cholystitis
what is blumberg’s sign?
Rebound tenderness is a sign of peritonitis
What are the tests for appendicitis?
Psoas
Obturator
McBurney’s point
Rovsing’s
What is psoas sign?
raise their right leg against resistance, pain in right lower quadrant = positive
What is obturators sign?
Flex patients right hip and knee and rotate hip, positive = appendicitis
What is McBurnies point?
Apply gentle pressure to mcburney’s point right side of abdomen, 1/3 of the anterior superior iliac spine to the umbilicus, pain when released can be a sign of appendicitis
What is Rovsing’s sign?
Apply pressure to left lower quadrant, pain in the right side is suggestive of appendicitis
