Physical Examination of the abdomen Flashcards
(27 cards)
during an abdominal examination careful attention should be paid attention to what
Patients comfort
degree/ level distress
what is a consideration before completing a abdominal exam
pt should have empty bladder
what side should you approach the pt during a abdominal exam
patients right
what should be the patients position during a abdominal exam
supine
small pillow under head
knees slightly flexed
feet flat on table
what is bluish periumbilical discoloration called and suggest
Cullen’s Sign
intraabdominal bleeding
what is bluish flank discoloration called and what does it suggest
Grey-turner signs
retroperitoneal or intraabdominal bleeding
purplish stria are indicative of what
crushing disease
in addition to purplish striae on the abdomen has what characteristics
moon face
buffalo hump
swelling or bulges may indicate what
hernina
asymmetrical distention indicates what
hernia
tumors
cysts
bowel obstruction
enlargement of abdominal organs
what are bowel sounds heard as and what range
irregular, clicks & gurgles
5-35 per min
how long must you listen to document absent bowel sounds
5min
how many quadrants must be assessed if there is concern
4
what are loud prolonged gurgles called
borborygmi
what areas should be percussed last
tender painful areas
what is the normal size of the liver
6 -12cm
what position and where are the kidneys perussed
pt sitting
over the costovertebral angle
what is fluid in the abdomen called
Ascites
T/F
palpation should be done deep 1st light 2nd
F
Light: 1st
Deep: 2nd
what is blumberg sign
rebound tenderness in a remote region from area of discomfort
what is McBurney’s sign
rebound tenderness in the lower right quadrant
2inches from the anterior superior iliac spine on a straight line to the umbilicus
describe McBurney’s point
2 inches from the anterior superior iliac spine on a straight line to the umbilicus
Markle (heel jar) test assesses what
peritoneal irritation
a positive iliopsoas muscle test is called
Psoas sign
