Unit 2 Flashcards
(26 cards)
What are the 4 quadrants of the abdomen?
RUQ
LUQ
RLQ
LLQ
What are the borders of the abdominal quadrants?
Lower - Symphysis pubis
Upper - Inferior border of sternum
Mid - Umbilicus
What is Caput Medusae?
Spidery veins originating from the umbilicus
A pulsation in the abdomen may indicate?
Aortic aneurysm
What are the 9 F’s?
Fat Fluid Feces Fetus Flatus Fibroid Tumors Fatal Tumors Full Bladder False Pregnancy
What points are auscultated in an abdominal exam?
Portal Vein Aortic Artery Renal Artery Common Illiac Artery Femoral Artery
What is borborygmi and how often should one hear them?
Bowel sounds and 5-35/min
Where would one palpate for the spleen?
9th-10th intercostal space of Left mid-axillary line
What is the Fluid Wave test?
Special test used to confirm presence of excess fluid in abdomen
What is the Rebound Tenderness test?
Special test used to detect appendicitis, gastritis, etc by pressing deeply and letting up suddenly
What is the Murphy’s Kidney Punch test?
Special test used to detect inflammation of kidney
What is the MC form of cancer in men 15-35 yoa?
Testicular cancer
What are the warning signs of testicular cancer?
Lump or mass Enlargment Ache in groin Strange sensation in groin Reddening or swelling
What are the risk factors of testicular cancer?
Obesity (most predisposing risk factor) Age Hx of undescended testicle Family Hx Early puberty Mononucleosis
When would one perform a hernia exam for a man?
Complete annual/sports physical
Any Hx of symptoms or trauma
What is a hernia?
Movement or protrusion of tissue through a separation of tissue
What is the difference between a direct and indirect hernia?
Direct - Hernia through torn tissue (usually abdominal muscles)
Indirect - Hernia through inguinal ring
Prostate exams are suggested for all men over the age of?
40 yoa
What are the grades of prostatitis?
Grade I - soft, moldable, no identifiable sulcus; benign
Grade II - mass under capsule, disappearance of sulcus; 25% malignant
Grade III - extracapsular mass, hardening; malignant
Grade IV - calcific, rough, dense masses over entire prostate; most likely metastasized to elsewhere
What is the correct order in which one should perform the abdominal exam?
Inspection
Auscultation
Percussion
Palpation
What should one do to determine whether an abdominal mass is superficial or deep?
Have pt contract abdominal muscles; if deep, the mass will disappear
Which head of the stethoscope should be used when auscultating the abdomen?
The diaphragm
Where would one auscultate the renal arteries?
Two inches above the umbilicus
If a pt has colitis, one would expect to fine?
Increased bowel sounds
