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Physical Diagnosis
Exam 2- Abdomen
26
Other
Graduate
04/07/2009

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Cards

Term
Which abdominal quadrant is this in: pylorus?
Definition
RUQ
Term
Which abdominal quadrant?: portion of transverse and descending colon.
Definition
LUQ
Term
Which quadrant is this in: portion of descending colon
Definition
LLQ
Term
Which quadrants is this in: ovaries and tubes?
Definition
Lower quadrants
Term
What is in the epigastric area?
Definition
Stomach, pancreas (head and body), Aorta
Term
What does increased pain with sudden movement of the abdomen suggest?
Definition
Peritonitis
Term
What does diastasis recti look like and what does it mean?
Definition
Prominent midline bulge when pt raises head. It's a separation between the L and R side of rectus abdominus muscle.
Term
What does scaphoid abdomen look like and what does it mean?
Definition
Concave, malnutrition
Term
What could distended lower half of the abdomen indicate?
Definition
Bladder distention, pregnancy, ovarian mass, sigmoid tumor.
Term
What does protuberant abdomen suggest?
Definition
Excess intestinal gas, ascites,organ enlargement, obesity.
Term
what does high-pitched, tinkling bowel sounds suggest?
Definition
Bowel obstruction
Term
Borborygmi occur at a rate of ____ per minute.
Definition
5-34
Term
Listen with the ______ of the stethescope for bruits.
Definition
bell
Term
What is Lloyd's test?
Definition
Kidney punch for costovertebral angle tenderness.
Term
Protuberant abdomen that is diffusely tympanic suggests...
Definition
intestinal obstruction
Term
What is resonance upon percussion and where would you find it?
Definition
Sustained note of moderate pitch, over lung tissue and sometimes over the abdomen.
Term
Causes of ascites include
Definition
liver dz, renal dz, inflammation, decreased intravascular oncotic pressure, right-sided heart failure
Term
Is a normal kidney palpable?
Definition
no
Term
A palpable spleen is considered
Definition
enlarged
Term
Rigidity
Definition
INVOLUNTARY contraction of the abdominal musculature in response to peritoneal inflammation. AKA involuntary guarding.
Term
Pain in RUQ could indicate...
Definition
duodenal ulcer, hepatitis, hepatomegaly, pneumonia, cholecystitis
Term
Pain in RLQ could indicate...
Definition
Appendicitis, salpingitis, ovarian cyst, ruptured ectopic pregnancy, renal/ureteral stone, strangulated hernia, Meckel diverticulitis, regional ileitis, perforated cecum
Term
Periumbilical tenderness could indicate
Definition
Intestinal obstruction, acute pancreatitis, early appendicitis, mesenteric thrombosis, aortic aneurysm, diverticulitis
Term
Dx for: severe, unrelenting RUG or epigastric pain, refers to R subscapular area, + Murphy's sign.
Definition
Cholecystitis
Term
Dx for: sudden LUQ, epigastric, or umbilical pain. May refer to left shoulder, associated vomiting, fever, shock, + Grey turner and Cullen.
Definition
Pancreatitis
Term
Dx for: LLQ pain or localized to diseased area, associated fever, anorexia, diarrhea, borborygmus
Definition
diverticulitis
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