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30 Cards in this Set
- Front
- Back
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Pink/purple stria
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Cushings syndrome
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Dilated veins
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Hepatic cirrhosis, IVC obstruction
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Bulging flanks
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Ascites
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Asymmetry
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Enlarged organ or mass
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Visible peristalsis
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Intestinal obstruction
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Aortic pulsation
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Aortic aneurysm, increased PP
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Bruit
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Renal artery stenosis
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Friction rub
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Liver tumor, liver infection, splenic infarct
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Protuberant, tympanic
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Intestinal obstruction
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Large area of dullness
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Pregnancy, ovarian tumor, distended bladder, enlarged liver or spleen
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Flank dullness
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Assess for possible ascites
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Involuntary muscle rigidity
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Peritoneal inflammation
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Pain with cough or light percussion
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Peritoneal inflammation
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Rebound tenderness
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Peritoneal inflammation
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Liver tenderness
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Hepatitis or congestion (CHF)
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Dullness of Traube’s space
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Splenomegaly, fluid/solid in stomach or colon
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Splenic percussion sign
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Change in note from tympany to dullness on inspiration – suggests splenomegaly
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CV angle tenderness
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Pyelonephrits, can also have musculoskeletal cause
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Bladder distension
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Stricture, BPH, stroke, MS, other neurological disorders
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Suprapubic tenderness
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Bladder infection
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Periumbilical mass with pulsation
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AAA
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2 PD exams to find Ascites
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Shifting dullness and fluid wave
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dullness will shift in accordance with gravity
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Shifting dullness
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has an easily palpable impulsehas an easily palpable impulse
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fluid wave
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6 signs of Appendicitis
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periumbilical pain (radiates to lower quadrant), rectal/pelvic exam, rebound tenderness, guarding, rosving's sign, Psoas Sign, Cutaneous Hyperesthesia
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Rosving’s sign –
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RLQ pain during left sided pressure, often positive in appendicitis
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Psoas sign –
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flexion and/or extension at hip causes pain
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Cutaneous hyperesthesia –
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pain when you gently pick up a fold of skin (don’t pinch)
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Sign of Cholecystitis –
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Murphy’s sign
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Murphy’s sign –
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tenderness and painful inspiration with fingers hooked under costal margin
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