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52 Cards in this Set

  • Front
  • Back
normal adult liver span is
6-12 cm
liver span > 12 cm =
hepatomegaly
normally what is not palpable and must be enlarged 3x to be felt
spleen
which kidney is 1cm higher than the other
left
a complete deep breath where sharp pain is felt and the inspiration is stopped halfway is callled
murphys sign (inspiratory arrest)
murphys sign casues
inflammation of gallbladder or cholecystitis
in the liver, what may have mild to moderate dull pain in RUQ or epigastrium
hepatitis
burning pain in med epigastrium that radiates upward (heartburn)
occurs 30-60 min after eating
GERD
bilary, colic, sudden pain in RUQ that radiates to right or left scapula, following ingestion of fatty foods - not relieved by food
cholecystitis (gallbladder)
dull, gnawing, aching pain, does not radiate, elieved by rood.
duodenum ulcer
dull aching gnawing epigastric pain usually brought on by food , radiates to back
gastric ulcer (stomach)
typically starts as dull, diffuse, pain later shifting to severe, sharp pain in RLQ
appendecitis
severy colocky flank or lower abdomin pain
kidney
moderate colicky pain of onset in lower abdomen, bloating
large bowel obstruction
sharp burning cramping pain over a wide area, does not radiate. brought on by meals, releived by BM
Irritable bowel syndrome
a bulge near scar that shows when abdominal pressure by sitting up or standing up
incisional hernia
small fatty nodule at epigastrium midline. felt.
epigastric hernia
seperation of abdominal rectus muscles (pregnancy or obesity)
diastasis recti
diminished or absent bowel sounds signal decreased motility due to inflammation ex) paralytic ileus, SEEN AFTER SURGERY
hypoactive bowel sounds
loud, gurgling sounds, borboygmi, occur with bowel obstruction, HIGH PITCHED , heard best at abdominal aorta
hyperactive bowel sounds
indicates turbulent blood flow, found in constrictued , dilated vessels
bruit
harsh murmor
aortic aneurysm
soft to medium pitch murmor
renal artery
originates from vena cava, medium pitch.
venous hum
an enlarged tender gallbladder suggests acute ....
cholecsytitis
an enlarged non tender gallbladder occurs when
gallbladder is filled wit hstones
liver and gallbladder - what quadrant
RUQ
ascending transverse
Liver
R kidney
RUQ
Ascending colon
R kidney
RLQ
transverse / descending colon
Spleen if enlarged
LUQ
descending
sigmoid colon
LLQ
swooshing sound an artery makes when blood cannot get through
bruit
4 most common diagnosis of AB pain are
appendecitis
cholecsistitis
SBO small bowel obstruction
GYN disorders
because the die can cause kidney damage, what must be checked before having contrast
Kidney function
assessment for normal
Inspect
Palpate
Percuss
Auscultate
assesmesnt for abdomen
Inspect
Auscultate
Percuss
PALPATE LAST
Abdomen is divided superiorly by
coastal margins
outermost layer of abdominal wall is
external abdominal oblique
innermost layer of ab wall
transverse abdominis
flank discolaration causing Intra Ab bleeding is called
gray turners sign
sclera and hard pallat of mouth are
places to see jaundice
what organs are palpable in RUQ
LIVER
R KIDNEY
ASCENDING/TRANSVERSE COLON
an acute onset after eating fish and chips at fast food reestaurant is indicative of
cholecstisis (INFLAMMATION OF GALLBLADDER)
SHARP inspiratory arrest with palpation of RUQ is indicative of
Murphys sign (gallbladder pain indicicative of cholestitis)
severe pain , epigastric region , unrelenting and radiating to the back is indicative of
acute pancreatitis
pancreatis diet is to limit
LIMIT FAT , eat smaller meals to reduce carbs and protein
WHAT kind of hepatitis is transmitted by fecal-oral route via contamined food or handlers
HEPATITIS A
WHAT kind of hepatitis is transmitted via infected blood or bodily fluids
Hepatitis B, C, D
HCV = C =
HEPATITIS , BLOOD
Highest priority cholecstitis surgery =
control PATIENT PAIN
There is a strong link betwene alcohol use and pancreatitis

t/f
true
earyly cirrohsis diet =
high calorie high carb