Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
30 Cards in this Set
- Front
- Back
|
Obesity IAPP
|
i- rounded, umbilicus sunken
a- normal bowels pe- tympany with scattered dullness pa- normal |
|
|
air or gas IAPP
|
I- single round curve
A- depends on cause P- tympany P- may have muscle spasm of abd. wall |
|
|
ascites IAPP
|
I- single curve; everted umbilicus; buldging flanks when supine; taut, glistening skin; recent weight gain
A- diminished bowel sounds over ascitic fluid P- P- |
|
|
ovarian cyst IAPP
|
I- curve in lower half of abd
A- normal P- dull over fluid; shifting dullness P- transmits aortic pulsation |
|
|
feces IAPP
|
I- localized distention
A- normal P- tympany with scattered dullness over fecal mass P- plastic like or rope like mass |
|
|
tumor IAPP
|
I- localized distention
A- normal bowel sounds P- dull if reaches skin surface P- define borders |
|
|
referred pain from abdomen to liver
|
hepatitis, anorexia, nausea, malaise, low grade fever
|
|
|
referred pain from abdomen to esophagus
|
gastroesophageal reflux disease
|
|
|
referred pain from abdomen to gallbladder
|
cholecystitis- sudden pain in URQ may travel to scapula and is associated with nausea& vomiting and a positive Murphy sign
|
|
|
referred pain from abdomen to pancreas
|
pancreatitis
|
|
|
referred pain from abdomen to duodenum
|
duodenal ulcer- may be relieved by food
|
|
|
referred pain from abdomen to stomach
|
gastric ulcer- dull aching gnawing pain usually brought on by food
|
|
|
umbilical hernia
|
soft, skin-covered mass; accentuated by increased abd. pressure (crying, coughing, etc); more common in premature infants; usually resolve spontaneously; in adults it occurs with pregnancy, chronic ascites
|
|
|
epigastric hernia
|
small, fatty nodule at epigastrium in midline; one can feel it rather than observe it; may be palpable only when standing
|
|
|
incisional hernia
|
bulge near old operational scar that may show with increased intraabdominal presure (sit-up, standing)
|
|
|
diastasis recti
|
separation of rectus muscles; shows when raises head in supine; occurs congenitally, as a resuly of pregnancy, or obesity
|
|
|
succussion splash
|
very loud splash over upper abd. when infant is rocked side to side; indicated increased air and fluid in stomach
|
|
|
marked peristalsis
|
suggests pyloris stenosis
|
|
|
hypoactive bowel sounds
|
diminished or absent bowel sounds=decreased motility; result of inflammation; also occurs with pneumonia
|
|
|
hyperactive bowel sounds
|
loud, gurgling sounds; occurs with gastroenteritis, brisk diarrhea, laxative
|
|
|
peritoneal friction rub
|
rough, grating sound=inflammation; usually occurs over organs with large surface area- liver and spleen
|
|
|
arterial vascular sounds
|
a bruit- indicates turbulent blood flow; occurs with aortic aneurysm, renal artery stenosis, and partial occlusion of femoral arteries
|
|
|
what is an aortic aneurysm
|
murmur is harsh, systolic, or continous; in people with hypertension
|
|
|
renal artery stenosis
|
murmur is midline or toward flank, soft, low to medium pitch
|
|
|
venous hum
|
rare; medium pitch, continuous sounds; occurs with hypertension and cirrhotic liver
|
|
|
enlarged liver
|
enlarged, smooth and nontender.
becomes tender with early heart failure, acute hepatitis, or hepatic abscess |
|
|
enlarged nodular liver
|
occurs with late portal cirrhosis, cancer, or syphilis
|
|
|
enlarged gallbladder
|
-enlarged, tender=chilecystitis
-inspiratory arrest is present (murphy sign) -enlarged, nontender is smooth and occurs when filled with stones |
|
|
enlarged spleen
|
-enlarges down and to midline, when extreme it enlarges to left pelvis
-acute infection: enlarged and soft, rounded edges -chronic cause: firm or hard, sharp edges, usually not tender |
|
|
enlarged kidney
|
-hard to tell diff between this and spleen; kidney has no palpable notch
-percussion is tympany over kidney and dull over spleen |
