Pcom - Physical Assessment Abdomen Quiz8

Front 1

What is the causes of pink, purple striae on the abdomen?

Back 1

. Pink purple striae from cushing’s syndrome

Front 2

What is the causes of dilated veins on the abdomen?

Back 2

Dilated vein; hepatic cirrhosis or inferior vena cava obstruction

Front 3

What is the causes of bulging flank on the abdomen?

Back 3

bulging flank; ascites

Front 4

What is the causes of suprapubic bulge on the abdomen?

Back 4

suprapubic bulge of a distended bladder of pregnancy uterus; hernias

Front 5

What are the causes of increased peristaltic waves and increased pulsations visible on the abdomen?

Back 5

Increased peristaltic waves; intestinal obstruction . increased pulsation; an aortic aneurysm or increased pulse pressure.

Front 6

Where will you listen for bruits of the renal stenosis?

Back 6

Bruits; liasten in the epigastrium and in the upper quadrant for bruits ( renal artery stenosis listen upper left quadrant ..chECK!

Front 7

What are the causes of friction rubs over the liver?

Back 7

friction rub suggests liver tumor gonococcal infection around the liver and splenic infarction

Front 8

What are the shapes and percussion notes in intestinal obstruction?

Back 8

A protuberant abdomen that is tympanic throughout suggests intestinal obstruction

Front 9

What is the palpation finding of peritoneal inflammation?

Back 9

palpation finding in peritoneal inflammation involuntary rigidity ( muscular spasms) typically persists despite these maneuvers.

Front 10

What is the significance of rebound tenderness?

Back 10

Rebound tenderness suggests peritoneal inflammation if tenderness is felt elsewhere than where you were trying to elicit rebound may be were the problem is.

Front 11

How is rebound tenderness elicited?

Back 11

Rebounded tenderness is caused by rapid movement of an inflamed peritoneum

Front 12

In which condition the liver dullness may be displaced downward?

Back 12

by low diaphragm of chronic obstructive pulmonary disease . span remains normal

Front 13

How will you palpate the liver? what is the site at which liver is palpable?

Back 13

?

Front 14

What are the causes of tenderness over the liver?

Back 14

suggests inflammation as in hepatitis or congestion as in liver failure.

Front 15

What are the directions of enlargement of the spleen?

Back 15

Enlargement directions of spleen it expands anteriorly downward and medially often replacing the typany of stomach a colon with dullness.

Front 16

What are the causes of splenomegaly

Back 16

include portal hypertension, hematologic malignancies, HIV infection, and splenic infarct or hematoma.

Front 17

What are the causes of enlarged Kidney?

Back 17

include hydronephrosis, cysts and tumors. Bilateral enlargement suggests polycystic kidney desease

Front 18

What are the findings on pressure and percussion in pyelonephritis?

Back 18

.. Pain appears with pressure or fist percussion if have pyelonphritis but also may be musculosketetal

Front 19

What are the causes of bladder outlet obstruction?

Back 19

Cuauses of bladder outlet obstruction due to urethral stricture, prostrate hyperplasia;also from medication and neurologic disorders such as stroke,multiple scleroisis.

Front 20

Risk factors for abominal aortic aneurysm( AAA)

Back 20

Risks for abdominal aortic aneurysm are age 65 or older, or hx of smoking , male gender and first degree relative with a hx of AAA repair.

Front 21

What are the exam findings in AAA

Back 21

The exam findings are: A periumbilical or upper mass with expansile pulsations that is 3cm or more suggests an AAA.

Front 22

What are the causes of ascites? What happens to dullness and tympany with position change of a pt with ascites?

Back 22

caused by increased hydrostatic pressure in cirrhosis, congestive heart failure, constrictive pericarditis, or inferior vena cava or hepatic vein obstruction; from decreased osmotic pressure in the nephrotic syndrome malnutrition. also in ovarian cancer.

Front 23

What happens to dullness and tympany with position change of a pt with ascites?

Back 23

In ascites dullness shifts to the more dependant side, whereas tympany shifts to the top.

Front 24

What is the characteristic of pain in appendicitis?

Back 24

classically begins near the umbilicus, then shifts to the right lower quadrant, where coughing increases it. Older pt report this pattern less frequent.

Front 25

Describe Ronsig sign to give a positive sign for appendicitis

Back 25

Pain in the right lower quadrant during left- sided pressure

Front 26

Describe when referred rebound tenderness suggests appendicitis

Back 26

Right lower pain on quick withdrawal.

Front 27

Describe psoas sign

Back 27

places hand on right knee and ask pt to resist against you or ask pt to turn onto their left side . then extend pt right leg at hip = this flexion of the leg at the hip = psoas muscle contract; extension stretches it. Increased abdominal pain on either maneuver = positive psoas sign = suggesting irritation of the psoas muscle by an inflamed appendix

Front 28

Describe obturator sign

Back 28

Flex the pt's right thigh at the hip with the knee bent, and rotate the leg internally at the hip. Right hypogatric pain = poss obturator sign which suggests irritation of the obturator muscle by an inflamed appendix

Front 29

How Murphy's sign is elicited?

Back 29

Right upper quadrant pain and tenderness suggest acute cholcystisis. Hook your thumb or finger of your right hand under the costal margin at the point where the lateral border of the rectus muscle intersects with the costal margin.

Front 30

When is Murphy's sign positive

Back 30

A sharp increase in tenderness with a sudden stop in inspiratory effort constitutes a positive Murphy's sign of acute cholecystitis.

Front 31

How will you distinguish a mass on the abdominal wall from an intraabdominal mass?

Back 31

Mass in a abdominal wall remains palable; intaabdominal mass is obscured by muscular contraction

Front 32

Where is the location and radiation of pain Acute pancreatitis?

Back 32

Epigastric, may radiate to the back or other parts of the abdoomen; may be poorly localized.

Front 33

Where is the location and radiation of pain of acute cholecystitis?

Back 33

Right upper quadrant or lower abdominal; may radiate to the right scapular area.

Front 34

Where is the aggravating and relieving factors of pain Acute pancreatitis?

Back 34

Aggravates lying supine.
relieve leaning forward with truck flexed.

Front 35

What are the causes of stress incontinence in men?

Back 35

The urethral sphincter is weakened. I men it may follow prostatic surgery

Front 36

What are the causes of stress incontinence in women?

Back 36

weakness of the pelvic floor with inadequate MUSCULAR SUPPORT OF THE BLADDER AND PROXIMAL URETHRA and change in the angle between the urethra and the bladder Causes; childbirth and surgery. Local condition could also effect Like; the internal urethral sphincter, such as postmenopausal atrophy of the mucosa and urththral infection, may also contribute