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12 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Abdominal paradox
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weakness of diaphragm, becomes passive membrane. Ex. Abd expands while chest pulled inward. Predicts resp failure
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Respiratory alterans
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alternate use of diaphragm or intercostals resp muscles. Pts cycle from resp alterans to abd paradox. Indicates resp failure
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Striae
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cushings (purple and multiple), pregnancy, wt gain
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Abdomino jugular reflex used to
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unmask subclinical CHF
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Murphy’s sign
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used to dx acute cholecystitis. Press toward pt’s head, have pt take deep breath
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Courvoisier’s law
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stiff gall bladder likely to indicate gb cancer
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Acute abdomen 3 maneuvers in exam
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1. Guarding/ (involuntary)rigidity 2. Abd wall tenderness 3. Rebound tenderness
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Carnett’s sign
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differentiate abd wall inflam vs viscus inflam. Palpate tenderness, have pt raise head to tense abd muscles, ask if there is change in pain
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Abdominal hyperesthesia
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hypersensitivity to light touch (herpes zoster)
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5 tests for appendicitis
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1.mcburny’s sign 2. Rovsing’s sign (pain in rt iliac fossa by pressing on LLQ) 3.obturator test (pain around ob) 4.reverse psoas maneuver (pain around ps) 5. Rectal tenderness
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None
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ascites unlikely if pt has no hx
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1. Increased abdominal girth 2. Ankle edema (best to rule in/out)
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4 physical exam techniques for ascites
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1.bulging flanks ABSENCE RULES OUT (obese) 2. Percussion for flank dullness (rounded area of tympani (floating intestines) 3. Shifting dullness (gravity dependent shift in dullness from supine to 45 deg = fluid) 4. Fluid wave test BEST TO RULE IN (hand on one flank, tap on other, feel for wave)
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