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54 Cards in this Set
- Front
- Back
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What should be asked for pain for Abdomen
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Onset
Progression Character Location |
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What type of associated symptoms may be with the abd. pain
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Indigestion
Vomiting Diarrhea Constipation Jaundice Urinary symptoms menstrual history Rectal bleeding |
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what is the term for swallowing air
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aerophagia
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what is the term for vessel dilation and AAA
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aneurism
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what is the term for loss of appetite
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anorexia
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what is the term for fluid in the peritoneal cavity
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Ascities
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what is the term for difficult/ infrequent bowls
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constipation
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what is the term for indigestion
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dyspepsia
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what is the term for difficulty in defecating
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Dyschezia
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what is the term for an abnormal connection
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Fistula
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what is heartburn also called
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GE reflux
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what is the term for bloody stools
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heatochezia
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what is the term for bloody emesis
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hematemesis
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what is the guaiac test for blood in stool
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hemoccult
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what is the term for yellow discoloration
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Icterus
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what is the term for black tarry stools
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melena
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what is the order for the abdominal exam
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Inspection
Auscultation Percussion Palpation |
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what should you look for in the contour of the abdomen
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Falt
round protuberant scaphoid |
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what should you look for on the skin of the abdomen
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scars, striae, dilated veins, rashes, lesions
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what pulsations should you look for
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aoritc aneurysm
peristalsis |
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what should you look for on the umbilicus
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contor and location
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what hernial orifices should you look at during abdomen exam
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umbilicus
inguinal femoral |
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what are normal auscultation sounds of the bowl
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gurgles/click
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what is borborygmi
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long prolonged gurgles of hyperperistalsis
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what is the function of percussion of the abdomen
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assess amount and distribution of gas
identify solid or fluid filled masses |
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what are the normal abdomen percussion sounds
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tympany
dullness (liver span, spleen) |
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what is the function of light palpation of the stomach
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identify tenderness, muscular resistance, superficial organs/masses
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what are the abnormal light palpation signs
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guarding
rigidity rebound tenderness |
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what does localized rebound tenderness mean
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local peritonitis
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what is generalized rebound tenderness
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extensive peritonitis
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What should you do to examine the liver
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percuss and palpate
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What should you do to examine the spleen
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percuss and palpate
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What should you do to examine the aorta
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palpate for size
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What should you do to examine the kidneys
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palpate for size
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What should you do to examine the bladder
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palpate for tenderness, distenstion
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What should you do to examine the rectal
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always include as part of abdominal exam
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what is Lloyds sign
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first percussion of kidney at C-V angle
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what is the expected size of the aorta
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less than 3cm
avg is 2.5 cm |
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what is the two question appendicitis test
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where was your pain when it started
where does it hurt now |
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what is the apppendicitis symptom sequence
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- periumbilical distress
- anorexia, nausea, vomiting - Pain shifts to Localized RLQ - Fever - leukocytosis |
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what is rebound tenderness for appendicitis
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pressure release give pain
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what is the Rovsing sign
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L sided presure w/ abrupt release reproduces pain in RLQ
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what is the function of the Psoas sign
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does not diagnose but rater locates and inflammed retrocecal appendix
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what is the corresponding vertebral levels for appendicitis
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T10-T12 paravertebral
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what are the tests for the appendix
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Rebound tenderness
Rovsing sign Two question test Psoas sign Obturator sign cutaneous hyperesthesia Rectal/pelvic exam |
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what is the function of the obturator sign
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does not diagnosis but locates inflammed pelvic appendix
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how do you do the obturator sign
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have pt lay on side, lift right leg and rotate medially
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ow do you do psoas sign
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have pt lay on side/stomach and lift leg posteriorly
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what is the refered sigte for acute cholecystitis
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T7-T9 paravertebral
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what does pt normally describe acute cholecysttitis pain as
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pain site as epigastrium
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where is maximum tenderness for acute cholecystitis
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over gallbladder in RUQ
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what test is used for acute cholecystitis
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murphys sign
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what are the 7-F type for acute cholecystitis
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Fair
Flabby Fat, Fertile Female Flatulent Forty |
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what are symptoms for ascites
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protuberant abdomen with bulging flanks
shifting dullness fluid wave |
