abdomen.txt

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Author:
dodgybarnet
ID:
127645
Filename:
abdomen.txt
Updated:
2012-01-13 17:12:37
Tags:
EMT book1
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Description:
Abdomen
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  1. ´╗┐Cullen's sign
    A superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus that suggests intra-abdominal hemorrhage
  2. Grey-Turner's sign
    refers to bruising of the flanks. This sign takes 24–48 hours. It can predict a severe attack of acute pancreatitis, or is a sign of retroperitoneal hemorrhage.
  3. Ascites
    • [ah-psy-tees]
    • Bulges in he flanks and across the abdomen and indicate edema caused by CHF.
    • A distended bladder or pregnant uterus can cause a suprapubic bulge.
    • Bulges in the inguinal or femoral area suggest a hernia.
  4. Scaphoid
    concave
  5. Pulsation visible
    Bounding pulse can = AAA
  6. Peristalsis visible?
    can = bowel obstruction
  7. Borborygmi
    • [bore-ba-rig-me]
    • Long pronounced gurgling bowel sounds indicating hyperperistalsis.
    • decreased sounds: Paralytic ileus or Peritonitis
  8. Tympany sound?
    Hollow drum-like sound produced when a gas-containing cavity is tapped sharply.
  9. Dullness sound?
    Expect it over solid organs like liver and spleen.
  10. Ask Pt to cough. If cough = pain?
    could be peritoneal inflammation
  11. Hold hand 1cm from Pt's abdomen and get them to push out to touch your hand. Pain = ?
    peritoneal irritation
  12. Psoas test
    • [so-us]
    • Ask supine pt to raise their right knee to their chest.
    • Pain: inflamed appendix

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