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A superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus that suggests intra-abdominal hemorrhage
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.
- 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.
Bounding pulse can = AAA
can = bowel obstruction
- Long pronounced gurgling bowel sounds indicating hyperperistalsis.
- decreased sounds: Paralytic ileus or Peritonitis
Hollow drum-like sound produced when a gas-containing cavity is tapped sharply.
Expect it over solid organs like liver and spleen.
Ask Pt to cough. If cough = pain?
could be peritoneal inflammation
Hold hand 1cm from Pt's abdomen and get them to push out to touch your hand. Pain = ?
- Ask supine pt to raise their right knee to their chest.
- Pain: inflamed appendix
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