Week 6- Abdomen
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What is a common symptom of ovarian cancer?
When hollow organs become distended or forcefully contract
Pain at the periumbilical
usually sm. intestine or appendix
Pain in the suprapubic
rectum, colon, bladder, uterus
Describe Parietal Pain
inflammation of the hollow or solid organs that affects the parietal peritoneum
Diverticulitis can sometimes be mistaken for __
What is referred pain
- pain that originates at a different site
- ex. post-abdominal surgery, pain in shoulders
- left arm pain, MI or GERD
What does Icetric mean?
What is hematochezia?
What is Melena?
What is white/gray stool?
can mean there is a problem with the gall bladder or liver
What is the most common cause of pancreatitis?
- gall stones
- 2nd is alcohol
What is the abdominal procedure for PE?
Where do you hear the most bowel sounds?
What does hyperactive sounds mean?
- high pitched tinkling
- diarrhea, early obstruction
What do hypoactive sounds mean?
it's normal after surgery
Where do you hear Vascular sounds?
where the aorta biforcates, it's a common place for plaque to build up
What is an epigastric systolic bruit?
A diastolic and systolic epigastric bruit is a sign of what?
What sounds should you hear during percussion?
What is the liver span at the Midclavicular line?
What is the liver span at the sternoborder?
What is the test for spleen enlargement?
- shouldn't hear a change in noise, shouldn't be able to feel it
What is uerteral pain?
colicy pain moves from kidneys to groin
What occurs when palpating if there is peritoneal irritation?
pt coughs and can pinpoint painful area
What is rebound tenderness?
when there is pain after pressure is released from palpation
Where do most aneurysms occur?
renal artery above umbilicus
Describe signs for appendicitis
- rebound tenderness
- Rovsing's sign: push in LLQ and pain will be above appendix
- Psoa's Sign: move leg, and appendix will hurt
Describe signs for cholecystities
Murphy's sign: touch point and have pt inhale, it should be painful
What is borboygmus?
What would you like to do?
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