abdomen

test

100

Cullens sign

Bluish or purple discoloration around umbilicus indicates intra abdominal bleeding

200

Psoas

Ask client to lay on left side, hyper extend clients right leg, Pain in right lower quadrant 

300

Rovsing sign

Palpating deeply into left lower quadrant in abdomen, pain in left lower quadrant

Pain in RLQ during pressure of LLQ

400

Obturator sign

Support clients right knee and ankle. Flex the hip and knee, and rotate the leg internally and externally 

Pain in RLQ indicated irritation of obturator muscle due to appendicitis

500

Murphy sign

Pain elicited when pressure is applied under the liver border at the right costal margin and client inhales deeply.

Inflammation of the gallbladder. 

Older adult consid.

100

Sends its to pain may deminish with aging T or F

true

200

Dilated superficial capillaries without a pattern may be seen in children  

False. Older adults

300

Screening for abdominal  aortic  aneurysm for men between ages of 

65-75

400

If client is older than age 50 or has hypertension assess the width of the 

Aorta

500

Older adult clients are especially at risk for potential complications with diarrhea, such as fluid volume deficit, dehydration, because they have a higher…

Fat to lean muscle ratio

Clinical tips

100

Scarring should be an alert for 

Possible internal adhesions

200

The major causes of abdominal detention are

6 Fs

Fat, feces, fetus, fibroids, flatulence, and fluid.

300

Bowel sounds may be more active over the ileocecal valve in the what quadrant?

RLQ

400

Bowel sounds normally occur every 

5-15 sec

500

If you cannot find the lower border of the liver keep in mind that the lower border of the liver dullness may be difficult to estimate when obscured by 

Intestinal gas

Assessing

100

Abnormal umbilicus may be caused by…

Pressure from mass, enlarged organs, hernia, fluid or scar tissue.

200

Distended abdomen may be caused from

Fat, fluid, feces, fibroids, fetus, flatulence

300

Vigorous, wide, exaggerated pulsations may be seen in a,

Aortic embolism.

400

Absent bowel sounds may be associated with 

Peritonitis, or paralytic ileus

500

Accentuated tympany or hyperesonance is heard over a 

Gaseous distended abdomen

organs in quadrants

100

Right upper quadrant

Liver, pancreas, gallbladder

200

Right lower quadrant 

Appendix, right overy and tube (females), cecum, right ureter, right sperm cord, ascending colon

300

Left upper quadrant

spleen, stomach, pancreas, left kidney upper pole

400

Left lower quadrant 

Left overy and tube, left ureter, left kidney lower pole, left sperm cord, descending and sigmoid colon

500

Midline

bladder, uterus and prostate