Exam
Normal vertical span of the liver along the right midclavicular line
6-12 cm
Pfannenstiel, or transverse suprapubic, incisions refer to these surgeries.
Hysterectomy, pelvic surgery
The hypogastric region is also known as
suprapubic region
Medical term for BRBPR
hematochezia (undigested blood- red or maroon colored )
vs melena: digested blood = black and tarry
visceral pain can come from the foregut, midgut, or hindgut structures. Pain from which organs will result in upper abdominal pain?
foregut: stomach, duodenum, liver, pancreas
What is the preferred order for examination of the abdomen?
inspection, auscultation, percussion, palpation
Kocher's / Subcostal incisions refer to this surgery
Cholecystectomy
The duodenum and the lower pole of the right kidney are located in this quadrant
RUQ (along with liver, gallbladder)
Word for prolonged gurgles / rumbling of hyperperistalsis
borborygmi
visceral pain can come from the foregut, midgut, or hindgut structures. Pain from which organs will result in periumbilical pain?
midgut structures: small bowel, proximal colon, appendix
This method of percussing the spleen involves percussing the lowest rib interspace of the left anterior axillary line as the patient exhales and then inhales
Castell's Method
if the spleen is normal sized, percussion will be tympanic on both exhalation and inhalation
if the spleen is enlarged, there will be dullness (positive percussion sign)
Loin surgical scars refer to this surgery
nephrectomy
The lower border of the 12th rib and the transverse processes of the upper lumbar vertebrae form this anatomical region
Costovertebral Angle: defines where to assess for kidney tenderness
Murphy's sign
visceral pain can come from the foregut, midgut, or hindgut structures. Pain from which organs will result in lower abdominal pain?
hindgut structures: distal colon, GU tract
These two special tests assess for ascites.
Shifting dullness and fluid wave
left paramedian incisions refer to these surgeries
anterior rectal resection or colectomy
Lines the internal surface of the abdominopelvic wall. Patients will present with well-localized pain.
Parietal Peritoneum
This test for appendicitis assesses for referred rebound tenderness. During a positive test, deep palpation and release of the LLQ will cause pain in the RLQ.
Rosving's Sign
This exam must be performed on all patients with symptoms of lower GI pain.
rectal exam
rebound tenderness is a sign of
peritonitis
appendectomy
The area of the left lower anterior chest wall at the 6th rib to the anterior axillary line and down the costal margin is known as
Traubes Space (percussion of the spleen)
How would you describe an abdomen with ascites?
Protuberant abdomen with bulging flanks
positive fluid wave and shifting dullness
This exam must be performed on all females of child bearing age presenting with symptoms of lower abdominal pain
pelvic exam