Fun Facts
Most common form of hiatus hernia?
Sliding
What is the most common tumor of the esophagus?
Squamous Cell Carcinoma
The abdominal exam is NOT complete without performing?
Genital and Rectal Exam
Describe the significance of Psoas test
Appendicitis (Retro-ileal)
Describe the significance of Obturator:
Appendicitis (Pelvic)
Define gastritis
Inflammation of the stomach. Could be acute or chronic
Munching on aspirin may cause?
Acute gastritis
Describe Rovsing's test
Press on (L), if (R) hurts = appendicitis
Describe Blumberg's
Rebound tenderness in generalized peritonitis
Describe the significance of Cullen's:
Ecchymosis - pancreatitis, ectopic pregnancy (central)
What are the 3 major groups of gastritis?
Erosive, hemorrhagic or acute
Nonerosive, nonspecific
Specific
Pyloric stenosis is also known as?
Achalasia of the Pylorus
Describe the significance of Grey Turner's:
Ecchymosis - pancreatitis, ectopic pregnancy (lateral)
Describe the significance of shifting dullness:
Ascites-cirrhosis, ovarian cancer, nephrotic syndrome
Describe the significance of bilateral kidney enlargement:
Polycystic disease of the kidney
What are the possible complications of peptic ulcers?
Hemorrhage
Perforation
Cicatricial Contraction
How does steroid hormones affect gastric ulcer formations?
Decreases the viscosity of the gastric mucin
Describe the significance of abdominal bruit above the umbilicus:
Abdominal aortic aneurysm (w/70% occlusion)
Describe the significance of tenderness in the epigastrium: (3)
Peptic ulcer disease, pancreatitis or gastritis
Describe the significance of eyes closed sign:
No serious intra-abdominal pathology
A neurotropic virus may be important for this disease
Achalasia
Clinical features of esophageal carcinoma (3)
Progressive dysphagia
Weight loss
Respiratory symptoms
The seven features worth noting of an abdominal mass are:
Size
Shape
Situtuation
Mobility
Consistency
Pulsatile
Painful
Describe the significance of rebound tenderness
Peritoneal irritation-infection
Rupture or perforation of the bowels
What is the difference between hypoactive and hyperactive bowel sounds?
Hypo = Generalized peritonitis causing paralytic ileus
Hyper = Intestinal Obstruction