Notes in 21 Abdomen PE

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Published 07/30/2024 Flag sign of hair among malnourished patients{{c1::Alternating black and white hairPoor hair quality, thin, easily breaks}}
Published 07/30/2024 Required bilirubin serum level to see jaundice manifestation {{c1::> 3 mg/dL}}
Published 07/30/2024 Body parts to check for anemia {{c1::Eye conjunctivaTongue Nail bedsPalm}}
Published 07/30/2024 Characteric skin ulceration of px with diarrhea{{c1::Pyoderma gangrenosum}}
Published 07/30/2024 Skin manifestation as a reflection of internal malignancy – most commonly seen in GIT{{c1::Acanthosis nigricans}}
Published 07/30/2024 Associated skin manifestaion with TB infection of any GIT organ {{c1::Erythema nodosum}}
Published 07/30/2024 Golden to red brown ring, sometimes shading to green or blue, from copper deposition in the periphery of the cornea found in Wilson disease{{c1::Kayse…
Published 07/30/2024 GIT pathology associated with thyromegaly {{c1::Diarrhea or constipation}}
Published 07/30/2024 Neck landmark to palpate for thoracic duct that drains abdominal cavity {{c1::LEFT supraclavicular}}
Published 07/30/2024 GIT pathology indication of Virchow’s Node/Troisier’s Node{{c1::Metastatic abdominal malignancy - stage 4}}
Published 07/30/2024 GIT pathology associated with spider angioma on chest exam {{c1::Liver cirrhosis - Liver cannot metabolize the estrogen}}
Published 07/30/2024 {{c1::Anasarca}} - Severe generalized edema extending to the sacrum and abdomen
Published 07/30/2024 Lower extremity manifestation of hypoalbuminemia {{c1::Pitting Edema}}
Published 07/30/2024 GIT pathology associated with positive Hepatojugular Reflux{{c1::Hepatic congestion secondary to RHF}}
Published 07/30/2024 Boundaries of abdominal cavity Cranially: {{c2::Xiphid process of the sternum and the costal cartilages of ribs 7-10}}Caudally: {{c2::Anteri…
Published 07/30/2024 Paired muscles of abdominal cavityVertical muscles:{{c2::Rectus abdominisRectus Pyramidalis}}Flat muscles:{{c1::External abdominal obliqueInternal abd…
Published 07/30/2024 Lower esophageal gastric and duodenal discomforts are best appreciated in the {{c1::epigastric::Abdominal region}} area
Published 07/30/2024 Signs of distal small bowel and/or colonic distension are usually expressed in the {{c1::periumbilical::Abdominal area}} region
Published 07/30/2024 Horizonal landmark for 3-area mapping method of abdomen {{c1::Lowest edge of the costal marginEdge of the iliac crest}}
Published 07/30/2024 QC. Ideal utilization of 3-Area Mapping Abdomen 1. Parietal pain 2. Visceral pain {{c1::B}}
Published 07/30/2024 Specific area of 3-Area mapping method for GIT accessory organs{{c1::Epigastric}}
Published 07/30/2024 Specific area of 3-Area mapping method for Appendix pain{{c1::Periumbilical}}
Published 07/30/2024 Specific area of 3-Area mapping method for proximal Colon pain{{c1::Periumbilical}}
Published 07/30/2024 Specific area of 3-Area mapping method for duodenal pain{{c1::Epigastric}}
Published 07/30/2024 Specific area of 3-Area mapping method for ascending colon pain{{c1::Suprapubic}}
Published 07/30/2024 GIT organs found in RUQ{{c1::Intraperitoneal● Liver● Gallbladder● Pylorus● Duodenum● Hepatic flexure of colon● Portion of ascending and transverse col…
Published 07/30/2024 GIT organs found in LUQ{{c1::Intraperitoneal● Left lobe of Liver● Spleen● Stomach● Splenic flexure of the colon● Portion of Transverse and Descending …
Published 07/30/2024 GIT organs in RLQ{{c1::Intraperitoneal● Cecum● Appendix● Bladder (if distended)● Right ovary● Right salpinx● Uterus (if enlarged)Retroperitoneal● Lowe…
Published 07/30/2024 GIT organs in LLQ{{c1::Intraperitoneal● Portion of the descending colon● Sigmoid Colon● Bladder (if distended)● Left ovary● Left salpinx● Uterus (if e…
Published 07/30/2024 Landmarks for 9-region mapping methodHorizontal lines{{c1::Lowest edge of the costal margin and the other across the edge of the iliac crest}}Vertical…
Published 07/30/2024 T or FFor abdominal PE, patient should lying supine at the examination bed while knees extended {{c1::False}}
Published 07/30/2024 T or FIf the patient is complaining of LLQ pain, the LLQ should be the last to be examined{{c1::True}}
Published 07/30/2024 T or FIt is ideal to distract patient when performing PE of abdomen {{c1::True}}
Published 07/30/2024 Sequence of Abdomen PE {{c1::Inspection Auscultation Percussion Palpation}}
Published 07/30/2024 Globular Abdomen Differentials{{c1::FatFetusFlatusFluidFecesFhantom}}
Published 07/30/2024 Possible GI pathology associated with scaphoid/concave abdomen {{c1::Malnourished}}
Published 07/30/2024 If you see asymmetric abdominal distention , think of…{{c1::HerniaEnlarged organ Tumors::3}}
Published 07/30/2024 QC. Venous dilatation above umbilicus 1. Portal hypertension 2. Iliac vessels{{c1::A}}
Published 07/30/2024 QC. Venous dilatation below umbilicus 1. Portal hypertension 2. Iliac vessels{{c1::B}}
Published 07/30/2024 If you see ecchymoses in the abdominal wall, think of {{c1::GIT hemorrhage}}
Published 07/30/2024 These are central arterioles surrounded by radiating capillaries which blanch on applying pressure to the central arteriole and refill from the center…
Published 07/30/2024 GI pathology associated with symmetrical globular abdomen, blood vessels are prominent above the umbilicus{{c1::Liver cirrhosisPortal hypertension}}
Published 07/30/2024 Bluish Discoloration Periumbilical{{c1::Cullen's sign}}
Published 07/30/2024 Stria of abdomen indication {{c1::Abdomen has stretched}}
Published 07/30/2024 {{c1::Turner's sign}} - Bluish Discoloration of abdominal flanks
Published 07/30/2024 QC. Normal umbilicus 1. Everted2. Inverted{{c1::B}}
Published 07/30/2024 GIT pathology indication for nodular umbilicus {{c1::Sister Mary Joseph nodesOvarian CA}}
Published 07/30/2024 GIT pathology associated with everted hernia of umbilicus {{c1::Ascites}}
Published 07/30/2024 T or FPulsations in hypersthenic is always abnormal{{c1::True}}
Published 07/30/2024 If you see pulsation on the abdomen, think of…{{c1::Aneurysm}}
Published 07/30/2024 Possible GIT problem associated with peristalsis oberved on abdomen {{c1::Sign that there is intestinal obstruction or that there is hyperactivit…
Published 07/30/2024 T or FBowel sounds at RLQ is the same for other quadrants of the abdomen as well {{c1::True}}
Published 07/30/2024 Normal bowel sounds consist of clicks and gurgles, occurring at an estimated frequency of {{c1::5 to 34}} per minute
Published 07/30/2024 Loud prolonged gurgles (overly active bowel){{c1::Borborygmi}}
Published 07/30/2024 T or FBorborygmi sound is specific for Capillaria philippinensis infection {{c1::False}}
Published 07/30/2024 QC. Enteritis1. Diarrhea2. Vomiting {{c1::a}}
Published 07/30/2024 QC. Gastroenteritis1. Diarrhea2. Vomiting {{c1::C}}
Published 07/30/2024 GI pathology associated with high pitched tinkling {{c1::Early intestinal obstructionPartial obstruction}}
Published 07/30/2024 QC. Hunger 1. Hyperactive bowel sound2. Hypoactive bowel sound {{c1::A}}
Published 07/30/2024 QC. Diarrhea1. Hyperactive bowel sound2. Hypoactive bowel sound {{c1::A}}
Published 07/30/2024 QC. Early intestinal obstruction1. Hyperactive bowel sound2. Hypoactive bowel sound {{c1::A}}
Published 07/30/2024 [QC] Late Intestinal obstruction1. Hyperactive bowel sound2. Hypoactive bowel sound {{c1::B}}
Published 07/30/2024 QC. Peritonitis1. Hyperactive bowel sound2. Hypoactive bowel sound {{c1::B}}
Published 07/30/2024 Part of stethoscope to hear bruits{{c1::Diaphragm}}
Published 07/30/2024 GI pathology indication of bruits during auscultation {{c1::Occlusive vascular disease}}
Published 07/30/2024 Most common source of normal abdominal bruit{{c1::Celiac artery}}
Published 07/30/2024 GI pathology of bruit in RUQ{{c1::Liver massLiver cirrhosis Hepatocellular carcinoma}}
Published 07/30/2024 GI pathology of bruit in LUQ{{c1::Pancreatic carcinoma}}
Published 07/30/2024 If bruits can be heard in patients with abdominal pain, consider pathologies of the aorta such as {{c1::aortic aneurysm}}
Published 07/30/2024 806f0f2ceeac49d7a3ac19c6b04e99e7-oa-1
Published 07/30/2024 806f0f2ceeac49d7a3ac19c6b04e99e7-oa-2
Published 07/30/2024 806f0f2ceeac49d7a3ac19c6b04e99e7-oa-3
Published 07/30/2024 806f0f2ceeac49d7a3ac19c6b04e99e7-oa-4
Published 07/30/2024 Venous hum is indicative of px with {{c1::portal hypertension::GI pathology}} and {{c1::chronic liver disease::GI pathology}}
Published 07/30/2024 QC. High-pitched, grating sound associated with respiration1. Friction rub 2. Venous hum {{c1::A}}
Published 07/30/2024 QC. Soft, low-pitched, continuous sound1. Friction rub 2. Venous hum {{c1::B}}
Published 07/30/2024 Positive friction rub in the abdomen indicates inflammation of capsule of {{c1::liver::GI organ}} or {{c1::spleen::GI organ}}
Published 07/30/2024 Indication for friction rub during abdominal auscultation {{c1::Infection Tumor Ischemia}}
Published 07/30/2024 Ideal PE of abdomen to assess for gastric outlet obstruction {{c1::Sucussion splash auscultation of epigastrium while shaking the abdomen}}
Published 07/30/2024 Patient should have not eaten for the last {{c1::6}} hours to perform for succussion splash PE of abdomen
Published 07/30/2024 Besides for gastric outlet obstruction, what other GIT conditions is positive for succussion splash?{{c1::Severe gastroparesisLarge hiatal herniaPUD o…
Published 07/30/2024 Normal small and large bowel sounds {{c1::Tympanic}}
Published 07/30/2024 Normal percussion sound of liver and spleen {{c1::Dull}}
Published 07/30/2024 Ascites in abdomen produces {{c1::dull}} percussion sound
Published 07/30/2024 Three methods to percuss the whole perimeter of abdomen {{c1::Quadrant to periumbilical Vertical - starting from right abdomen to leftRadial…
Published 07/30/2024 Normal liver is located {{c1::1 - 2}} fingerbreadths below the R subcostal margin in the MCL
Published 07/30/2024 Normal liver span on ff. regions MCL: {{c1::6 - 12 cm}}Midsternal line: {{c1::4 - 8 cm}}
Published 07/30/2024 GI organ assessed in scratch test{{c1::Liver}}
Published 07/30/2024 Spleen is percussed at the {{c1::left 9th AAL}}
Published 07/30/2024 Normal finding at left 9th AAL {{c1::Tympanitic}}
Published 07/30/2024 T or FNormally CANNOT palpate spleen in the Traube’s space (9th LICS AAL){{c1::True}}
Published 07/30/2024 PE percussion technique to confirm for ascites {{c1::Shifting Dullness of Ascites}}
Published 07/30/2024 Most sensitive way of testing for ascites{{c1::Puddle sign}}
Published 07/30/2024 Three abdomen percussion methods to assess for ascites{{c1::Shifting DullnessFluid wavePuddle sign}}
Published 07/30/2024 Organs that can be palpated{{c1::Liver Spleen KidneysGallbladder}}
Published 07/30/2024 In general, normal kidneys {{c1::cannot::Can or Cannot}} be felt in the abdomen
Published 07/30/2024 Important sign in patients with abdominal pain, especially peritonitis{{c1::Tenderness}}
Published 07/30/2024 GI pathology indication for rebound tenderness{{c1::Acute appendicitisDiverticulitisPeritonitis}}
Published 07/30/2024 If the patient feels pain in the epigastric area, palpate that {{c1::last::first or last}}
Published 07/30/2024 CBAVoluntary contraction of abdominal wall which decreases with distractionA. GuardingB. Rigidity C. Rebound tenderness{{c1::A}}
Published 07/30/2024 CBAInvoluntary reflex contraction of abdominal wall, persists with repeated examA. GuardingB. Rigidity C. Rebound tenderness{{c1::B}}
Published 07/30/2024 CBAThere is pain during movementA. GuardingB. Rigidity C. Rebound tenderness{{c1::B}}
Published 07/30/2024 CBAManeuver is positive if withdrawal produces painA. GuardingB. Rigidity C. Rebound tenderness{{c1::C}}
Published 07/30/2024 Nodular and tender liver upon palpation indicates {{c1::liver cirrhosis}}
Published 07/30/2024 Mechanism behind scratch test for liver {{c1::Increased loudness of scratching during auscultation near liver area}}
Published 07/30/2024 T or FA normal spleen is almost never palpable{{c1::True}}
Published 07/30/2024 Splenic growth in cm toward the umbilicus that indicates possible splenomegaly {{c1::7 cm}}
Published 07/30/2024 GI pathology related to positive for Murphy's sign {{c1::Acute Cholecystitis}}
Published 07/30/2024 Modification of the procedure in eliciting Murphy’s sign with the use of left thumb {{c1::Moynihan’s Modification}}
Published 07/30/2024 Associated organ inflammation with costovertebral tenderness during palpation {{c1::Kidneys}}
Published 07/30/2024 QC. Malignancy1. Soft 2. Firm {{c1::B}}
Published 07/30/2024 QC. Bowel hernia 1. Soft 2. Firm {{c1::A}}
Published 07/30/2024 QC. More prominent after tensing abdomen 1. Abdominal mass2. Intra-abdominal mass{{c1::A}}
Published 07/30/2024 QC. Rely on movement with respiration 1. Abdominal mass2. Intra-abdominal mass{{c1::B}}
Published 07/30/2024 Preferred position for DRE{{c1::Left lateral decubitus position}}
Published 07/30/2024 Another position for DRE if LLD cannot be performed {{c1::Bent forward while standing up}}
Published 07/30/2024 During DRE, direction should be towards {{c1::sacral promontory::landmark}}
Published 07/30/2024 CBAPresence of tender, purulent reddened mass with fever and chillsA. Anal abscessB. ExcoriationsC. FissureD. FistulaE. Sphincter tightness{{c1::A}}
Published 07/30/2024 CBAMay be itchy and suggest pruritus aniA. Anal abscessB. ExcoriationsC. FissureD. FistulaE. Sphincter tightness{{c1::B}}
Published 07/30/2024 CBAOpenings between anorectal area and rectumA. Anal abscessB. ExcoriationsC. FissureD. FistulaE. Sphincter tightness{{c1::D}}
Published 07/30/2024 CBA. UTZ Echonigicity Tumor, lymph nodesA. HypoechoicB. AnechoicC. Hyperechoic{{c1::A}}
Published 07/30/2024 CBA. UTZ Echogenicity Cysts, blood vesselsA. HypoechoicB. AnechoicC. Hyperechoic{{c1::B}}
Published 07/30/2024 CBA. UTZ Echonigicity Fat tissues, stonesA. HypoechoicB. AnechoicC. Hyperechoic{{c1::C}}
Published 07/30/2024 GIT organ that can utilize UTZ{{c1::LiverGallbladderSpleen}}
Published 07/30/2024 Liver UTZ view to see aorta and IVC{{c1::Sagittal view of left lobe, medial}}
Published 07/30/2024 QC. Doppler shift UTZ - Red flow 1. Toward from transducer2. Away from transducer{{c1::A}}
Published 07/30/2024 QC. Doppler shift UTZ - Blue flow 1. Toward from transducer2. Away from transducer{{c1::B}}
Published 07/30/2024 The portal vein divides the liver into upper ({{c1::2, 4a, 8, 7}}) and lower ({{c1::3, 4b, 5, 6}}) segments
Published 07/30/2024 Left lobe segments of liver {{c1::2, 3, and 4}}
Published 07/30/2024 Right lobe segments of liver {{c1::5,6,7,8}}
Published 07/30/2024 Upper segments of liver {{c1::Segments 7, 8, 4a, and 2}}
Published 07/30/2024 First lobe of the liver{{c1::Caudate Lobe}}
Published 07/30/2024 Good area proximal to liver to scan if you are suspecting for ascites{{c1::Hepatorenal Fossa/Morrison’s Pouch}}
Published 07/30/2024 Normal Measure spleen size on UTZ{{c1::< 10 cm}}
Published 07/30/2024 Echogenecity of liver cyst on UTZ{{c1::Anechoic}}
Published 07/30/2024 Echogenecity of hepatic mass on UTZ{{c1::Hypoechoic}}
Published 07/30/2024 Two UTZ finding of gallbladder stone{{c1::Hyperechoic mass within lumen Shadowing posterior to mass}}
Published 07/30/2024 {{c1::> 6}} mm common bile duct may imply obstruction
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