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Cards In This Set
| Front | Back |
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What is the scratch technique for auscultating liver borders?
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1. Place stethoscope over the liver.
2. With your finger, scratch abdominal surface lightly
3. The sound will intensify over the liver.
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What causes a venous hum heard during ausculation of the abdomen?
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Increased collateral circulation between portal and systemic venous systems
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What is Kehr's sign?
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Abdominal pain radiating to left shoulder. (Referred phrenic irritation)
Indicates spleen rupture, renal calculi, ectopic pregnancy.
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What types of stimulus or irritation are sensed by the somatic innervation of the abdomen?
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1. Thermal
2. Tactile
3. Chemical
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What types of stimulus or irritation are sensed by the visceral innervation fo the abdomen?
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1. Distension
2. Ischemia
3. Mesenteric traction
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Pain from the foregut is referred to what abdominal region and dermatomes?
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Abdominal region = epigastrium.
Dermatomes = T6-8
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Pain from the midgut is referred to what abdominal region and dermatomes?
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Abdominal region = Periumbilical.
Dermatomes = T9-T10
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Pain from the hindgut is referred to what abdominal region and dermatomes?
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Abdominal region = Hypochondrium.
Dermatomes = T11-L1
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Renal and urethral pain is referred to what abdominal regions and dermatomes?
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Abdominal regions = Flank and Groin.
Dermatomes = T9-L2
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What organ are included in the foregut?
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Distal esophagus,
Stomach,
Duodenum,
Biliary,
Pancreas
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What organs are included in the midgut?
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Small bowel,
Appendix,
Proximal colon,
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What organs are included in the hindgut?
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Distal colon,
Rectum
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In what abdominal region does the pancreas lie?
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Epigastric and L hypochondriac (tail of pancreas)
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In what abdominal regions are the ascending and descending colons located?
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Ascending - usually the R Lumbar,
Descending - usually the L Lumbar
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What is Cullen sign? What does it indicate?
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Bluish periumbilical discoloration that suggests intraabdominal bleeding.
Hemoperitoneum, pancreatitis, ectopic pregnancy.
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