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Clinical Skills- GI

AB
RovsingRight lower quadrant pain intensified by left lower quadrant abdominal palpation
Peritoneal irritation; appendicitisRovsing
Right lower quadrant pain intensified by left lower quadrant abdominal palpationPeritoneal irritation; appendicitis
Romberg-HowshipPain down the medial aspect of the thigh to the knees
Strangulated obturator herniaRomberg-Howship
Pain down the medial aspect of the thigh to the kneesStrangulated obturator hernia
MurphyAbrupt cessation of inspiration on palpation of gallbladder
CholecystitisMurphy
Abrupt cessation of inspiration on palpation of gallbladderCholecystitis
AppendicitisRebound tenderness and sharp pain when McBurney point is palpated
McBurneyAppendicitis
Markle (heel jar)Patient stands with straightened knees, then raises up on toes, relaxes, and allows heels to hit floor, thus jarring body. Action will cause abdominal pain if positive
Peritoneal irritation; appendicitisMarkle (heel jar)
Patient stands with straightened knees, then raises up on toes, relaxes, and allows heels to hit floor, thus jarring body. Action will cause abdominal pain if positivePeritoneal irritation; appendicitis
AaronPain or distress occurs in the area of the patient's heart or stomach on palpation of McBurney point
AppendicitisAaron
BlumbergRebound tenderness
Peritoneal irritation; appendicitisBlumberg
Rebound tendernessPeritoneal irritation; appendicitis
BallanceFixed dullness to percussion in left flank, and dullness in right flank that disappears on change of position
Peritoneal irritationBallance
Fixed dullness to percussion in left flank, and dullness in right flank that disappears on change of positionPeritoneal irritation
CullenEcchymosis around umbilicus
Hemoperitoneum; pancreatitis; ectopic pregnancyCullen
Ecchymosis around umbilicusHemoperitoneum; pancreatitis; ectopic pregnancy
DanceAbsence of bowel sounds in right lower quadrant
IntussusceptionDance
Absence of bowel sounds in right lower quadrantIntussusception
Grey TurnerEcchymosis of flanks
Hemoperitoneum; pancreatitisGrey Turner
Ecchymosis of flanksHemoperitoneum; pancreatitis
KehrSpleen rupture; renal calculi; ectopic pregnancy
Abdominal pain radiating to left shoulderKehr
Spleen rupture; renal calculi; ectopic pregnancyAbdominal pain radiating to left shoulder
Oasthouse urine disease (methionine)Yeastlike, celery
Uremia (di-, trimethylamines)Rotting fish
Stale waterAcute tubular necrosis
VioletsTurpentine ingestion
MedicinalAntibiotics: penicillin, cephalosporin
AmmoniaUrea-splitting bacteria (especially Proteus)



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