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NUR263: Abdomen and MS

Abdomen and MS system

AB
Gray Turner's signflank discoloration representative of retroperitoneal hemorrhage
Cullen's signdiscoloration around umbilicus representative of peritoneal hemorrhage
visible peristalisis is a sign ofobstruction
visible pulsations is a sign ofaortic aneurysm
borborygmus is fromhyperperistalsis, flatus
Reasons for absent bowel sounds includesinflammation, infection, ischemia
tinkling sounds can be heard inpartial obstruction
abdominal bruits is a sign ofabdominal aortic aneurysm
pain at the CVA meanspyelonephritis
A full bladder produces this sound with percussiondull
This assessment is always performed first in an abdominal assessmentauscultation
These conditions would contraindicate deep palpationWilm's tumor, aortic aneurysm, liver and spleen enlargment
Murphys sign suggestscholecystitis
McBurneys point provides assessment ofappendicitis
Appendicitis may or may not demonstrate thisrebound tenderness
Psoas sign is used in the assessment for thisappendicitis
RA patients offerswan neck, boutonniere deformity, ulnar deviation and hallux valgus
Osteoarthritis patient offerHeberden's nodules, Bouchard's nodules
Gout patients offerTophi nodules
5P's of compartment syndrome includepain, paresthesia, paralysis, pallow, pulselessness


Karin Sherrill

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