GI Clinical Signs & Disease Flashcards

Flashcards based on GI Clinical Signs & Disease Cheat Sheet.

What is indicated by pain in the RUQ (Right Upper Quadrant)?

Cholecystitis or Hepatitis

What is indicated by pain in the RLQ (Right Lower Quadrant)?

Appendicitis

What is indicated by pain in the LUQ (Left Upper Quadrant)?

Pancreatitis or Splenic Issues

What is indicated by pain in the LLQ (Left Lower Quadrant)?

Diverticulitis

What is indicated by Epigastric pain?

GERD or Peptic Ulcer

What is indicated by Generalized abdominal pain?

Peritonitis or Obstruction

What is Murphy's Sign and what does it indicate?

Pain with RUQ palpation during inspiration, indicates Cholecystitis

What is McBurney's Point and what does tenderness indicate?

RLQ tenderness 1/3 of the way from ASIS, indicates Appendicitis

What is Rovsing's Sign and what does a positive sign indicate?

LLQ palpation elicits RLQ pain, indicates Appendicitis

What is the Psoas Sign and what does pain indicate?

Pain with right leg extension/lift, indicates Appendicitis

What is the Obturator Sign and what does pain indicate?

Pain with internal rotation of right hip, indicates Appendicitis

What does rebound tenderness indicate?

Peritonitis or Appendicitis

What does Cullen's Sign indicate?

Intraabdominal bleeding

What does Turner's Sign indicate?

Retroperitoneal hemorrhage

What does Shifting Dullness indicate?

Ascites

What do Hyperactive Bowel Sounds indicate?

Early obstruction or diarrhea

What do Hypoactive Bowel Sounds indicate?

Late Obstruction, Ileus, or Opioids

What do Absent Bowel Sounds indicate?

Complete Obstruction

What does a Bruit indicate?

AAA (abdominal aortic aneurysm) or Stenosis

What does CVA Tenderness indicate?

Pyelonephritis or Stones

What are the clues for GERD?

Heartburn after meals, regurgitation, worse lying down

What are the clues for a Peptic Ulcer?

Epigastric pain; duodenal better with food, gastric worse; melena

What are the clues for Appendicitis?

RLQ pain, fever, +McBurney's, Rovsing's, Psoas

What are the clues for Cholecystitis?

RUQ pain after fatty meals, +Murphy's, steatorrhea

What are the clues for Diverticulitis?

LLQ pain, fever, blood-streaked stool

What are the clues for Ascites?

Fluid wave, dull flanks, increased girth

What are the clues for Peritonitis?

Rigid abdomen, rebound tenderness, hypoactive BS

What are the clues for Bowel Obstruction?

Distention, vomiting, visible peristalsis, hyper->hypo BS

What are the clues for AAA?

Pulsating mass, bruit, sudden rupture -> shock

What are the clues for Steatorrhea?

Frothy, foul, floating stool -> fat malabsorption

What are the clues for Ulcerative Colitis?

Bloody mucus diarrhea, urgency, LLQ pain

What are the clues for Crohn's Disease?

Weight loss, diarrhea, variable pain