Health Assessment Exam 2

What is the purpose of light abdominal palpation?

To identify areas of tenderness and muscular resistance

What is the purpose of deep abdominal palpation?

To delineate abdominal organs and detect subtle masses

Psoas Sign

Pain in RLQ when leg is hyperextended

Psoas Sign indication

irritation of iliopsoas muscle due to appendicitis

Obturator Sign

Pain in RLQ when hip + knee are flexed and the leg is rotated

Obutrator Sign Indication

irritation of obturator sign due to appendicitis / perforated appendix

Murphy Sign

Pain upon inhale when pressure is applied at the right costal margin under the liver

Murphy Sign Indication

Gallbaldder inflammation aka Cholecystitis

Rovsing Sign

Pain in RLQ when pressure is applied to the LLQ

Rovsing Sign Indication

Acute appendicitis

Blumberg Sign

Abdominal pain/tenderness during palpation of McBurney Point or during the rebound tenderness test

Blumberg Sign Indication

Peritoneal irritation

Crohn’s Symptoms

Abdominal pain/cramping, other GI symptoms, weight loss and lack of energy

Which GI disease is tarry stool a symptom of?

Gastric/duodenal ulcer

Most common location to find breast abnormalities

Upper Outer Quadrant/Tail of Spence

What does involuntary guarding of the abdomen indicate?

Peritoneal irritation

What is the confrontation test used to assess?

What is the cover test used to assess?

Eye muscle weakness

Which tests are used to assess ascites?

Fluid wave test, shifting dullness test

Venous lakes

Benign skin condition common in older adults appearing as reddish vascular lesions on ears or other facial areas resulting from vasodilation.

Seborrheic keratoses

Benign skin condition common in older adults appearing as tan, brown, or reddish, flat lesions — commonly found on fair-skinned persons in sun-exposed areas.

which respiratory assesment findings are associated with COPD

wheezing, hyperresonance, coarse crackles (velcro rales)

Unequal chest expansion is associated with which conditions

Severe atelactasis, pneumonia, chest trauma, or pneumothorax

During a chest expansion assessment, how far should the examiner’s fingers move upon inspiration?

5-10 cm

What conditions would result in hyperresonance upon percussion?

Emphysema or Pneumothorax (due to air trapping)

What condition would result in dullness being percussed?

Pneumonia due to fluid replacing air in the lung