Answers
MANTRELS ANS migration of pain, anorexia, nausea/vomiting, tenderness in RLQ, rebound
pain, elevation in temp, leukocytosis, shift to the left, aka Alvarado score
Positive McBurney sign ANS Rebound tenderness over McBurney's point in the RLQ suggest
appendicitis
Iliopsoas Muscle Test ANS performed when you suspect appendicitis because and inflamed
appendix may cause irritation to the iliopsoas muscle.
Sister Mary Joseph's nodule ANS a pearl like, enlarged and sometimes painful umbilical nodule
Borborygmi ANS long prolonged gurgles (stomach growlin)
Bruit ANS a harsh or musical intermittent auscultatory sound, which may reflect blood flow
turbulence and indicate vascular disease.
Rigidity ANS is a boardlike hardness of the abdominal wall overlying areas of peritoneal
irritation
Acute pain ANS Pain of short duration and has sudden onset in association with injury, surgery,
or an acute illness episode. Inflammation helps sustain the pain response.
Chronic pain ANS Pain that lasts several months or longer, and is often sustained by a
pathophysiologic process (e.g. joint disease, chronic inflammation, headache, or cancer).
Neuropathic Pain ANS long-term pain associated with damage or dysfunction of the central or
peripheral nervous system (e.g. amputation, complex regional pain syndrome).
, Scoliometer ANS Measures degree of rotation of the spine to screen for scoliosis.
Monofilament test ANS Used to test for loss of protective sensation, most commonly on the
plantar surface of the foot.
Calipers ANS Measure thickness of sub-q tissue
Dermatoscope ANS Skin surface microscope that uses epiluminescence microscopy (ELM) w/ or
w/o the application of oil on a skin lesion to magnify a lesion for detailed inspection of the surface of
pigmented skin.
Wood's lamp ANS Used primarily to determine presence of fungi on skin lesions
Goniometer ANS Used to determine the degree of joint flexion and extension
Transilluminator ANS Consists of a strong light source with a narrow beam that is directed to a
particular body cavity and used to differentiate b/w various media present in cavity.
Neurologic Hammer ANS Used for testing deep tendon reflexes (similar to percussion hammer)
Percussion (Reflex) Hammer ANS Used to test deep tendon reflexes.
Tuning Fork ANS Used to screen for auditory function and for vibratory sensation as part of
neuro exam
Nasal Speculum ANS Use with penlight to visualize the lower and middle turbinates of nose.
Tympanometer ANS Assess the functions of the ossicular chain, Eustachian tube, and the
tympanic membrane, as well as the interrelation of these parts