Sarah Michelle Crash Course Final Exam

Sarah Michelle Crash Course Final Exam Rovsing's sign - CORRECT ANSWER-Pain in RLQ with palpation of LLQ (think reverse, right) appendicitis Markle sign - CORRECT ANSWER-aka "heel jar test" think about Megan Markle and her heels pain in RLQ when hopping on one foot. Any jarring motion will illicit pain. appendicitis Blumberg test - CORRECT ANSWER-*Rebound tenderness* -Pain on *release* of pressure appendicitis McBurney's point - CORRECT ANSWER-Pain when pressed = positive sign RLQ point (2/3 distance from umbilicus to superior anterior iliac crest) appendicitis Psoas sign - CORRECT ANSWER-RLQ pain with extension of right thigh appendicitis Murphy's sign - CORRECT ANSWER-palpate RUQ on deep inspiration positive = mid-palpation inspiratory arrest cholecystitis After eliciting a murphy's sign, we then order.... - CORRECT ANSWER-ultrasound first (to check for gallstones) this is because if we do HIDA scan first, we might dislodge a gallstone --> block pancreatic duct --> ERCP would be needed When do we order a HIDA scan? - CORRECT ANSWER-when the US is negative for gallstones but the patient has stereotypical cholecystitis symptoms