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Exam (elaborations)

NURS 612 Maryville Exam 3/Abdomen Questions And Answers 100% Verified

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NURS 612 Maryville Exam 3/Abdomen Questions And Answers 100% Verified What are the usual pain characteristics of appendicitis? - answerinitially periumbilical or epigastric; colicky; later becomes localized to RLQ often at McBurney's point. What are possible S&S of appendicitis? - answerguarding, tenderness, + ilopsoas and + obturator signs, RLQ skin hyperesthesia, + Aaron, Rovsing, Markle, and McBurney signs. N/V/Fever What is the iliopsoas test? - answeran inflamed appendix may cause irritation of the lateral iliopsoas muscle. How do you perform the iliopsoas muscle test? - answerpt supine, place your hand over the lower right thigh, pt raises right leg flexing at the hip while you push downward. Pain is considered a + psoas sign. What is the obturator muscle test? - answerit is performed when appendicitis or a pelvic abscess is suspected. The obturator muscle may be irritated. How do you perform the obturator muscle test? - answerpt supine, flex right leg at the hip and knee 90 degrees, then you hold the leg right above the knee, grasp the ankle, and rotate the leg laterally and medially. If there is pain in the right hypogastric region the the sign is positive. What is the Aaron sign? - answerpain or distress in area of heart or stomach when McBurney's point is palpated. What does a positive Aaron's sign potentially mean? - answerappendicitis. What is the Ballance sign? - answerfixed dullness to percussion in left flank and dullness in right flank that disappears on change of position. What does a positive Ballance sign indicate? - answerperitoneal irritation. What is a Blumberg sign? - answerrebound tenderness. What does a positive Blumberg sign indicate? - answerperitoneal irritation or appendicitis. What is the Cullen sign? - answerecchymosis around umbilicus. What does a positive Cullen sign indicate? - answerhemoperitoneum, pancreatitis, ectopic pregnancy.

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