Nurs 5220 Exam 2 already passed
Aaron sign - =Pain or distress occurs in the area of the patient's heart or stomach on palpation of
McBurney's point
Appendicitis
Ballance sign - =Fixed dullness to percussion in left flank, and dullness in right flank that
disappears on change of position
Peritonitis
Blumberg sign - =rebound tenderness
peritonitis, appendicitis
Cullen sign - =bruising around umbilicus
pancreatitis or ectopic pregnancy
Dance sign - =absence of bowel sounds in RLQ
intussusception
Grey Turner sign - =Ecchymosis of flanks
Hemoperitoneum; pancreatitis
Kehr sign - =abdominal pain radiating to the left shoulder
spleen rupture, ectopic pregnancy, renal calculi
Markle sign (heel jar) - =abdominal pain when running, jumping, RLQ pain when pt drops from
tip toes to heel with jarring landing
appendicitis, peritonitis
McBurney's sign - =rebound tenderness associated with appendicitis (RLQ)
, Murphy's sign - =Abrupt cessation of inspiration with palpation of gall bladder cholecystitis
Romberg test - =Ask client to stand with feet at comfortable distance apart, arms at sides, and
eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5 seconds
-strangulated obturator hernia
Rovsing's sign - =Pain in RLQ with palpation of LLQ indicative of appendicitis
Iliopsoas muscle test - =RLQ pain that occurs when placing pressure against a raised leg,
suggesting appendicitis
Obturator muscle test - =have patient flex right leg at hip and knee; then rotate hip externally and
lower leg medially
-possible appendicitis, pelvic abscess
Percussion for ascites - =- Fluid associated with ascites will sink with GRAVITY and gas filled
loops of bowel will rise to top of abdomen
- Percussion sounds will be dull in dependent areas of abdomen
- Assess for shifting dullness by having patient lie on the side
-fluid wave
Tanner Stages Male - =1. Pre-pubertal, no hair
2. Pubertal, small amount of downy hair
3. enlargement of penis length, pubic hair darken and is sparse over entire pubis
4. increase size of penis and glans, pubic hair abundant on pubic area
5. adult size and shape, pubic hair spreads to inner thighs
Tanner stages for girls - =Stage 1: No breast development & no pubic hair
Aaron sign - =Pain or distress occurs in the area of the patient's heart or stomach on palpation of
McBurney's point
Appendicitis
Ballance sign - =Fixed dullness to percussion in left flank, and dullness in right flank that
disappears on change of position
Peritonitis
Blumberg sign - =rebound tenderness
peritonitis, appendicitis
Cullen sign - =bruising around umbilicus
pancreatitis or ectopic pregnancy
Dance sign - =absence of bowel sounds in RLQ
intussusception
Grey Turner sign - =Ecchymosis of flanks
Hemoperitoneum; pancreatitis
Kehr sign - =abdominal pain radiating to the left shoulder
spleen rupture, ectopic pregnancy, renal calculi
Markle sign (heel jar) - =abdominal pain when running, jumping, RLQ pain when pt drops from
tip toes to heel with jarring landing
appendicitis, peritonitis
McBurney's sign - =rebound tenderness associated with appendicitis (RLQ)
, Murphy's sign - =Abrupt cessation of inspiration with palpation of gall bladder cholecystitis
Romberg test - =Ask client to stand with feet at comfortable distance apart, arms at sides, and
eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5 seconds
-strangulated obturator hernia
Rovsing's sign - =Pain in RLQ with palpation of LLQ indicative of appendicitis
Iliopsoas muscle test - =RLQ pain that occurs when placing pressure against a raised leg,
suggesting appendicitis
Obturator muscle test - =have patient flex right leg at hip and knee; then rotate hip externally and
lower leg medially
-possible appendicitis, pelvic abscess
Percussion for ascites - =- Fluid associated with ascites will sink with GRAVITY and gas filled
loops of bowel will rise to top of abdomen
- Percussion sounds will be dull in dependent areas of abdomen
- Assess for shifting dullness by having patient lie on the side
-fluid wave
Tanner Stages Male - =1. Pre-pubertal, no hair
2. Pubertal, small amount of downy hair
3. enlargement of penis length, pubic hair darken and is sparse over entire pubis
4. increase size of penis and glans, pubic hair abundant on pubic area
5. adult size and shape, pubic hair spreads to inner thighs
Tanner stages for girls - =Stage 1: No breast development & no pubic hair
