Clinical Assessment Techniques for Urinary Retention and Kidney Inflammation

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What does dullness over the suprapubic area indicate when percussion is used to assess for urinary retention?

Kidney inflammation

Splenomegaly

Peritonitis

Liver enlargement (correct)

In abdominal palpation, what does involuntary guarding indicate?

Kidney stones

Liver enlargement

Splenomegaly

Peritonitis (correct)

What might a palpable mass in the LUQ indicate?

Kidney stones

Liver enlargement

Splenomegaly (correct)

Peritonitis

What does an easily palpable gallbladder in the RUQ suggest?

Cholecystitis Signup and view all the answers

If the liver extends more than 2cm outside the right costal margin, what is this indicative of?

Liver enlargement Signup and view all the answers

What technique is used for early detection of ascites?

Shifting dullness Signup and view all the answers

Which quadrant of the abdomen houses the spleen?

LUQ Signup and view all the answers

What does the presence of scaphoid (concave) contour in abdominal inspection potentially indicate?

Malnutrition Signup and view all the answers

Which term is used for fatty stools due to malabsorption?

Steatorrhea Signup and view all the answers

In which area of the abdomen can kidney pain present according to the provided information?

Flanks Signup and view all the answers

What is the correct order for a complete abdominal exam as per the study guide?

Inspect → Interview → Auscultate → Percuss → Palpate → Palpate painful area → Document findings Signup and view all the answers

What type of bleeding is characterized by dark, tarry stool due to upper gastrointestinal bleeding?

Melena Signup and view all the answers

What is the only normal movement that should be observed in the epigastric area?

Visible waves of peristalsis Signup and view all the answers

Which condition is characterized by louder, very high-pitched, and frequent bowel sounds?

Gastroenteritis Signup and view all the answers

When percussing over which area of the body should a dull, muffled thud-like sound be expected?

Liver Signup and view all the answers

What does hepatic dullness indicate when percussing the abdomen?

Liver span starting at 5th ICS right MCL Signup and view all the answers

Which artery should be auscultated using the bell of the stethoscope to listen for bruits?

Bilateral renal arteries Signup and view all the answers

What is the normal range for normoactive bowel sounds in terms of sounds per minute?

> 5 sounds/min Signup and view all the answers

What is the range of scores in the Glasgow Coma Scale?

3-15 Signup and view all the answers

Which test is used to assess for peripheral neuropathy by placing a monofilament in 10 spots on the foot?

Monofilament test Signup and view all the answers

What is a normal finding in the Tandem walk Romberg balance test?

No ataxia Signup and view all the answers

Which type of arthritis might present with brief morning stiffness and worsens with movement?

Osteoarthritis Signup and view all the answers

What does Decorticate posturing indicate in the Glasgow Coma Scale?

Flexion of upper extremities with rigidity Signup and view all the answers

Which assessment is suspicious for carpal tunnel syndrome if paresthesia is present?

Tinel test Signup and view all the answers

Which assessment technique for appendicitis involves eliciting RLQ pain by internal rotation of the hip?

Obturator Signup and view all the answers

What is a characteristic sign of cholecystitis that differentiates it from other conditions mentioned?

Murphy’s sign Signup and view all the answers

Which condition is characterized by fever, abdominal rigidity, and pain, among the ones mentioned?

Peritonitis Signup and view all the answers