Diagnostic Signs/Tests PDF

Diagnostic Signs/Tests Allen’s Test Assesses arterial blood supply in hand. Positive test means the pt does NOT have adequate blood supply to the hand How to do: block both radial and ulnar arteries until skin becomes pale, then release ulnar. If hand becomes pink, ulnar arteries wor...

Diagnostic Signs/Tests Allen’s Test Assesses arterial blood supply in hand. Positive test means the pt does NOT have adequate blood supply to the hand How to do: block both radial and ulnar arteries until skin becomes pale, then release ulnar. If hand becomes pink, ulnar arteries work, and a ABG/radial stick can be done Cullen’s Sign Internal hemorrhage causing ecchymosis around umbilical region; seen in pancreatitis Turner’s sign Internal hemorrhage seen as grayish blue on your flanks; pancreatitis Murphy’s Sign Pain with palpation of gallbladder area; cholecystitis McBurney’s Point- RLQ pain indicative of appendicitis LLQ Pain- diverticulitis; make sure pt has no seeds, nuts, peas RLQ Pain- appendicitis; assess for peritonitis Guthrie Test Neonatal heel prick that tests for PKU (phenylketonuria) Babinski Sign- assessment for nervous system issues done by stimulating bottom of foot Negative: toes curl Normal in adults and children older than 2 years, abnormal in children 2 years and under Positive: toes fan Abnormal in adults and children older than 2 years, normal in children 2 years and under Beck’s Triad Indicative of cardiac tamponade - hypotension, JVD, muffled heart sounds Halo Sign Positive - appears as concentric rings (bloody circle surrounded by yellow border) Fluid from head injury contains cerebrospinal fluid (CSF); fluid also contains glucose Endoscopic Retrograde Cholangio Pancreatography (ERCP) Procedure to examine diseases of the pancreas, liver, galballder, and bile ducts Preop - NPO. Postop- assess gag reflex and s/sx of perforation Additional Notes If at home: Call 911 if chest pain is not relieved by nitroglycerine; keep med in original container and away from light Definitive diagnosis for abdominal aortic aneurysm → CT scan