Term
| Type of tenderness in bladder infection? |
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Definition
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Term
| Risk factors for abdominal aortic aneurysm are? |
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Definition
| age 65 years or older, history of smoking, male gender, first-degree relative w/ history of AAA repair |
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Term
| Periumbical or upper abdominal mass w/ expansile pulsations 3cm or more wide suggests? |
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Definition
| AAA (abdominal aortic aneurysm) |
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Term
| Sensitivity of palpation increases or decreases as AAAs enlarge? |
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Definition
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Term
| What decreases AAA mortality, especially in male smokers 65 years or older? |
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Definition
| screening by palpation followed by ultrasound |
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Term
| What may signal AAA rupture? |
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Definition
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Term
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Definition
| increased hydrostatic pressure in cirrhosis, congestive heart failure, constrictive pericarditis, or inferior vena cava or hepatic vein obstruction; decreased osmotic pressure in nephrotic syndrome, malnutrition; also ovarian cancer |
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Term
| In ascites, dullness shifts to ___, whereas tympany shifts to ___? |
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Definition
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Term
| An easily palpable abdominal impulse suggests? |
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Definition
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Term
| What positive tests make diagnosis of ascites highly likely? |
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Definition
| fluid wave, shifting dullness, & peripheral edema |
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Term
| Pain of appendicitis begins near ___, then shifts to ___, where coughing increases it. Older patients report this pattern more or less frequently than younger ones? |
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Definition
| umbilicus, right lower quadrant, less |
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Term
| Localized tenderness anywhere in the ___, even in the ___, may indicate appendicitis |
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Definition
| right lower quadrant, right flank |
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Term
| In appendicitis, early voluntary guarding may be replaced by? |
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Definition
| involuntary muscular rigidity |
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Term
| In addition to appendicitis, right-sided rectal tenderness may also be caused by? |
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Definition
| inflamed adnexa or inflamed seminal vesicle |
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Term
| Rebound tenderness suggests ___, if appendicitis |
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Definition
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Term
| Pain in the right lower quadrant during ___ pressure suggests appendicitis (a positive ___ sign). So does right lower quadrant pain on quick withdrawal (referred to as ___) |
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Definition
| left-sided pressure, Rovsing's sign, rebound tenderness |
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Term
| Right hypogastric pain constitutes a positive ___, suggesting irritation of the ___ muscle by an inflamed appendix |
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Definition
| obturator sign, obturator muscle |
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Term
| A sharp increase in tenderness, in right upper quadrant, with a sudden stop in inspiratory effort constitutes a positive ___ sign of ___. (Hepatic tenderness may also increase with this maneuver but is usually less well localized) |
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Definition
| Murphy's sign of acute cholecystitis |
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