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8.You are examining a patient and you place your hand on the patient’s right knee and you ask the patient to raise his/her right thigh against your hand. What sign are you testing for?a.Obturator signb.Rovsing’s signc.Psoas signd.Murphy’s sign9.What is the preferred order for examination of the abdomen?
10. You are in the emergency room assessing a patient with abdominal pain and fever. You are performing an abdominal examination to assess for peritoneal signs. Which one of the following is NOT a peritoneal sign?
Week 6 – Gastrointestinal/Abdomen Answers1.Cody is a teenage with a history of leukemia and an enlarged spleen. Today he presents with fairly significant left upper quadrant pain. On examination, the providerfinds a positive splenic percussion sign when percussing at the lowest interspace in the left axillary line. The provider heard the followingBates page 4612.John is a 14-year-old boy who presents with a sore throat. On examination, you noticedullness in the last intercostal space in the anterior axillary line on his left side with a deep breath. What does this indicate?a.His spleen is definitely enlarged and further workup is warrantedb.His spleen is possibly enlarged and close attention should be paid to further examinationc.This is most likely his gallbladder that is inflamedd.His spleen is definitely normalBates page 4613.Mr. Kruger is an 84-year-old who presents with a smooth lower abdominal mass in the midline which is minimally tender. There is dullness to percussion up to 6 cm above the symphysis pubis. What does this most likely represent?Bates page 465