Deck 8: Assessment of the Surgical Abdomen

Question 1

Assess for Cullen's signs (Fig. 8-1), which are faint, irregularly formed hemorrhagic patches around the umbilicus occurring with acute pancreatitis, massive upper GI hemorrhage, and ruptured ectopic pregnancy.

Answer 1

True

Question 2

Hernias occur more frequently in an overweight child or if the child does a lot of sitting, coughing, or straining.

Answer 2

False

Question 3

Iliopsoas, obturator, Rosving's, and Murphy's signs are tests used to assess for hernias.

Answer 3

False

Question 4

Percuss to determine the size and location of masses. The scratch test is useful in determining size.

Question 5

Match each item to the statement or sentence listed below.

-Inflamed gallbladder

A)Iliopsoas
B)Obturator
C)Rosving's
D)Murphy's sign
E)Cullen's sign

Question 6

Match each item to the statement or sentence listed below.

-Press deeply and evenly in the left lower quadrant.

A)Iliopsoas
B)Obturator
C)Rosving's
D)Murphy's sign
E)Cullen's sign

Question 7

Match each item to the statement or sentence listed below.

-Flex the child's hip and knee 90 degrees, then rotate the leg internally and externally, holding the ankle stable.

A)Iliopsoas
B)Obturator
C)Rosving's
D)Murphy's sign
E)Cullen's sign

Question 8

Match each item to the statement or sentence listed below.

-Push down on the lower part of the thigh.

A)Iliopsoas
B)Obturator
C)Rosving's
D)Murphy's sign
E)Cullen's sign

Question 9

Match each item to the statement or sentence listed below.

-Petechiae around the umbilicus

A)Iliopsoas
B)Obturator
C)Rosving's
D)Murphy's sign
E)Cullen's sign

Question 10

Match each item to the statement or sentence listed below.
Anatomy of Children's Abdominal Symptoms

-Fever, vomiting, diarrhea, cough, pain?

A)Onset
B)Timing
C)Duration
D)Character
E)Severity
F)Location
G)Associated symptoms
H)Alleviating/aggravating factors

Question 11

Match each item to the statement or sentence listed below.
Anatomy of Children's Abdominal Symptoms

-What does it feel (look)like?

A)Onset
B)Timing
C)Duration
D)Character
E)Severity
F)Location
G)Associated symptoms
H)Alleviating/aggravating factors

Question 12

Match each item to the statement or sentence listed below.
Anatomy of Children's Abdominal Symptoms

-How often does it occur?

A)Onset
B)Timing
C)Duration
D)Character
E)Severity
F)Location
G)Associated symptoms
H)Alleviating/aggravating factors

Question 13

Match each item to the statement or sentence listed below.
Anatomy of Children's Abdominal Symptoms

-What makes it worse?

A)Onset
B)Timing
C)Duration
D)Character
E)Severity
F)Location
G)Associated symptoms
H)Alleviating/aggravating factors

Question 14

Match each item to the statement or sentence listed below.
Anatomy of Children's Abdominal Symptoms

-When did it begin?

A)Onset
B)Timing
C)Duration
D)Character
E)Severity
F)Location
G)Associated symptoms
H)Alleviating/aggravating factors

Question 15

Match each item to the statement or sentence listed below.
Anatomy of Children's Abdominal Symptoms

-How long does it last?

A)Onset
B)Timing
C)Duration
D)Character
E)Severity
F)Location
G)Associated symptoms
H)Alleviating/aggravating factors

Question 16

Match each item to the statement or sentence listed below.
Anatomy of Children's Abdominal Symptoms

-Have the child use the 0-10 pain rating scale if he or she is able.

A)Onset
B)Timing
C)Duration
D)Character
E)Severity
F)Location
G)Associated symptoms
H)Alleviating/aggravating factors

Question 17

Match each item to the statement or sentence listed below.
Anatomy of Children's Abdominal Symptoms

-Have the child point to where it hurts.

A)Onset
B)Timing
C)Duration
D)Character
E)Severity
F)Location
G)Associated symptoms
H)Alleviating/aggravating factors

Question 18

There are several different types of bowel obstruction. The blockage can be small or large, partial or total. Causes of bowel obstruction include all of the follow except:

A)Hernias and adhesion.
B)Impacted stool and gallstones.
C)Foreign body and volvulus.
D)Tensed abdominal muscles.

Question 19

A hernia has all of the following qualities except:

A)Normal abdominal tissue.
B)Crepitus sensation.
C)Something similar to the tip of your thumb or finger popping out of a hole in your intestine.
D)Gets smaller with palpation.

Question 20

When doing an abdominal examination, always __________ first so as not to disturb bowel sounds.

Question 21

A child with peritoneal irritation will walk cautiously and sometimes ________.

Question 22

To determine where the problem lies, try eliciting ___________ tenderness. To do this test, push in one area, let up quickly, and note where the pain is elicited.

Question 23

When acute inflammatory disease is suspected, identification of peritoneal irritation is necessary, which may be caused by ___________.