![]() Turner's sign - blue discoloration of the flanks - indicates gastrointestinal hemorrhage. Male distribution - diamond with upper vertex extending as high as the umbilicusġ1. Masses - note size and location during deep inspirationĩ.ĝilated veins - seen with increased collateral circulationġ0.ĝistribution of Pubic Hair (Escutcheon)Ī.ğemale distribution - triangle with base above the symphysisī. Signs of hernia - lifting head or coughing - considered normal in white skinned children until age 2 and in black skinned children until age 7ĭ.Ĝullen's sign - bluish discoloration - suggests intraperitoneal hemorrhageī.ĝifferentiate between masses in the abdominal wall and intra-abdominal masses by having patient voluntarily tense abdominal muscles.ħ. Striae - prolonged stretching of the skin seen in ascites, obesity, tumor, pregnancy, and Cushing's SyndromeĪ.Ĝolor: white/silver red/pink/blue purpleĬ. Round - pot belly normal in infants and toddlersģ. Scaphoid - seen in school-aged children and wasting diseasesĬ. Monitor your examination by watching patient's face.ī. Have warm hands and a warm stethoscope.ġ0. Position in supine position with pillow under head and knees.Ħ.Ěrms should be held across chest or be at sides.ħ. Has anyone in your family had colitis?ģ.ğull exposure of abdomen from xyphoid process to groin.ĥ. Has anyone in your family had colorectal cancer or polyps?Ģ. ![]() Have you ever had surgery on your mouth, throat, abdomen, or rectum?Ĥ.ĝo you have any allergies such as to milk products?ĥ.ĝo you use laxatives or enemas? If so, how often?Ħ.ĝo you take any prescription or over-the-counter medications? If so, which drugs and at what dosages?ġ. Have you had any nerve problems, such as weakness or numbness in your hands and fingers?ģ. Have you had any problems with your mouth, throat, abdomen, or rectum that have lasted for a long time?Ģ. Swelling of lymph nodes in neck, axilla, and groinġ. ![]() Steatorrhea - frothy, greasy, and foul-smelling stool w/undigested fatġ3. Tenesmus - cramping pain with strained, ineffectual evacuationĬ. ![]()
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