NR 304-Exam 1
Where do you find tympani? - answer All 4 quadrants, normal
Where do you find dullness? – answer RUQ-high under costal margin-liver
Where do you find resonance? - answer lungs
How do you percuss liver span? - answerHold breath or let out all breath - (liver moves)
and percuss downward at L Mid clavicular line - area of dullness Is measured - 5-10 cm
(women smaller than men)
How do you percuss spleen? - answerPercuss at Left Mid-axillary line. Percuss down to
dullness, and then up to dullness measuring span.
How are the fluid wave and shifting dullness tests performed? What do they indicate? -
answerFluid wave - push on one side of patient's abdomen - with patient supine - put
patient hand in middle and feel wave (if there is fluid) on other side of abdomen.. if not
fluid but fat, the patient hand will stop the "wave" - Shifting dullness - percuss as patient
is supine from tympani to dullness then have lay on side and do same. IF fluid, the fluid
shifts and dullness shifts - both indicate ascites = 3rd space or extracell. Spacing of fluid
from VEINS and PROTEIN which pulls more fluid from the veins = edema
What is purpose of light palpation? - answerLight for superficial masses, muscle tone,
symmetry, pain
What is the purpose of deep palpation? - answerDeep palpation for organomegaly
What is rebound tenderness? IF + = - answerDone by pushing into abdomen and
quickly bringing hands up - the reflexive bounce causes peritoneal spasm - PAIN if
inflamed = +Blumbergs test
What examination findings would you expect with each condition? Obesity - answer-
Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites - answer+
fluid wave and shifting dullness and history of liver or cancer issue -
See LOW albumin in their blood levels - other edema?
What examination findings would you expect with each condition? Gaseous distention -
answertons of tympani with a distended abdomen - common with ileus where intestinal
motility stops/slows and gas-producing bacteria is hanging in one place of intestine.
Where do you find tympani? - answer All 4 quadrants, normal
Where do you find dullness? – answer RUQ-high under costal margin-liver
Where do you find resonance? - answer lungs
How do you percuss liver span? - answerHold breath or let out all breath - (liver moves)
and percuss downward at L Mid clavicular line - area of dullness Is measured - 5-10 cm
(women smaller than men)
How do you percuss spleen? - answerPercuss at Left Mid-axillary line. Percuss down to
dullness, and then up to dullness measuring span.
How are the fluid wave and shifting dullness tests performed? What do they indicate? -
answerFluid wave - push on one side of patient's abdomen - with patient supine - put
patient hand in middle and feel wave (if there is fluid) on other side of abdomen.. if not
fluid but fat, the patient hand will stop the "wave" - Shifting dullness - percuss as patient
is supine from tympani to dullness then have lay on side and do same. IF fluid, the fluid
shifts and dullness shifts - both indicate ascites = 3rd space or extracell. Spacing of fluid
from VEINS and PROTEIN which pulls more fluid from the veins = edema
What is purpose of light palpation? - answerLight for superficial masses, muscle tone,
symmetry, pain
What is the purpose of deep palpation? - answerDeep palpation for organomegaly
What is rebound tenderness? IF + = - answerDone by pushing into abdomen and
quickly bringing hands up - the reflexive bounce causes peritoneal spasm - PAIN if
inflamed = +Blumbergs test
What examination findings would you expect with each condition? Obesity - answer-
Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites - answer+
fluid wave and shifting dullness and history of liver or cancer issue -
See LOW albumin in their blood levels - other edema?
What examination findings would you expect with each condition? Gaseous distention -
answertons of tympani with a distended abdomen - common with ileus where intestinal
motility stops/slows and gas-producing bacteria is hanging in one place of intestine.
