Differential stuff

Question 1

McBurney’s point

Answer 1

1/2 between umbilicus and ASIS with pt in full supine position
**Appendicitis

• different from palpating the iliopsoas (90/90 position. Palpate 1/3 between ASIS and umbilicus)

Question 2

Pinch and Inch

Answer 2

• Appendicitis
• performed at the McBurney’s point
• grasp skin at McBurney’s point and elevate and then release
• positive is increased pain when released

Question 3

Blumberg’s Test

Answer 3

• Appendicits
• aka rebound test performed at McBurney’s point.
• press fingers into the point and hold for 15-30 sec and then quickly remove hand.
• positive is pain with removal of hand.

Question 4

Spleen location

Answer 4

LUQ

Enlarges and prone to rupture after trauma to this area or mononucleosis

Question 5

Where does the stomach refer pain?

Answer 5

R shoulder
Upper trapzius
Back T6-10

Question 6

Where does the appendix refer pain?

Answer 6

RLQ
Flank
Thigh
Groin
Testicle

Question 7

Where does kidney pain refer?

Answer 7

dull/achey
ipsilateral groin
ipsilateral shoulder
across lower back
flank into the lower abdominal region