NR 509 Gastrointestinal Physical Assessment Assignment Results 2022/2023

Review Questions Which of the following physical exam tests could be used if you suspected cholecystitis in Tina? Correct: Positive Murphy’s sign is indicative of cholecystitis. To perform the test, palpate the inferior liver border while asking the patient to take a deep breath. During inspiration, the descending liver pushes against the inflamed gallbladder onto the examining hand. The patient feels sharp pain and abruptly stops breathing. Rovsing’s sign Rebound tenderness Murphy’s sign (Correct Response) McBurney’s sign Suppose that you were concerned that Tina may have had an enlarged spleen. How would you have proceeded? Correct: The most accurate assessment for splenomegaly is percussion of the left anterior axillary line. The percussion of dullness, especially a change from tympany to dullness when a patient takes a deep breath, is indicative of splenic enlargement. Palpate along the left costal margin Assess for bulging flanks Palpate for bulging flanks Percuss in the left anterior axillary line (Correct Response)