NUR 330L Lecture Notes - Lecture 6: Knifehand Strike, Blumberg Sign, Palpation
Document Summary
Look with light, look at the head of the bed. Start at ileocecal valve (rlq) (ruq) liver and gallbladder (luq)- spleen and stomach some intestine (rlq)- appendix. Listen for 5-30 seconds , if you don"t hear listen longer. Listen with the bell brewys (over vascular areas), friction rub (liver) Aorta, renal artery, iliac artery, femoral artery (listen to all) Don"t push vigorously on a spleen , it can rupture. Kidneys (ductal) one hand under lift up , other hand squishing from the top. Liver, hook method, fingers right below costal margin, deep breath , push fingers up. Rebound tenderness (palpate non effected side with tips of fingers) Murphy"s sign (gall bladder enlarged) palpate liver up and in. Appendix lay down legs up hand below knee lift up with resistance, patient will have pain (sois) Obturator- bend knee and rotate it pg 465.
