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9.1 Abdomen - Coggle Diagram

- - - - scars
      - hernia
      - stoma
      - cullen sign - bruise at umbilicus, same cause to grey turner
      - grey turner - bruise on flank, haemorrhagic pancreatitis
      - striae - org gemuk cshing syndrome
    - - deep
        
        location
        
        size and shape
        
        consistency
        
        mobility
        
        pulsatility
      - light
        
        tenderness
        
        rebound tenderness - tekan lepas mengejut
        
        Guarding
        
        Rovsing sign palpate Right iliac fossa feel at left iliac fossa to
        
        Mass
    - - normal - gurgling
      - tinkling - bowel obstruction
      - absent - malfunction peristalsis
      - do it for 3 min
  - - - 5-7-9 rule
- - - - pt supine
      - knees flex
      - apply pressure at mcburney point then release quickly
    - - hyperextend thigh of pt
      - may suggest acute apendicitis
    - - pt lie supine
      - push index finger at last rib pointing midline toward pt
      - ask pt to take deep breath
      - feel rib touch finger
      - pain during inspiration