Digestive system

Inspection: The colour of mucous membranes of oral cavity is ____________, dry or moist (the necessary underline), incrustation (coating) _____________, fissure and aphtha _____________________________, colour of the tongue is _______________, coated with _______________ fur, state of papilla of tongue _______________________, dry, moist, atrophic, smooth, enlarged, normal size (the necessary underline). Colour of tonsils is ____________, coating ______________________, moisture _________ fissure and aphtha ______________. The odour from oral cavity __________________

In vertical position the abdomen has normal shape, distended, scaphoid, pendulous symmetrical or asymmetrical (the necessary underline) enlarged because of _________________________, abdominal circumference _____ cm, moves or doesn’t move with breathing, visible peristalsis ___________________, the umbilicus is centrally located, is flatten, inverted, everted, displased upwards (the necessary underline). In horizontal position the abdomen has ___________ shape, moves or doesn’t move with breathing, abdominal circumference _____ cm, the umbilicus is centrally located, is flatten, inverted, everted, displased upwards (the necessary underline). Distended veins of the anterior abdominal wall ______________, “caput Medusa” _________________.

In superficial palpation there is soft, mild, moderate, demonstrable, board-like muscular tension of anterior abdominal wall (the necessary underline). Hyperesthesia ___________, the divergence of straight muscles _____ present, the tumour _______ present in region _____________________________. Blumberg’ sign is positive or negative; painless, extreme tenderness in McBurney’s point (the necessary underline).

Deep palpation according to Obraztsov-Strazhesko

Sigmoid colon is localized in ________________________, _______________ shape, ________ size (cm), _______________ consistence, ___________________ character of surface, _________ painfulness, _____ movable, _________ murmurs.

Caecum is localized in ________________________, _______________ shape, ________ size (cm), _______________ consistence, ___________________ character of surface, _________ painfulness, _____ movable, _________ murmurs.

Colon transverses is localized in ________________________, _______________ shape, ________ size (cm), _______________ consistence, ___________________ character of surface, _________ painfulness, _____ movable, _________ murmurs.

Colon ascenders: is localized in ________________________, _______________ shape, ________ size (cm), _______________ consistence, ___________________ character of surface, _________ painfulness, _____ movable, _________ murmurs.

Colon descendent is localized in ________________________, _______________ shape, ________ size (cm), _______________ consistence, ___________________ character of surface, _________ painfulness, _____ movable, _________ murmurs.

Mendel’s symptom is positive or negative (the necessary underline).

The liver ______ palpable, ______ tender, is extended ____ cm below the costal margin, shape of edge is sharp, rounded, smooth, elastic, firm (the necessary underline). Ortner’s symptom is _________, Ker’s symptom is _________, Murphy’s symptom is _________, Mussi-Georgievsky’s symptom is _________. The spleen ______ palpable, ______ tender, is extended ____ cm below the costal margin, shape of edge is sharp, rounded, smooth, elastic, firm (the necessary underline).

Meyo-Robson’s symptom is _________. The pancreas _____ palpable, ____________

consistency, ______ tender, smooth, elastic, firm (the necessary underline).

In auscultation intestinal peristalsis is absent, sluggish, increased, not impaired, (the necessary underline).

Stool is _____ time per day, formed, liquid, semi-liquid, regular, irregular (the necessary underline), _________ colour, with or without an admixing _______________________.

Date: 2015-01-02; view: 865