Chapter5: The Integumentary System
Section: Chapter Questions
Problem L2CRE
Related questions
Question
Identify a minimum of 15 clinical signs and symptoms that are consistent with a diagnosis of cirrhosis?
Transcribed Image Text:36 PART 3 GASTROINTESTINAL DISORDERS
Abd
• Moderately distended, firm, and slightly tender
• (+) prominent veins observed around umbilicus
• (+) HSM
• Active BS
• (-) guarding, rebound tenderness, palpable masses, and aortic, iliac, and renal bruits
Genit/Rect
• Heme-negative stool
• Penis normal, testicles moderately atrophic but without masses
• Normal sphincter tone
• (+) hemorrhoids
• Prostate may be slightly enlarged but (–) for nodules and tenderness
MS/Ext
• No clubbing or edema
• Good peripheral pulses at 2+ throughout
• Normal range of motion throughout
Neuro
• CNs grossly intact
• Brisk DTRS at 2+
• Slight asterixis noted
• Strength is equal bilaterally
• Confused and disoriented
• Negative Babinski
• Sensory grossly intact
Patient Case Question 2. Identify a minimum of 15 clinical signs and symptoms that are
consistent with a diagnosis of cirrhosis.
Transcribed Image Text:VS
• BP 120/75, P 83 and regular (supine)
• BP 118/70, P 80 and regular (standing)
• RR 14 and unlabored
• T 98.8°F orally
• WT 171 lbs
• HT 5 ft-7 in
• Sao, = 97%
%3D
Skin
• Warm, dry, and well perfused with normal turgor
• Mild jaundice
• (+) spider nevi on chest
• (-) palmar erythema
• Several ecchymoses on lower extremities
• Large "cobra" tattoo on right upper arm
HEENT
• (-) bruises, masses, and deformities on head
• (+) icteric sclera
• Pupils at 3 mm and reactive to light
• EOMI
• Funduscopic exam WNL
• TMs clear and intact
• O/P pink, clear, and moist without erythema or lesions
Neck/LN
• Supple
• (-) JVD
• (-) goiter, thyroid nodules, carotid bruits, and adenopathy
Chest
• Lungs CTA bilaterally without wheezes or crackles
• Diaphragmatic excursions WNL
• Good air exchange
• (+) gynecomastia
Heart
• RRR
• Normal S, and S, with no S, or S̟
• No m/r/g heard
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