25. Abnormal Findings – Gastrointestinal
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Nausea and vomiting – may be caused by existing illness or by certain
medications.
Dysphagia – difficulty swallowing; has various causes; may lead to aspiration and
pneumonia.
Cullen’s sign – a bluish umbilicus; indicates intra-abdominal hemorrhage.
Turner’s sign – bruising on the flank; indicates retroperitoneal hemorrhage.
Constipation – may cause a dull abdominal ache, a full feeling, and hyperactive
bowel signs.
Diarrhea – may cause cramping, abdominal tenderness, anorexia, and hyperactive
bowel sounds.
Abdominal distention – may occur with gas, a tumor, or a colon filled with feces.
Abnormal bowel sounds – may be hyperactive, hypoactive or absent.
Friction rubs – may indicate splenic infarction or hepatic tumor.
Abdominal pain – may result from abdominal trauma, ulcers, interstinal
obstruction, appendicitis, cholecystitis, peritonitis, or other inflammatory disorder.