Adult Nurse Practitioner Exam Prep

Category - AANPCP Adult Nurse Practioner Practice Test

A woman with pancreatitis is noted to have bluish discoloration of the periumbilical area on physical examination. This finding is called:
  1. Turner’s sign
  2. Cullen’s sign
  3. Murphy’s sign
  4. Spider angioma
Explanation
Answer - B - Cullen’s sign is the bluish discoloration of the periumbilical area caused by hemorrhagic, severe pancreatitis. Turner’s sign is the bluish discoloration of the left flank area that is seen in peritonitis. Murphy’s sign is experiencing pain with inspiration as the examiner’s fingers are placed under the right costal margin. This is positive for acute cholecystitis. Spider angioma is the abnormal collection of blood under the skin. This is usually seen in pregnant women and those with liver disease.
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