Abdominal Exam Course.

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Presentation transcript:

Abdominal Exam Course

Abdominal Exam Lying flat in bed Arms at sides, legs flat Avoid hands behind the head Tightens abdominal muscles Place pillow behind the knees, stand on patient’s right side Examine the area of pain last

Abdominal Exam Inspection Auscultation Percussion Palpation Rectal Exam Special Techniques

Abdominal Exam

Abdominal Structures

Referred Pain

Inspection General Appearance Skin, Hands Facies Abdomen Hernias Superficial Veins

Jaundice

Osler-Rendu-Weber Syndrome

Cushing’s Syndrome

Pyoderma Gangrenosum

Lindsay’s Nails

Gynecomastia

Spider Angiomata

Enlarged Gallbladder

Hepatomegaly

Ascites

Umbilical Hernia

Abdominal Venous Pattern

Inspection

Inspection

Sister Mary Joseph’s Nodule

Auscultation Bowel Sounds Rule out Obstructed Viscus Rule out Abdominal Bruits Rule out Peritoneal Rubs

Succussion Splash

Percussion Percuss Abdomen Percuss Liver Percuss Spleen Rule out Ascites

Liver Percussion

Shifting Dullness

Shifting Dullness

Testing for Fluid Wave

Palpation Light Deep Liver Spleen Kidney

Deep Palpation

Hooking the Liver

Location of Kidneys

Rectal Exam Positioning Technique Palpate rectal walls Palpate prostate Test stool for occult blood

Rectal Exam

Special Techniques Iliopsoas Test Obturator Test

Iliopsoas Test

Obturator Test

Questions