1. Abdominal Exam Course

2. 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

3. Abdominal Exam Inspection Auscultation Percussion Palpation
Rectal Exam
Special Techniques

4. Abdominal Exam

5. Abdominal Structures

6. Referred Pain

7. Inspection General Appearance Skin, Hands Facies Abdomen Hernias
Superficial Veins

8. Jaundice

9. Osler-Rendu-Weber Syndrome

10. Cushing’s Syndrome

11. Pyoderma Gangrenosum

12. Lindsay’s Nails

13. Gynecomastia

14. Spider Angiomata

15. Enlarged Gallbladder

16. Hepatomegaly

17. Ascites

18. Umbilical Hernia

19. Abdominal Venous Pattern

20. Inspection

21. Inspection

22. Sister Mary Joseph’s Nodule

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

24. Succussion Splash

25. Percussion Percuss Abdomen Percuss Liver Percuss Spleen
Rule out Ascites

26. Liver Percussion

27. Shifting Dullness

28. Shifting Dullness

29. Testing for Fluid Wave

30. Palpation
Light
Deep
Liver
Spleen
Kidney

31. Deep Palpation

32. Hooking the Liver

33. Location of Kidneys

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

35. Rectal Exam

36. Special Techniques
Iliopsoas Test
Obturator Test

37. Iliopsoas Test

38. Obturator Test

39. Questions