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Compiled and presented byRana Shehabeldin - OPS SHO

Abdominal Examination

Components

c. Bimanual

b. Local

b. Deep

a. Superficial

IV - Auscultation

a. General

II - Palpation

I - Inspection

III - Percussion

01

Inspection

  • Decubitus
  • Complexion
  • Xanthoma & Xanthelasma
  • Flapping tremor
  • Nails
  • Dupuytren’s contracture
a. General inspection
  • Contour > distended, scaphoid.
  • Skin > striae, scars, etc.
  • visible veins ( Spider naevi, Caput medusa)
  • visible pulsation
  • visible peristalsis
  • divarication of recti

b. Local inspection

02

Palpation

Both hands are used.Kidney, spleen, aorta and liver.

Confirm previous findings.abdominal organs and masses

For tenderness, rigidity and superficial swelling.Lt iliac fossa & turn anticlock wise.

Bimanual

Deep

Superficial

03

Percussion

1. transmitted thrill.2. Shifting dullness.

Pyelonephritiskidney stones

Identifying liver span

Ascites

Kidneys

Liver

04

Auscultation

  • Intestinal sounds (hypoactive, hyperactive)
  • Arterial bruits (aortic, renal)
  • Venous hum
  • Friction rub (splenic, hepatic)
  • Scratch test

Thanks