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Abdominal examination
Rana Muhammad
Created on October 7, 2023
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Transcript
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.
Pyelonephritis kidney 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