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Abdominal examination

Rana Muhammad

Created on October 7, 2023

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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.

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