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Abdominal Exam Course. Abdominal Exam Lying flat in bed Arms at sides, legs flat Avoid hands behind...
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Transcript of Abdominal Exam Course. Abdominal Exam Lying flat in bed Arms at sides, legs flat Avoid hands behind...
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
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