Abdo exam

Question 1

Start abdo exams

Answer 1

Flat patient- with xiphi to pubic symphisis
look well?jaundice? peritonitic

go hands first

Question 2

Hands and neck abdo exam

Answer 2

Clubbing, leukonykia, poikonychia
palmar erythema, contracture

face- jaundice in eyes, corneate arcus, xanthelasmas, Kaiser fletcher rings
Neck- JVP-

Question 3

closer abdo exam and palp and other steps

Answer 3

Scars- midline, appendisectomy, point incisions, Sickle

palpate the 9 quadrants- 1st light, then Deep

then palpate the organs- liver and splenomegaly (Portal HTHN, cirrhosis)
then percuss organs

palpate kidneys, shifting dullness
Palpate AAA
Listen to BS, Kidney, liver

Virchows node
then legs-
THATS THINKING TIME