abdominal exam

Question 1

Abdominal exam

Answer 1

• 1. Inspect
• 2. Ausculate (NL bowel sounds 5-34 clicks/min)
• 3. Percuss: typamic throughout
• 4. Palpate (superficial=> moderate => deep); asscess for rebound/guarding

Question 2

Special tests:

Answer 2

1. Heel strike => appendicits
2. Lloyds punch => kidney
3. Fluid wave = > pt places hand midline while doc taps on both sides to see if fluid wave is noted.

Question 3

HEart exam

Answer 3

1. Inspect: NL chest shape, no flushing, cyanosis, bruising; radial pulses for 15 seconds, carotid pulse for 15 seconds) +2/4 peripheral pulses, cap refill is less than 2 seconds, pitting edema: +0/4
2. Palpate: PMI (point of maximal impulse) at the 4th or 5th intercostal splace at the mid-clavicular line; palpate for thrill. NL = should be SMALL AND BRISK!!!!! DO THIS LAYING DOWN
3. Percuss. IF PMI IF SMALL AND BRISK => DO NOT PERCUSS
4. ausculate

Question 4

NL peripheral pulses

Answer 4

+2/4

Question 5

NL cap refill

Answer 5

less than 2 seconds

Question 6

Pitting edema (check mid-shin)

Answer 6

+0/4

Question 7

Heart special test

Answer 7

Allen test: occlude both arteries while the patient makes a fist, have pt open and close the fist. palm should be pale

• Release pressure on ulnar artery and observe for color return to hand within 5-10 seconds. reet with radial artery