Abdominal Exam Palpation

Question 1

What do you palpate?

Answer 1

Superficial
Deep
Liver
Spleen
Kidneys

Question 2

With superficial palpation reserve the painful region for?

Answer 2

The end

Question 3

How do you do superficial palpation?

Answer 3

Gentle rotary motion, sliding fingers and skin together clockwise around entire abdomen.

Question 4

How much do you depress skin with superficial palpation?

Answer 4

1 cm

Question 5

What do you check for with superficial palpation?

Answer 5

Muscle gaurding
Rigidity
Large masses
Tenderness

Question 6

Deep palpation is the same as superficial except how much do you depress the skin with deep?

Answer 6

5-8 cm

Question 7

When palpating the liver it should be what?

Answer 7

Firm and palpable

Question 8

Is the spleen palpable?

Answer 8

No

Question 9

The kidneys may or may not be what?

Answer 9

Palpable

Question 10

What is rebound tenderness?

Answer 10

Choose quadrant away from painful one. Push hand down perpendicular into abdomen. Push down slowly and deep and quickly lift to cause irritation in nearby quadrant.

Question 11

What is the kidney punch test?

Answer 11

Dr place hand over 12 rib and thumps contact hand with other fist. Should have no pain. Repeat on opposite side.`

Question 12

What are the pathological reflexes?

Answer 12

Babinski
Oppenheim
Chadock
Gordon’s

Question 13

What do all the pathological reflexes test?

Answer 13

Babinski Sign