Abdominal examination Flashcards

1
Q

What is the order of examination for abdominal?

A
  • Inspect
  • Auscultate
  • Palpate
  • Percussion
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2
Q

What are the different shapes of the abdomen when lying down?

A
  • Flat (normal)
  • Rounded (normal)
  • Scaphoid (sunken)
  • Protuberant (big belly)
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3
Q

What other things should you comment on during inspection of the abdominal area?

A
  • symmetry
  • location, shape, edges of umbilicus
  • visible blood vessels, pulsations, and abdominal movements
  • overall demeanor
  • presence or absence of hernia
  • general health of skin (colour, striae, scars, lesions, piercings, moles, discolourations, hair distribution)
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4
Q

Where do you auscultate?

A

Starting in LRQ, auscultates 2 areas in each quadrant, listens for 5 sounds

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5
Q

How do you palpate the liver?

A

Ask patient to take big breath in, palpate deeply, comment on consistency of liver, size, and location

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6
Q

What are the 3 additional exams in abdominal?

A
  • Liver span
  • shifting dullness
  • fluid wave test (ascites)
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