Evaluation of the Gastrointestinal and Hepatobiliary system

Question 1

Which is done first in abdominal examination

Auscultation or Palpaton?

With reason

Answer 1

Auscultation is performed before palpation, as palpation may alter the bowel sounds.

Question 2

Auscultation

If,no bowel sounds are detected, then auscultate in the ____________ region for _____ full minutes before determining that bowel sounds are absent.

Note the pitch, intensity, and duration of the sounds

Answer 2

periumbilical; 3

Question 3

Auscultation

Starting in the right upper quadrant, listens over the _________ for _________ or _________ and over the free abdominal wall for _________.

Left upper quadrant, again listening for bowel sounds and then over the _________ to detect rubs or bruits.

Periumbilical regions for _________ and for bowel sounds

then in the left and right lower quadrants for bowel sounds or _________

Answer 3

liver ; rubs or bruits ; bowel sounds.

spleen

aortic or renal bruits

iliac bruits.

Question 4

Examination of the inguinal region is best performed by having the patient ____________________________ who is seated on a stool.
Inspect the inguinal region for evidence of abnormal protrusions or masses .
If a suspicious mass is detected on ins

Answer 4

stand erect facing the examiner