Renal abdominal examination

Question 1

look

Answer 1

renal transplant scar- RIF/LIF- if slim patient transplant may be visible as a mass
nephrectomy scars- Flaks
swelling/ distension

Question 2

palpate

Answer 2

start away from area of discomfort

all nine areas, deep and superficial

assess organomegaly

groin hernias

Question 3

percuss

Answer 3

liver
spleen
bladder- upper abdomen down midline to symphysis pubis

Question 4

ascites

Answer 4

percuss from midline to flank- if dull roll patient towards you wait 10 seconds, the re-percuss

Question 5

auscultate

Answer 5

bowel sounds for up to two minutes
bruits