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The Abdominal Exam

The abdominal examination checklist outlines the steps to examine the abdomen, including inspecting the general appearance, examining the neck, face, and peripheral areas, palpating nine areas of the abdomen with light and deep pressure, auscultating bowel sounds and major blood vessels, and completing the exam with hernia and genital checks and a digital rectal exam.

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nithin shenoi
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441 views2 pages

The Abdominal Exam

The abdominal examination checklist outlines the steps to examine the abdomen, including inspecting the general appearance, examining the neck, face, and peripheral areas, palpating nine areas of the abdomen with light and deep pressure, auscultating bowel sounds and major blood vessels, and completing the exam with hernia and genital checks and a digital rectal exam.

Uploaded by

nithin shenoi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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OSCE

Checklist: The Abdominal Examination



Introduction
Introduce yourself
Wash hands
Briefly explain to the patient what the examination involves
Position the patient flat
General Inspection
Assess the patient from the end of the bed
- Obvious discomfort or distention
- Jaundice
The Hand and Arm
Peripheral stigmata of GI or liver dysfunction
Pulse
Neck and Face
Assess:
- Sclera
- Lips
- Mouth and tongue
Palpate lymph nodes
- Submental, Submandibular, Pre-auricular, Anterior Cervical,
Supraclavicular, Posterior Cervical, Post-Auricular, and Occipital
Abdomen
Assess for:
- Scars or skin changes
- Stomas
- Distention or visible peristalsis
Palpate 9 areas:
- Lightly
- Deeply (if no tenderness on light palpation)
Auscultate for bowel sounds
Palpate the liver
Auscultate for liver bruits
Ballot the kidneys
Auscultate for renal bruits
Palpate for abdominal aorta
Auscultate the aorta



Palpate for the bladder
Completing the Examination
Thank the patient
To complete the examination:
- Examine the hernial orifices
- External genitalia examination
- Digital rectal examination (DRE)

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