Abdominal Exam - uky.edu

Abdominal Exam - uky.edu

Abdominal Exam Inspection Auscultation Percussion Palpate percussion includes percussion of liver span, light and deep palpation, palpation of liver edge, spleen tip, kidneys, and aorta. The abdominal exam is done with the patient supine at 90o Order Orderof ofexam

examis iscritical. critical.Auscultate Auscultate BEFORE BEFOREpalpating! palpating! ABDOMEN: Inspection There should be adequate exposure of the abdomen for proper inspection.

The patient should be exposed from the inferior chest to the anterior iliac spines bilaterally. 124: Auscultation Auscultation can be done with the diaphragm or the bell; most examiners use the diaphragm. You should listen for at

least 10-15 seconds and note the pitch and frequency of bowel sounds. If you do not hear any bowel sounds, you should listen for a full two minutes before you can state that the patient does not have any bowel sounds. Bowel sounds should occur from every other second to every 12

seconds. Note: During the abdominal exam auscultation is done before palpation Percussion 125- 126 Percussion: the left and right abdomen should be percussed above and below the umbilicus. Most examiners will percuss 8 or more areas.

Percussion: Liver span The liver span is estimated by percussion. Remember that it is easier to hear the change from resonance to dullness so proceed with percussion from areas of resonance to areas of dullness. Upper border: In the midclavicular line start percussing in the chest moving down towards the abdomen about to 1 cm at a time. Note where the percussion notes change from resonate to dull. Lower border: In the midclavicular

line begin percussion below the unbillicus and proceed upward until dullness is encounter. The distance between the two areas where dullness is first encountered is the liver span. Liver span is normally 6 to 12 cm in the midclavicular line. Liver Span: Scratch Test Start in the same areas

above and below the liver as you would with percussion. Instead of percussing lightly, scratch moving your finger back and forth while listening over the liver. Since sound is conducted better in solids than in air, when the louder sounds are heard you are over the liver. Mark the superior and inferior boarders of

the liver span in the midclavicular line Abdominal Palpation 128, 129. Palpate lightly in all 4 quadrants. Press down around 1 cm. Remember to look at the patients face during palpation to see if any tenderness is elicited Palpation: Deeply, all 4 quadrants

One should use two hands. Press down around 4 cm Palpation: Liver Stand on the pts right side. Place your left hand behind the patients R side under the 11th and 12th rib area. Press upward with the L hand. Place your R hand on the pts abdomen well below where you percussed the liver edge 130-131: Palpation of Liver: Alternative Method

It is acceptable during palpation of the liver to use both hands to palpate abdomen. You use the fingers of one hand to palpate and the other hand is used to apply pressure to the dorsum of the other hand. Thus the hand you are using to palpate does not need to be used to apply pressure. 132-133: Palpation: Spleen Palpation: Spleen (correctly - position, breaths, palpating

deepest full inspiration, 1 hand under L side, 1 feeling) Palpation: Spleen (if not palpable, R lateral decubitus) Right lateral decubitus 135-136: Palpation of Kidneys

Right kidney (take a deep breath, capture kidney, exhale, slowly release kidney Left kidney (take a deep breath, capture kidney, exhale, slowly release kidney) 137: Palpation: For abdominal aorta Palpation: For abdominal aorta (to feel both the left and

right walls of the aorta) In correct order: Inspection, auscultation, percussion and palpation Abdominal Examination was done at 0.

Recently Viewed Presentations

  • Changes of State - Science

    Changes of State - Science

    The changes of state that occur with variations in temperature or pressure can be described and predicted using these models of matter. DCI-MS-PS1.B.3. Some chemical reactions release energy, others store energy. Up in Flames.
  • Solving Trigonometric Equations - Cengage

    Solving Trigonometric Equations - Cengage

    All angles that are coterminal with ± are also solutions and can be expressed by adding integer multiples of 2π. π 3 π 3 The general solution can be written as = ± + 2kπ . π 3 From cos...
  • Introduction - Univerzitet u Zenici

    Introduction - Univerzitet u Zenici

    TCP/IP Mreže Primjer Uvod u mreže. Ova prezentacija će pomoću jednog primjera ilustrirati interakciju protokola koji je zasnovan na temelju TCP/IP protokola.
  • TP TH CHUYN NG (Tp 01) Tc gi

    TP TH CHUYN NG (Tp 01) Tc gi

    Niềm đau nỗi nhớ bao la, Ngày em ly biệt môi ta biếng cười, Trong lòng suối lệ tuôn rơi Tình em xa vắng cuộc đời buồn tênh. Hãy lưu kỷ niệm đôi mình, Hãy xoa cho dịu cuộc tình...
  • The Collision Theory

    The Collision Theory

    The Collision Theory. The rate of a reaction is proportional to the number of effectivecollisions per second among the reactant molecules.. We already know concentration plays an important part in rxn rate:
  • 3

    3

    Balance the equation. Convert to . moles. of . given. substance. MAKE THE . SWITCH. USING THE . MOLE RATIO . FROM THE BALANCED EQUATION. Convert to . desired unit. Problem Set 1. C 5 H 12 + O 2...
  • Class 16: History of 17th C

    Class 16: History of 17th C

    Strengthened the trade and postal system throughout Mongolian controlled Asia; Silk Route. By 14th C, Han Chinese in the south of China were rebelling, leading to over-throw of Mongolians in China and the establishment of the Ming Dynasty ... Mogul...
  • Certification Overview

    Certification Overview

    Board of Canadian Registered Safety Professionals (BCRSP) National Certification Body 1976 - Consumer & Corporate Affairs (Letters Patent) Governing Board (15 CRSPs elected by members) Accountable to the Federal government and membership (CRSPs) Responsible for evaluation, examination (CRSPEX), registration, discipline,...