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Osce Abdominal Examination

1. The document outlines the steps for performing an abdominal examination, including introducing yourself to the patient, inspecting the abdomen visually, and performing palpation, percussion, and auscultation of the abdomen. 2. Key areas to inspect include the patient's nutritional status, skin, abdomen shape and movements, and umbilicus. Palpation involves feeling the abdomen in sections with two hands to check for masses like the liver, spleen, and kidneys. 3. Percussion is used to define organ boundaries while auscultation listens for bowel sounds and bruits over the aorta and kidneys. The exam concludes by thanking the patient and requesting permission for further exams.

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Nairobipaeds Madakitari Watoto
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328 views1 page

Osce Abdominal Examination

1. The document outlines the steps for performing an abdominal examination, including introducing yourself to the patient, inspecting the abdomen visually, and performing palpation, percussion, and auscultation of the abdomen. 2. Key areas to inspect include the patient's nutritional status, skin, abdomen shape and movements, and umbilicus. Palpation involves feeling the abdomen in sections with two hands to check for masses like the liver, spleen, and kidneys. 3. Percussion is used to define organ boundaries while auscultation listens for bowel sounds and bruits over the aorta and kidneys. The exam concludes by thanking the patient and requesting permission for further exams.

Uploaded by

Nairobipaeds Madakitari Watoto
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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OSCE ABDOMINAL EXAMINATION

1. Greet the patient 2. Introduce yourself 3. Explain to the patient what you will be doing and if they feel any discomfort to let you know 4. Stand on the right side General inspection of the patient  Comfortable at rest or distressed  Nutritional status  Hands  Finger clubbing  Palmar erythema/pallour  Leukonychia- hypoalbuminemia  Hepatic flap (asterixis) ask the patient to stretch out the arms in front, separate the fingers and extend wrists for 15s  Pallor  Jaundice  Breath fetor  Lymph nodes  Spider naevi: upper trunk, head, neck and arms  Bruising, petechiae, pruritic marks  Gynaecomastia in males  Obvious medical appliances around the bed 5. Expose the patients abdomen while maintaining dignity. The patient should be lying flat at 180 supine hands by the side. 6. Inspection - Remember to inspect from foot of the bed.  Shape normal contour and fullness, scaphoid or distended; Symmetry of the abdomen, localized swellings 7. Umbilicus inverted or everted Movements of abdominal wall moving with respiration, visible pulsations of abdominal aorta, visible peristalsis  Skin and surface of abdomen smooth and shiny (gross distension),striae, scars, prominent superficial veins, pigmentations Palpation  Ask about pain location  Superficial palpation of each of the 9 quadrants. You should be looking at the patient's face. Start at the point furthest away from any pain  Deep palpation of the 9 quadrants with two hands, one on top of the other again flexing at the MCP joints.  Palpate for left kidney, spleen, right kidney, liver, urinary bladder  If you find a mass site, size and shape, surface, edge, consistency, mobility and attachments Percussion  Define boundaries of liver, spleen and other masses  Ascites - shifting dullness, fluid thrill Auscultation You should listen with the diaphragm next to the umbilicus for up to 30 seconds  Bowel sounds  Aortic bruits and renal bruits. Examination of the hernial orifices. Mention to the examiner at this point that you would like to finish the examination with an, the external genitalia and also a rectal examination. Thank the patient  

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